Gray G R, Smith I S, McKenzie I, Crean G P, Gillespie G
Lancet. 1977 Jan 1;1(8001):4-7. doi: 10.1016/s0140-6736(77)91650-6.
40 adult outpatients with active endoscopically proven duodenal ulceration, who would otherwise have merited elective ulcer surgery, entered a double-blind trial of either cimetidine (1g/day) or placebo. After twenty-eight days, 17 of 20 (85%) patients receiving cimetidine showed ulcer healing, compared with 5 of 20 patients receiving placebo (p less than 0.0005). Patients receiving cimetidine had significantly more pain-free days and pain-free nights than those receiving placebo. There was good correlation between ulcer healing and symptomatic relief (p less than 0.0005).
40名经内镜检查确诊为活动性十二指肠溃疡的成年门诊患者,原本符合择期溃疡手术指征,他们参与了一项西咪替丁(1克/天)或安慰剂的双盲试验。28天后,接受西咪替丁治疗的20名患者中有17名(85%)溃疡愈合,而接受安慰剂治疗的20名患者中只有5名溃疡愈合(p<0.0005)。接受西咪替丁治疗的患者无痛天数和无痛夜晚数明显多于接受安慰剂治疗的患者。溃疡愈合与症状缓解之间存在良好的相关性(p<0.0005)。