PANTOPRAZOLE AND RANITIDINE IN THE TREATMENT OF ACUTE DUODENAL-ULCER - A MULTICENTER STUDY

被引:15
作者
SCHEPP, W
CLASSEN, M
机构
[1] Dept. of Medicine II, Technical University of Munich, Munich
关键词
DUODENAL ULCER HEALING; PANTOPRAZOLE; RANITIDINE; SUBSTITUTED BENZIMIDAZOLES; SYMPTOM RELIEF;
D O I
10.3109/00365529509089781
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Pantoprazole is a new substituted benzimidazole that inhibits the parietal cell H+,K+-adenosine triphosphatase. Methods: Pantoprazole (40 mg) was compared with ranitidine (300 mg) in the treatment of acute duodenal ulcer. Two hundred and sixty-six patients with endoscopically diagnosed duodenal ulcers entered this multicentre, double-blind study. The primary efficacy variable was complete ulcer healing at 2 weeks; treatment then continued for a further 2 weeks if ulcers were unhealed. Results: After 2 weeks 112 of 164 (68%) patients in the pantoprazole group had healed ulcers, compared with 36 of 81 (44%) taking ranitidine (p < 0.001). After 4 weeks the cumulative healing rates were 96% and 85% (p < 0.01). Improvement in ulcer pain was also significantly better with pantoprazole than with ranitidine (81% versus 62% with no pain at 2 weeks, p < 0.01). Conclusions: Pantoprazole is clinically superior to ranitidine in the treatment of acute duodenal ulcer, in terms of both healing and symptom relief.
引用
收藏
页码:511 / 514
页数:4
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