Amarapurkar D N, Parikh S S, Desai H G
BYL Nair Charitable Hospital, Bombay.
J Assoc Physicians India. 1993 Aug;41(8):496-7.
A double blind randomised trial, comparing a new H2-receptor antagonist, Roxatidine acetate, with Cimetidine was carried out in 47 patients of uncomplicated, endoscopically proven duodenal ulcer. Twenty seven patients were treated with Roxatidine 75 mg twice daily and 20 patients were treated with Cimetidine 200 mg 3 times a day and 400 mg at bed time for 4 weeks. At the end of 4 weeks, total pain relief was obtained in 74% and 70% patients receiving Roxatidine and Cimetidine respectively. Complete endoscopic healing at the end of 4 weeks was observed in 92.3% patients receiving Roxatidine and 85% patients receiving Cimetidine. These differences were statistically not significant. No significant side effects were observed in either group. We conclude that Roxatidine acetate is comparable to cimetidine in relieving pain and endoscopic healing of duodenal ulcer and has an excellent safety profile.
一项双盲随机试验在47例经内镜证实为单纯性十二指肠溃疡的患者中进行,比较了新型H2受体拮抗剂醋酸罗沙替丁与西咪替丁的疗效。27例患者每日两次服用75毫克醋酸罗沙替丁,20例患者每日三次服用200毫克西咪替丁,并在睡前服用400毫克,疗程为4周。4周结束时,接受醋酸罗沙替丁和西咪替丁治疗的患者中,分别有74%和70%的患者疼痛完全缓解。接受醋酸罗沙替丁治疗的患者中,92.3%在4周结束时内镜完全愈合,接受西咪替丁治疗的患者中这一比例为85%。这些差异在统计学上无显著意义。两组均未观察到明显的副作用。我们得出结论,醋酸罗沙替丁在缓解十二指肠溃疡疼痛和内镜愈合方面与西咪替丁相当,且安全性良好。