共查询到20条相似文献,搜索用时 15 毫秒
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法莫替丁不良反应的回顾性分析 总被引:7,自引:1,他引:7
目的:分析国内、外文献资料中法莫替丁不良反应报告的情况,了解法莫替丁不良反应的发生规律。方法:国内1980年~2004年的法莫替丁药物不良反应报告通过检索《中国期刊全文数据库》获得,国外1980年~2004年的法莫替丁药物不良反应报告通过检索MEDLINE数据库获得。结果:国内文献资料中共检出41例法莫替丁药物不良反应病例,最多见的是皮肤及其附件损害和中枢神经系统损害;国外文献资料中共检出140例法莫替丁药物不良反应病例,最多见的是中枢神经系统损害和真菌过度生长。结论:中枢神经系统损害是国内外法莫替丁药物不良反应文献报道的病例中共有的最常见的不良反应,与老年病人用药、肾功能不全病人用药及超剂量用药有关,应引起临床重视。 相似文献
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荆花胃康胶丸治疗幽门螺杆菌相关性消化性溃疡的疗效和安全性 总被引:1,自引:0,他引:1
目的:比较荆花胃康胶丸与法莫替丁三联疗法治疗幽门螺杆菌(Hp)相关性消化性溃疡的疗效和安全性.方法:181例Hp阳性消化性溃疡患者分为2组,中药组131例,服用荆花胃康胶丸2粒,tid,疗程6周;三联组口服法莫替丁,20mg,bid,疗程6周,阿莫西林1.0g,bid,疗程2周,甲硝唑0.4mg,bid,疗程2周.治疗前和疗程结束后4周Warthin Starry银染色或14C-呼气试验检查Hp.结果:中药组第1周上腹痛缓解率(70.22%)高于三联组(49.00%,P<0.05).第2周后两组上腹痛缓解率相近,均高于90%.中药组溃疡愈合率为65.65%,Hp根除率为33.59%.2组不良反应小.结论:荆花胃康胶丸缓解上腹痛见效快,溃疡愈合率高,不良反应小,可作为治疗Hp的补充方案,特别是为经三联治疗失效的病例或不适宜抗生素治疗的患者提供了较好的方法. 相似文献
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本文观察胃镜确诊的十二指肠溃疡及胃溃疡患者共40例,随机分为2组:即服法莫替丁的治疗组20例与服西咪替丁的对照组20例,均以6wk为一个疗程。疗程结束后再由胃镜复查,其溃疡愈合率在治疗组与对照组分别为90%与65%,差异显著(P<0.01)。观察结果,法莫替丁治疗消化性溃疡的近期疗效高,对上腹部疼痛缓解较西咪替丁显著,不良反应少。 相似文献
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V. Savarino G. S. Mela P. Scalabrini G. Fera P. Zentilin A. Sumberaz G. Celle 《European journal of clinical pharmacology》1988,35(2):203-207
Summary In order to assess whether dinnertime administration of a once daily dose of famotidine is more advantageous than a bedtime dose in suppressing evening and nocturnal gastric acidity, we gave nine patients with a past history of duodenal ulcer in double-blind, randomized fashion either (1) placebo at 6 p.m. and 10 p.m., (2) famotidine 40 mg at 6 p.m. (Fam 6) + placebo at 10 p.m. or (3) placebo at 6 p.m. + famotidine at 10 p.m. (Fam 10) on three separate occasions.Comparison of the 24-h median pH values showed that the two administrations of famotidine were superior to placebo, while Fam 6 was significantly more effective than Fam 10. The gain in acid suppression of Fam 6 with respect to Fam 10 was particularly evident from 6 p.m. to midnight.Although the antisecretory effectiveness of Fam 6 was lower than that of Fam 10 from 4 a.m. to 8 a.m., it remained clearly higher than that of placebo and ensured virtual anacidity (median pH=6.7) even in this time segment.We conclude that a once daily dose of famotidine at 6 p.m. is better than bedtime administration at covering the long period of continuous unbuffered intragastric acidity which extends from after the evening meal to breakfast. 相似文献
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内皮素(ET)是一种血管张力调节因子,具有极强的血管活性。通过介导ET受体,发挥广泛的生物学活性。然而,ET过度表达将引起胃黏膜组织局部缺血、缺氧、酸中毒等症状,是消化性溃疡形成的重要致病因子之一。因此,ET受体拮抗剂将可能成为治疗消化溃疡的新型药物。现就ET及其受体拮抗剂在消化性溃疡的发生、发展及防治等方面的研究进展进行综述。 相似文献
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3种药物治疗消化性溃疡的疗效分析 总被引:2,自引:0,他引:2
目的 对奥美拉唑、泮托拉唑、法莫替丁治疗消化性溃疡的临床疗效进行分析.方法 选择医院2008年2月至2010年2月就诊的消化性溃疡患者的临床资料,按用药方案抽取奥美拉唑组62例、泮托拉唑组57例和法莫替丁组49例,比较3组溃疡的愈合、幽门螺杆菌的根治以及症状缓解等情况.结果 奥关拉唑、泮托拉唑和法莫替丁的治疗总有效率分别为85.48%,87.72%和73.47%.幽门螺旋杆菌根治率分别为93.2%,95.3%和87.1%.奥关拉唑和泮托拉唑在上腹痛、反酸嗳气、烧心等症状的缓解方面优于法莫替丁组.结论 泮托拉唑和奥美拉唑是治疗消化性溃疡比较理想的药物. 相似文献
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目的:评价奥美拉唑和法莫替丁治疗十二指肠溃疡的临床疗效和安全性。方法:检索中国知网(CNKI)、维普资讯网(VIP)、中国生物医学文献数据库(CBM)、PubMed、EMBase、the Cochrane Library数据库1990-2011年的相关文献,收集奥美拉唑与法莫替丁治疗十二指肠溃疡的随机对照临床研究。筛选符合纳入标准的临床研究,应用Juni评分法进行评价。以RevMan 5.0软件对相关数据进行荟萃(Meta)分析,采用漏斗图分析发表偏倚。结果:根据标准筛选出11篇文献:3篇C级,2篇B级,6篇A级。荟萃分析结果显示:奥美拉唑治疗十二指肠溃疡的2周愈合率OR=4.26,95%CI=(2.87,6.33),P<0.05;4周愈合率OR=2.62,95%CI=(1.87,3.67),P<0.05。两种药物导致的药品不良反应发生率无显著性差异。结论:与法莫替丁相比,奥美拉唑具有起效迅速和溃疡愈合率高的优点,是治疗十二指肠溃疡的优选药物。 相似文献
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N. Inotsume M. Nishimura M. Nakano S. Fujiyama K. Sagara T. Sato K. Matsushita Y. Imai H. Matsui 《European journal of clinical pharmacology》1990,38(3):313-314
Summary The effect of haemodialysis on the pharmacokinetics of oral famotidine has been studied in five elderly anuric patients. Famotidine 20 mg was administered in a cross-over design to patients on and not on haemodialysis.The elimination rate constant of haemodialysis (k) was 4.6-fold larger than the systemic elimination rate constant (ke). Although the mean maximum serum concentration of famotidine during haemodialysis (141.5 ng·ml–1) was not significantly lower than that without haemodialysis (195.6 ng·ml–1), the AUC up to 5 h during haemodialysis was significantly decreased to 58.1% of the value without it.The data suggest that famotidine is dialysable by haemodialysis. 相似文献
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目的:探讨信法丁防治脑血管意外昏迷患者应激性溃疡的疗效。方法:在按原发病常规治疗的基础上用信法丁对104例脑血管意外昏迷患者进行预防性治疗,同期与127例仅按原发病常规治疗的患者治疗的患者对照,分析应激性溃疡的发生率及病死率。结果:治疗组应激性溃疡发生率为22.11%,对照组为53.54%(P〈).01)。治疗组患者病死率为10.58%,对照组为48.03%(P〉0.01)。结论:信法丁的干预可减 相似文献
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Ibuprofen and acetylsalicylic acid were studied by thermoanalytical methods: sublimation calorimetry, solution calorimetry, and with respect to solubility. Upon measuring the temperature dependences of the saturated vapor pressure, enthalpies of sublimation, DeltaH0sub, as well as the entropies of sublimation, DeltaS0sub, and their respective relative fractions in the total process were calculated. The Gibbs energy of solvation in aliphatic alcohols as well as the enthalpic and entropic fractions thereof were also studied and compared with the respective properties of model substances and other nonsteroidal antiinflammatory drugs (benzoic acid, diflunisal, flurbiprofen, ketoprofen, and naproxen). In all cases, enthalpy was found to be the driving force of the solvation process. Correlations were derived between Gibbs energy of solvation in octanol, DeltaGOct(solv), and the transfer Gibbs energy from water to octanol, DeltaG0tr. Influence of mutual octanol and water solubilities on the driving force of partitioning is discussed. An enthalpy-entropy-compensation effect in octanol was observed, and consequences of deviation from the general trend are also discussed. 相似文献
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目的 :观察醋氨己酸锌对肝硬化合并消化性溃疡的疗效。方法 :肝硬化合并十二指肠溃疡 36例和合并胃溃疡 30例 ,随机分为醋氨己酸锌组 (醋氨己锌 0 .3g ,po ,tid ,其中胃溃疡 12例、十二指肠溃疡 12例 )、法莫替丁组 (法莫替丁 2 0mg ,po ,bid ,其中胃溃汤 9例、十二指肠溃疡 10例 )、联合用药组 (醋氨己酸锌 0 .3g ,po ,tid ,法莫替丁 2 0mg ,po ,bid ,其中胃溃疡 9例、十二指肠溃疡 14例 ) ,共3组。治疗胃溃疡疗程 6wk ,十二指肠溃疡疗程为4wk ,疗程结束后 ,用内窥镜观察溃疡愈合情况。结果 :醋氨己酸锌组肝硬化合并胃溃疡和十二肠溃疡的愈合率分别为 5 8% ,6 6 % ,法莫替丁组分别为5 6 % ,70 % ,联合用药组分别为 78% ,79% ,3组比较差异无显著意义 ,P >0 .0 5。结论 :醋氨己酸锌治疗肝硬化合并消化性溃疡的疗效与其他 2组相似 ,但其安全性好 相似文献
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小牛血去蛋白提取物对胃溃疡患者的疗效评价 总被引:2,自引:0,他引:2
目的:探讨小牛血去蛋白提取物(DCBE)对胃溃疡的治疗作用。方法:选择年龄20~70岁之间,经胃镜检查确诊为活动期胃溃疡的住院患60例。治疗组32例采用静脉滴注DCBE(800mg,qd)和法莫替丁(100mg,bid)治疗;对照组28例采用静脉滴注法莫替丁(100mg,bid)单独治疗。用药2、4wk行胃镜检查,观察自觉缓解症状、时间、愈合率和总有效率。结果:治疗组自觉症状缓解时间明显缩短;给药后2、4wk治疗组及对照组胃镜检查溃疡愈合率分别为78.1%,46.4%及84.4%,71.4%。结论:DCBE能显促进胃溃疡的愈合。 相似文献
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Endoscopic evaluation of the effect of ketoprofen,ibuprofen and aspirin on the gastroduodenal mucosa
J. F. Bergmann O. Chassany J. Genève M. Abiteboul C. Caulin J. M. Segrestaa 《European journal of clinical pharmacology》1992,42(6):685-687
Summary Endoscopic lesions of the gastric mucosa were evaluated in 12 healthy volunteers after administration of single doses of ketoprofen (25 mg), ibuprofen (200 mg) and aspirin (500 mg) in a randomized, double-blind, crossover study. The grades of the lesions (according to Lanza's scale) were lower after the administration of ketoprofen than aspirin and were comparable to ibuprofen. An endoscopic score >1 was observed in 3 cases after ibuprofen or ketoprofen, and in 8 cases after aspirin. At a time when low, single doses of NSAIDs are widely used as analgesics, gastroscopy makes it possible directly to assess the local agressivity of these molecules. In this way it was possible to demonstrate that the local toxicity of NSAIDs was lower than that of aspirin. 相似文献
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Pharmacokinetics of famotidine,a new H2-receptor antagonist,in relation to renal function 总被引:2,自引:0,他引:2
T. Takabatake H. Ohta M. Maekawa Y. Yamamoto Y. Ishida H. Hara S. Nakamura Y. Ushiogi M. Kawabata N. Hashimoto N. Hattori 《European journal of clinical pharmacology》1985,28(3):327-331
Summary The pharmacokinetics of a new, potent H2-receptor antagonist, famotidine, 20 mg i.v. was studied in 7 subjects with normal renal function and in 24 patients with varying degrees of renal impairment. The volume of distribution at steady state was 1.14 l/kg in normal subjects and was not altered in renal failure. The half-life of elimination was 2.59 h in normal subjects and was unchanged in mild renal failure (creatinine clearance, CLCR 90–60 ml/min/1.48 m2) but was increased to 4.72 h in moderate renal failure (CLCR 60–30 ml/min/1.48 m2), and to 12.07 h in severe renal failure (CLCR below 30 ml/min/1.48 m2). The cumulative urinary excretion and renal clearance of famotidine were correspondingly reduced in patients with impaired kidney function. In normal subjects and in patients with mild to moderate renal failure, about 70% of famotidine was excreted through the kidney, mainly by tubular secretion. In patients with a CLCR above 60 ml/min/1.48 m2 the normal daily dose of famotidine can be employed, but in those with a CLCR between 60 and 30 ml/min/1.48 m2 the dose should be reduced by half, and in patients with a CLCR below 30 ml/min/1.48 m2 a reduction by three quarters of the normal dose is recommended. 相似文献
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磷酸铝凝胶与法莫替丁治疗消化性溃疡病的疗效对比 总被引:1,自引:0,他引:1
目的观察奥美拉唑分别合用磷酸铝凝胶与法莫替丁治疗消化性溃疡的近期愈合率和远期复发率。方法将70例经胃镜检查证实的活动性的消化性溃疡患者随机分为两组,幽门螺杆菌(HP)阳性者先行根除HP三联疗法治疗2周,再续用奥美拉唑20mg口服,每日1次。治疗组加用磷酸铝凝胶,对照组加用法莫替丁,均治疗4周。对溃疡愈合的67例患者进行长程治疗,治疗组(37例)口服磷酸铝凝胶20乳每日2次,对照组(33例)口服莫替丁20mg、睡前1次,均用药0.5年,观察溃疡的累计复发率。结果消化性溃疡的近期愈合率治疗组为94.59%,对照组为90.91%;经胃镜证实,半年累计复发率治疗组为16.67%,对照组为29.03%。结论磷酸铝凝胶短程使用可加速溃疡面的愈合,长程治疗可降低消化性渍疡的复发率,值得临床推广。 相似文献
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《Current medical research and opinion》2013,29(8):522-524
SummaryThirty patients with chronic rheumatic conditions and a known history of peptic ulceration were treated with ibuprofen, 600?mg. to 1200?mg. daily. Six patients withdrew from the study. In the remaining 24 patients, ibuprofen gave effective relief of symptoms and did not aggravate the gastro-intestinal pathology. 相似文献