钾竞争性酸阻滞剂治疗胃食管反流病

J. Kothadia, C. Howden
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引用次数: 0

摘要

目前对胃食管反流病(GERD)和其他酸相关疾病的治疗要么阻断对壁细胞的刺激(h2受体拮抗剂),要么抑制胃H+/K+- atp酶(质子泵抑制剂;质子泵抑制剂)。PPIs通常对治疗食管糜烂和改善胃食管反流患者的胃灼热非常有效。然而,质子泵抑制剂起效缓慢,并不能完全缓解所有患者的症状。因此,需要能够提供快速起效和持续抑酸的药物,以最大限度地提高粘膜愈合和症状控制。钾竞争酸阻滞剂(p - cab)是一类相对较新的酸抑制剂,显示出治疗胃食管反流和其他酸相关疾病的潜力。本文重点讨论p - cab在治疗胃反流中的可能作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Potassium-Competitive Acid Blockers for the Treatment of Gastroesophageal Reflux Disease
Current treatments for gastroesophageal reflux disease (GERD) and other acid-related disorders either block stimulation of the parietal cell (H2-receptor antagonists) or inhibit gastric H+/K+-ATPase (proton pump inhibitors; PPIs). PPIs are usually very effective in healing esophageal erosions and improving heartburn in patients with GERD. However, the PPIs have a slow onset of action and do not provide complete symptom resolution in all patients. Therefore, there is a need for agents that offer a fast onset of action and sustained acid suppression to maximize both mucosal healing and symptom control. Potassium-competitive acid blockers (P-CABs) are a relatively novel class of acid suppressants showing potential for the management of GERD and other acid-related disorders. This article focuses on the likely role of P-CABs for treating GERD.
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