Aliment Pharmacol Ther:埃索美拉唑可预防非甾体抗炎药服用者溃疡复发

2012-08-16 不详 网络

众所周知,质子泵抑制剂可用于预防非甾体抗炎药(NSAID)引起的胃肠道不良事件。然而在日本,关于这种治疗方法的疗效和安全性的数据还很少。为了评估日本高危患者应用埃索美拉唑预防NSAID引起的消化性溃疡的的疗效和耐受性。研究者招募了胃镜证实有溃疡病史,并且需要长期口服NSAID治疗慢性炎症的日本成年(≥20岁)患者,将其随机分组,给予埃索美拉唑20 mg/d或安慰剂,共24周。主要终点是Kaplan

众所周知,质子泵抑制剂可用于预防非甾体抗炎药(NSAID)引起的胃肠道不良事件。然而在日本,关于这种治疗方法的疗效和安全性的数据还很少。为了评估日本高危患者应用埃索美拉唑预防NSAID引起的消化性溃疡的的疗效和耐受性。研究者招募了胃镜证实有溃疡病史,并且需要长期口服NSAID治疗慢性炎症的日本成年(≥20岁)患者,将其随机分组,给予埃索美拉唑20 mg/d或安慰剂,共24周。主要终点是Kaplan-Meier估计的无溃疡率。

结果显示,共有343名患者接受随机治疗(埃索美拉唑组175例;安慰剂组168例)。在24周治疗期间,埃索美拉唑组(96.0%;95%CI,92.8~99.1)Kaplan-Meier估计的无溃疡率明显高于安慰剂组(64.4%;95%CI,56.8~71.9)(数秩P<0.001)。埃索美拉唑对幽门螺杆菌阳性和阴性患者的消化性溃疡均能有效地预防,而安慰剂组幽门螺旋杆菌阳性患者无溃疡率显著低于阴性患者(59.7% vs. 69.9%)。NSAID的类型似乎并不影响估算的无溃疡率。埃索美拉唑治疗耐受性良好。

研究者总结认为,埃索美拉唑20 mg/d可安全有效地预防有明确溃疡病史且服用NSAID患者的溃疡复发。

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    2013-01-27 jj000001
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    2012-10-17 yb6560
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1908149, encodeId=1bdf190814944, content=<a href='/topic/show?id=a8d0141605e' target=_blank style='color:#2F92EE;'>#pharma#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14160, encryptionId=a8d0141605e, topicName=pharma)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f634250, createdName=chentianping, createdTime=Fri Apr 26 08:30:00 CST 2013, time=2013-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1787123, encodeId=9bd11e8712395, content=<a href='/topic/show?id=fa03141591e' target=_blank style='color:#2F92EE;'>#Pharm#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14159, encryptionId=fa03141591e, topicName=Pharm)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8942242, createdName=jj000001, createdTime=Sun Jan 27 13:30:00 CST 2013, time=2013-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1995876, encodeId=5c2e19958e6d7, content=<a href='/topic/show?id=ed881120ec8' target=_blank style='color:#2F92EE;'>#MAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11207, encryptionId=ed881120ec8, topicName=MAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b65161, createdName=yb6560, createdTime=Wed Oct 17 09:30:00 CST 2012, time=2012-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1788140, encodeId=fa491e8814098, content=<a href='/topic/show?id=38e014162e2' target=_blank style='color:#2F92EE;'>#Pharmacol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14162, encryptionId=38e014162e2, topicName=Pharmacol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=930e243, createdName=dingxiaobo, createdTime=Sat Dec 22 21:30:00 CST 2012, time=2012-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1338684, encodeId=df8b13386846e, content=<a href='/topic/show?id=afff99560c4' target=_blank style='color:#2F92EE;'>#非甾体抗炎药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99560, encryptionId=afff99560c4, topicName=非甾体抗炎药)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/7F67E3BE360D6DD1D0A62E3E71E23CB6/100, createdBy=9d8a2500148, createdName=ms8888626721583891, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346705, encodeId=aa151346e05e3, content=<a href='/topic/show?id=f20155404fc' target=_blank style='color:#2F92EE;'>#抗炎药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55404, encryptionId=f20155404fc, topicName=抗炎药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f49517, createdName=xinmeili, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591745, encodeId=80201591e4568, content=<a href='/topic/show?id=90cb415e5f2' target=_blank style='color:#2F92EE;'>#埃索美拉唑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41575, encryptionId=90cb415e5f2, topicName=埃索美拉唑)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=zhangpaul93, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1908149, encodeId=1bdf190814944, content=<a href='/topic/show?id=a8d0141605e' target=_blank style='color:#2F92EE;'>#pharma#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14160, encryptionId=a8d0141605e, topicName=pharma)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f634250, createdName=chentianping, createdTime=Fri Apr 26 08:30:00 CST 2013, time=2013-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1787123, encodeId=9bd11e8712395, content=<a href='/topic/show?id=fa03141591e' target=_blank style='color:#2F92EE;'>#Pharm#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14159, encryptionId=fa03141591e, topicName=Pharm)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8942242, createdName=jj000001, createdTime=Sun Jan 27 13:30:00 CST 2013, time=2013-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1995876, encodeId=5c2e19958e6d7, content=<a href='/topic/show?id=ed881120ec8' target=_blank style='color:#2F92EE;'>#MAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11207, encryptionId=ed881120ec8, topicName=MAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b65161, createdName=yb6560, createdTime=Wed Oct 17 09:30:00 CST 2012, time=2012-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1788140, encodeId=fa491e8814098, content=<a href='/topic/show?id=38e014162e2' target=_blank style='color:#2F92EE;'>#Pharmacol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14162, encryptionId=38e014162e2, topicName=Pharmacol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=930e243, createdName=dingxiaobo, createdTime=Sat Dec 22 21:30:00 CST 2012, time=2012-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1338684, encodeId=df8b13386846e, content=<a href='/topic/show?id=afff99560c4' target=_blank style='color:#2F92EE;'>#非甾体抗炎药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99560, encryptionId=afff99560c4, topicName=非甾体抗炎药)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/7F67E3BE360D6DD1D0A62E3E71E23CB6/100, createdBy=9d8a2500148, createdName=ms8888626721583891, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346705, encodeId=aa151346e05e3, content=<a href='/topic/show?id=f20155404fc' target=_blank style='color:#2F92EE;'>#抗炎药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55404, encryptionId=f20155404fc, topicName=抗炎药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f49517, createdName=xinmeili, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591745, encodeId=80201591e4568, content=<a href='/topic/show?id=90cb415e5f2' target=_blank style='color:#2F92EE;'>#埃索美拉唑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41575, encryptionId=90cb415e5f2, topicName=埃索美拉唑)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=zhangpaul93, createdTime=Sat Aug 18 07:30:00 CST 2012, time=2012-08-18, status=1, ipAttribution=)]