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西沙必利新剂型10毫克泡腾胶囊治疗功能性消化不良的疗效与耐受性

[Efficacy and tolerability of cisapride in a new formula of 10 mg effervescent capsules for the treatment of functional dyspepsia].

作者信息

Grossi L, Di Felice F, Marzio L

机构信息

Istituto di Patologia Speciale Medica e Metodologia Clinica, Università degli Studi di Chieti.

出版信息

Clin Ter. 1993 Jun;142(6):521-7.

PMID:8354045
Abstract

The efficacy and tolerability of Cisapride effervescent granules and a metoclopramide-dimethicone combination were compared double-blind in two comparable groups of 15 patients each with dyspepsia. All patients received three sachets daily of either drug for 6 consecutive weeks. As for efficacy, Cisapride effervescent granules was found to reduce 85% (11/13) of symptoms to a statistically significant extent, as against 42% (5/12) in the reference group. Statistical analysis showed Cisapride effervescent granules to be more effective than the reference drug for 6 out of 11 evaluable symptoms. Mean global improvement was 86% for Cisapride effervescent granules vs 41% for the reference combination. Final judgment by the physician was more favorable for Cisapride effervescent granules than for the reference drug (p < 0.0001). Treatment withdrawal was never necessary and no significant changes of laboratory values were observed. No statistically significant difference between the two treatments as to tolerability was observed. In conclusion, Cisapride effervescent granules was found to have a better risk/benefit ratio than the reference combination.

摘要

在两组各有15例消化不良患者的可比组中,对西沙必利泡腾颗粒与甲氧氯普胺 - 二甲硅油组合进行了双盲比较。所有患者连续6周每天服用三种药物中的任何一种三袋。在疗效方面,发现西沙必利泡腾颗粒能将85%(11/13)的症状减轻到统计学显著程度,而参比组为42%(5/12)。统计分析表明,在11项可评估症状中的6项上,西沙必利泡腾颗粒比参比药物更有效。西沙必利泡腾颗粒的总体平均改善率为86%,而参比组合为41%。医生的最终判断对西沙必利泡腾颗粒比对参比药物更有利(p < 0.0001)。从未需要停药,也未观察到实验室值有显著变化。在耐受性方面,两种治疗之间未观察到统计学显著差异。总之,发现西沙必利泡腾颗粒比参比组合具有更好的风险/效益比。

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