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兰索拉唑与H2受体拮抗剂治疗消化性溃疡疗效对照研究的Meta分析
引用本文:刘锐锋,李元文.兰索拉唑与H2受体拮抗剂治疗消化性溃疡疗效对照研究的Meta分析[J].中国中医药咨讯,2011,3(17):44-45.
作者姓名:刘锐锋  李元文
作者单位:1. 广东省中山市人民医院药学部,广东中山,528403
2. 广东医学院2010届,广东东莞,523808
摘    要:目的:探讨兰索拉唑(1ansopnzole)与H2受体拮抗剂治疗消化性溃疡疗效的差异。方法:应用Meta分析对9项研究消化性溃疡的效果进行同质性检验和合并效应量的估计。结果:(1)同质性检验:χ^2=6.5,自由度8,P〉0.05。(2)合并效应量的估计:OR合并95%可信区间为3.07—8.78。OR合并的检验:χ^2=37.7,P〈0.01。结论:兰索拉唑治疗消化性溃疡的疗效优于目前常用的H2受体拮抗剂,兰索拉唑在治疗消化道溃疡疗效方面较其他已上市的H2受体拮抗剂都要好,且不良反应较少,值得临床推广。

关 键 词:兰索拉唑  消化性溃疡  Meta分析  质子泵  H2受体拮抗剂

Meta-analysis of effectiveness of lansoprazole and histamine H2 antagonists in treatment of active peptic ulcer and bleeding
LIU Ruifeng,LI Yuanwen.Meta-analysis of effectiveness of lansoprazole and histamine H2 antagonists in treatment of active peptic ulcer and bleeding[J].Journal of China Traditional Chinese Medicine Information,2011,3(17):44-45.
Authors:LIU Ruifeng  LI Yuanwen
Affiliation:( Zhongshan People' s Hospital in Guangdong Province Zhongshan 528403 )
Abstract:AIM: To explore the difference of efficacy between lansoprazole and histamine H2 antagonists in treatment of active peptic ulcer and bleeding. METHODS: The efficacy of lansoprazole or histamine H2 antagonists in treatment of active peptic ulcer and bleeding was analyzed by Meta-analysis in homogeneity test and combined test in 9 studies. RESULTS: Hgmogeneity test showed that the cited studies were homogeneous with χ^2=6.5,P〈0.01; and in combined test, the combined OR=5.19 and its 95% confidence interval Was in 3.07-8.78(χ^2=37.7,P〈0.01).CONCLUSION: lansoprazole is a very effective and well-tolerated proton pump inhibitor and it is worth of being recommended for administration in patient' s wit active peptic ulcer and bleeding.
Keywords:lansoprazole  peptic ulcer hemorrhage  histamine H2 antagonists  Meta-analysis  proton pumps
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