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生长抑素与西咪替丁治疗消化性溃疡出血的随机对照试验。

Somatostatin and cimetidine in peptic-ulcer haemorrhage. A randomised controlled trial.

作者信息

Kayasseh L, Gyr K, Keller U, Stalder G A, Wall M

出版信息

Lancet. 1980 Apr 19;1(8173):844-6. doi: 10.1016/s0140-6736(80)91352-5.

Abstract

In a randomised controlled trial somatostatin was compared with cimetidine in the treatment of severe and persistent gastrointestinal bleeding due to peptic ulcer. The study was of a sequential design and lasted 2.5 years, when the designated level of significance had been reached. Of the 20 patients studied, 10 received somotostatin and 10 received cimetidine. In 7 of the 10 pairs of patients somatostatin was more effective than cimetidine; in 2 pairs somatostatin and cimetidine were both ineffective; and in 1 pair they were equally effective. Somatostatin may therefore be suitable for controlling peptic-ulcer bleeding in many patients who are unsuitable for surgery.

摘要

在一项随机对照试验中,对生长抑素和西咪替丁治疗消化性溃疡所致严重持续性胃肠道出血的效果进行了比较。该研究采用序贯设计,持续了2.5年,达到了预定的显著性水平。在研究的20例患者中,10例接受生长抑素治疗,10例接受西咪替丁治疗。在10对患者中,7对生长抑素比西咪替丁更有效;2对生长抑素和西咪替丁均无效;1对两者效果相同。因此,生长抑素可能适用于控制许多不适于手术的患者的消化性溃疡出血。

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