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[测定血清胃蛋白酶原I和II以评估S(+)布洛芬对胃十二指肠的耐受性]

[Determination of serum pepsinogen I and II for assessment of gastroduodenal tolerance of S(+) ibuprofen].

作者信息

Kullich W, Wallner H, Klein G

机构信息

Ludwig-Boltzmann-Institut für Rehabilitation interner Erkrankungen, Saalfelden.

出版信息

Wien Klin Wochenschr. 1994;106(7):208-11.

PMID:8197755
Abstract

Therapy with non-steroidal anti-inflammatory drugs often causes gastroduodenal side effects. Changes in the gastric mucosa were studied by determination of serum pepsinogen I and pepsinogen II by the means of radioimmunoassay. 41 patients with degenerative rheumatic diseases were divided into two groups, 21 patients receiving 600 mg S(+) ibuprofen daily (3 x 200mg) and 20 patients receiving 900 mg S(+) ibuprofen daily (3 x 300 mg) over a 14-day period. No significant increase occurred in mean and median values of pepsinogen I and II. Indeed, no changes in serum pepsinogen I and II were noted in 80% of the patients in the higher dosage group and in more than 90% of the lower dosage group. None of the gastroduodenal side effects frequently reported during therapy with non-steroidal anti-rheumatic drugs occurred.

摘要

使用非甾体抗炎药进行治疗常常会引发胃十二指肠副作用。通过放射免疫分析法测定血清胃蛋白酶原I和胃蛋白酶原II,研究胃黏膜的变化。41例退行性风湿性疾病患者被分为两组,21例患者在14天内每日服用600毫克S(+)布洛芬(3×200毫克),20例患者在14天内每日服用900毫克S(+)布洛芬(3×300毫克)。胃蛋白酶原I和II的均值和中位数没有显著增加。实际上,高剂量组80%的患者以及低剂量组90%以上的患者血清胃蛋白酶原I和II均未出现变化。在使用非甾体抗风湿药治疗期间经常报告的胃十二指肠副作用均未发生。

相似文献

1
[Determination of serum pepsinogen I and II for assessment of gastroduodenal tolerance of S(+) ibuprofen].[测定血清胃蛋白酶原I和II以评估S(+)布洛芬对胃十二指肠的耐受性]
Wien Klin Wochenschr. 1994;106(7):208-11.
2
[Value of pepsinogen I in serum as a screening method for early detection of gastroduodenal lesions and follow-up in therapy with non-steroidal antirheumatic drugs].[血清胃蛋白酶原I作为胃十二指肠病变早期检测及非甾体类抗风湿药物治疗随访筛查方法的价值]
Z Rheumatol. 1991 Jan-Feb;50(1):39-45.
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[Gastroduodenal tolerance and clinical effectiveness of therapy with lonazolac-calcium in rheumatic diseases].[氯那唑酸钙治疗风湿性疾病的胃十二指肠耐受性及临床疗效]
Wien Med Wochenschr. 1996;146(17):459-64.
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Clinical use of proton-pump inhibitors but not H2-blockers or antacid/alginates raises the serum levels of amidated gastrin-17, pepsinogen I and pepsinogen II in a random adult population.在随机选取的成年人群中,使用质子泵抑制剂而非H2受体阻滞剂或抗酸剂/藻酸盐会提高血清中酰胺化胃泌素-17、胃蛋白酶原I和胃蛋白酶原II的水平。
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Comparative study of piroxicam and ibuprofen in rheumatoid arthritis.吡罗昔康与布洛芬治疗类风湿性关节炎的对比研究。
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Lansoprazole elevates the ratio of serum pepsinogen I v.s. pepsinogen II.兰索拉唑可提高血清胃蛋白酶原I与胃蛋白酶原II的比值。
Int J Clin Pharmacol Res. 1997;17(4):127-32.
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Serum pepsinogen I and gastrin in peptic ulcer patients using nonsteroidal anti-inflammatory drugs.使用非甾体抗炎药的消化性溃疡患者的血清胃蛋白酶原I和胃泌素
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[Nizatidine in therapy and prevention of non-steroidal anti-rheumatic drug-induced ulcers in rheumatic patients].
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Pepsinogens I and II: purification from gastric mucosa and radioimmunoassay in serum.胃蛋白酶原I和II:从胃黏膜中纯化及血清中的放射免疫测定
Gastroenterology. 1982 Jan;82(1):26-33.

引用本文的文献

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Comparison of safety, efficacy and tolerability of dexibuprofen and ibuprofen in the treatment of osteoarthritis of the hip or knee.右布洛芬与布洛芬治疗髋或膝骨关节炎的安全性、有效性及耐受性比较
Wien Klin Wochenschr. 2014 Jun;126(11-12):368-75. doi: 10.1007/s00508-014-0544-2. Epub 2014 Apr 17.
2
S(+)-ibuprofen (dexibuprofen)--Excellent tolerance has not to be combined with poor clinical efficacy.S(+)-布洛芬(右旋布洛芬)——极好的耐受性并不需要与较差的临床疗效相结合。
Inflammopharmacology. 1998;6(1):75-9. doi: 10.1007/s10787-998-0008-2.
3
Efficacy and long-term safety of dexibuprofen [S(+)-ibuprofen]: a short-term efficacy study in patients with osteoarthritis of the hip and a 1-year tolerability study in patients with rheumatic disorders.
右旋布洛芬[S(+)-布洛芬]的疗效及长期安全性:一项针对髋骨关节炎患者的短期疗效研究及一项针对风湿性疾病患者的1年耐受性研究
Clin Rheumatol. 2001 Nov;20 Suppl 1:S22-9. doi: 10.1007/BF03342664.