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在西咪替丁治愈的患者中维持使用甘珀酸。

Carbenoxolone maintenance in cimetidine-healed patients.

作者信息

Guslandi M, Cambielli M, Tittobello A

出版信息

Scand J Gastroenterol. 1980;15(3):369-71. doi: 10.3109/00365528009181485.

Abstract

The effects of 3 months' maintenance treatments with cimetidine, 400 mg at bedtime, or with carbenoxolone, 150 mg/daily, in patients whose duodenal ulcers healed after an initial course with cimetidine were compared. Carbenoxolone promoted a significant enhancement of cimetidine-altered mucus secretion, whereas in the cimetidine group no mucus recovery was found. Within 6 months from healing time 48.1% of the patients in the cimetidine group relapsed, compared with 21.4% in the carbenoxolone group. The difference is statistically significant (p < 0.05). Our results suggest that carbenoxolone maintenance is more effective than cimetidine in preventing recurrence of ulcers, being also a cheaper and shorter maintenance treatment.

摘要

比较了西咪替丁(每晚400毫克)或甘草次酸(每日150毫克)对十二指肠溃疡患者进行3个月维持治疗的效果,这些患者在接受西咪替丁初始疗程后溃疡已愈合。甘草次酸显著促进了西咪替丁改变的黏液分泌增强,而在西咪替丁组未发现黏液恢复。从愈合时间起6个月内,西咪替丁组48.1%的患者复发,而甘草次酸组为21.4%。差异具有统计学意义(p<0.05)。我们的结果表明,在预防溃疡复发方面,甘草次酸维持治疗比西咪替丁更有效,且也是一种更便宜、疗程更短的维持治疗方法。

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