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阿莫西林的粘膜保护作用一动物实验及临床研究
^ Mucosal protective effect of amoxycillin: experimental and clinical studies
【摘要】 本文通过动物实验及临床研究证明阿莫西林(A)除具有杀灭幽门螺杆菌作用外,尚具有粘膜保护作用。(1)动物实验:采用皮下注射盐酸半胱胺制成大鼠十二指肠溃疡模型。预先灌服A的大鼠防止了溃疡的产生。(2)临床研究:60例活动期十二指肠溃疡住院患者按双盲法随机给予A1.5g/d或等量安慰剂(P)治疗1个月。治疗前、治疗后、停药1个月、1年及症状复发时行胃镜检查。结果显示A缓解溃疡症状明显优于P;4周溃疡愈合率(86.7%)明显高于P(50%);溃疡1年复发率也低于P。
【Abstract】 Gastric mucosal protective effect of amoxycillin was demonstrated in both animal and clinical studies.(1)Experimental study: The duodenal ulcer(DU)in rats was induced by inecting cysteamine-HCs.c..Pretreatment with amoxycillin could prevent cysteamine-induced duodenal ulceration.(2)Clinical study: 60 inpatients with endoscopically proved active DU were double-blindly given either amoxycillin(O.5 tid)or placebo for l month.Gastroscopy was performed before and after treatment,1 month,and l year after cessation of therapy or when symptoms recurred.The results showed:amoxycillin had a superior effect to placebo in relieving ulcer symptoms;ulcer healing rate of amoxycillin at the end of 4 weeks was 86.7%which was much higherthan that of placebo(50%);ulcer relapse rate of amoxycillin l year after cessation of therapy was lower than that of placebo.
【Key words】 Amoxycillin/pharmacodynamics Duodenal ulcer/drug therapy Mucosa;
- 【文献出处】 中华消化杂志 ,CHINESE JOURNAL OF DIGESTION , 编辑部邮箱 ,1996年02期
- 【分类号】R965
- 【被引频次】46
- 【下载频次】136