预防非甾体抗炎药-胃病。

S Ardizzone, G Bianchi Porro
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引用次数: 0

摘要

综述了胃抗分泌和粘膜保护药物在预防非甾体抗炎药引起的胃和十二指肠粘膜病变中的作用。随机、双盲、对照试验的结果表明,米索前列醇是唯一一种被证明在预防非甾体抗炎药引起的胃和十二指肠溃疡以及减少严重上消化道并发症(穿孔和/或出血)方面有效的抗溃疡药物。然而,最近的数据表明,即使是奥美拉唑和高剂量的h2受体拮抗剂也可能在预防非甾体抗炎药引起的胃和十二指肠溃疡中起作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention of NSAID-gastropathy.

The role is reviewed of gastric antisecretory and mucosal protective drugs in the prevention of NSAID-induced gastric and duodenal mucosal lesions. The results of the randomized, double-blind, controlled trials show that misoprostol is the only antiulcer drug proven to be effective in the prevention of NSAID-induced gastric and duodenal ulcers as well as for reducing serious upper gastrointestinal complications (perforation and/or haemorrhage). However, recent data suggest that even omeprazole and high dose of H2-receptor antagonists may have a role in the prevention of NSAID-induced gastric and duodenal ulcerations.

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