Berstad A, Hatlebakk J G
Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Aliment Pharmacol Ther. 1993;7 Suppl 1:34-6, discussion 61-6. doi: 10.1111/j.1365-2036.1993.tb00586.x.
The newly developed proton pump inhibitor lansoprazole has been compared to placebo, ranitidine and with omeprazole in a number of clinical studies in patients with reflux oesophagitis. In three comparative studies against ranitidine, lansoprazole was found to be superior in terms of healing rates and symptom relief. In two studies against omeprazole, no significant difference was found in healing rates, while a Scandinavian study demonstrated more prompt relief from heartburn. Further studies are presently being conducted to evaluate the potential of lansoprazole in long-term treatment of reflux oesophagitis. It is concluded that lansoprazole is a safe, effective therapy for reflux oesophagitis, superior to ranitidine and comparable with omeprazole.
在多项针对反流性食管炎患者的临床研究中,已将新开发的质子泵抑制剂兰索拉唑与安慰剂、雷尼替丁以及奥美拉唑进行了比较。在三项与雷尼替丁的对比研究中,发现兰索拉唑在愈合率和症状缓解方面更具优势。在两项与奥美拉唑的研究中,愈合率未发现显著差异,而一项斯堪的纳维亚研究表明,兰索拉唑能更快缓解烧心症状。目前正在进行进一步研究,以评估兰索拉唑在反流性食管炎长期治疗中的潜力。得出的结论是,兰索拉唑是一种治疗反流性食管炎的安全、有效疗法,优于雷尼替丁,与奥美拉唑相当。