{"id":8588,"date":"2023-06-29T15:03:27","date_gmt":"2023-06-29T07:03:27","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=8588"},"modified":"2025-02-07T17:34:54","modified_gmt":"2025-02-07T09:34:54","slug":"gastric-acid-drugs","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/gastric-acid-drugs\/","title":{"rendered":"\u80c3\u85e5 (\u6297\u80c3\u9178)"},"content":{"rendered":"<h2>\u4e0d\u5c11\u4eba\u66fe\u7d93\u6b77\u80c3\u6c23\u3001\u5641\u5fc3\u3001\u706b\u71d2\u5fc3\u3001\u6d88\u5316\u4e0d\u826f\u7b49\u60c5\u6cc1\uff0c\u591a\u6578\u75c5\u60c5\u8f15\u5fae\u800c\u4e14\u53ea\u662f\u5076\u767c\u6027\uff0c\u53ef\u81ea\u884c\u8655\u7406\u3002\u6709\u4e9b\u4eba\u5247\u56e0\u5728\u670d\u8584\u8840\u85e5\uff08\u5982\u4e9e\u58eb\u5339\u9748\uff09\u3001\u60a3\u4e0a\u80c3\u708e\u3001\u611f\u67d3\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u7b49\u56e0\u7d20\u9700\u8981\u670d\u80c3\u85e5\u6578\u661f\u671f\u751a\u81f3\u66f4\u9577\u7684\u6642\u9593\u3002\u80c3\u85e5\u7a2e\u985e\u5f88\u591a\uff0c\u8a72\u5982\u4f55\u6289\u64c7\uff1f\u9577\u671f\u670d\u80c3\u85e5\u6709\u4ec0\u9ebc\u526f\u4f5c\u7528\uff1f\u7a76\u7adf\u6211\u662f\u5426\u9700\u8981\u670d\u80c3\u85e5\uff1f<\/h2>\n<p>&nbsp;<\/p>\n<p>\u4eba\u9ad4\u7684\u6d88\u5316\u9053\u7531\u53e3\u8154\u958b\u59cb\uff0c\u4e00\u76f4\u7d93\u98df\u9053\u5ef6\u4f38\u81f3\u80c3\u90e8\u3001\u5c0f\u8178\u3001\u5927\u8178\uff0c\u7d42\u9ede\u70ba\u809b\u9580\u3002<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-8592\" src=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/06\/\u672a\u547d\u540d.jpg\" alt=\"\" width=\"290\" height=\"482\" srcset=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/06\/\u672a\u547d\u540d.jpg 463w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2023\/06\/\u672a\u547d\u540d-180x300.jpg 180w\" sizes=\"(max-width: 290px) 100vw, 290px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u8178\u80c3\u4e0d\u9069\u6210\u56e0<\/strong><\/h3>\n<p>\u5927\u90e8\u4efd\u4eba\u6240\u7d93\u6b77\u7684\u80c3\u90e8\u4e0d\u9069\u75c7\u72c0\u8f15\u5fae\uff0c\u8207\u751f\u6d3b\u7fd2\u6163\u6709\u95dc\uff0c\u5982\ufe30<\/p>\n<ul>\n<li>\u9032\u98df\u901f\u5ea6\u592a\u5feb\u3001\u672a\u6709\u7d30\u56bc\u98df\u7269\u4fbf\u541e\u4e0b\u3001\u9032\u98df\u6cb9\u81a9\u98df\u7269\uff08\u5982\u9ad8\u8102\u80aa\u8089\u985e\uff09\u3001\u5403\u5f97\u592a\u98fd \u2014 \u4ee4\u98df\u7269\u96e3\u4ee5\u6d88\u5316\uff0c\u589e\u52a0\u6d88\u5316\u9053\u7684\u8ca0\u8377<\/li>\n<li>\u9032\u9910\u5f8c\u8eba\u4e0b\u3001\u5f4e\u8170\u6216\u9032\u884c\u5287\u70c8\u904b\u52d5\u3001\u9032\u9910\u5f8c 1 \u2013 2 \u5c0f\u6642\u5167\u7761\u89ba\u3001\u7a7f\u7dca\u8eab\u8932\u3001\u675f\u8170\u6216\u5e36\u8170\u5c01 \u3001\u4e45\u5750\uff08\u76f8\u6bd4\u7ad9\u7acb\uff09\u2014 \u589e\u52a0\u8179\u90e8\u58d3\u529b\uff0c\u52a0\u5287\u98df\u7269\u5f9e\u80c3\u90e8\u6e67\u4e0a\u98df\u9053\u548c\u53e3\u8154\u7684\u6a5f\u6703<\/li>\n<li>\u5438\u7159\u3001\u98f2\u9152<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u5176\u4ed6\u5f15\u81f4\u8178\u80c3\u4e0d\u9069\u7684\u98a8\u96aa\u56e0\u7d20\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u80a5\u80d6<\/li>\n<li>\u5b55\u5a66<\/li>\n<li>\u7cd6\u5c3f\u75c5<\/li>\n<li>\u7dca\u5f35\u3001\u58d3\u529b<\/li>\n<li>\u85e5\u7269\u526f\u4f5c\u7528\ufe30\u7d55\u5927\u90e8\u4efd\u85e5\u7269\u5747\u6709\u6a5f\u6703\u5f15\u81f4\u8178\u80c3\u4e0d\u9069\uff0c\u4f46\u4e0b\u5217\u85e5\u7269\u8f03\u5e38\u5f15\u8d77\u6b64\u60c5\u6cc1\u6216\u76f8\u95dc\u526f\u4f5c\u7528\u53ef\u80fd\u8f03\u56b4\u91cd\uff08\u5982\u8178\u3001\u80c3\u6216\u98df\u9053\u6703\u767c\u708e\u3001\u6f70\u760d\uff09\n<ul>\n<li>\u975e\u985e\u56fa\u9187\u6d88\u708e\u6b62\u75db\u85e5\u3001\u985e\u56fa\u9187\u3001\u9d09\u7247\u985e\u6b62\u75db\u85e5<\/li>\n<li>\u9435\u8cea Iron\u3001\u9240\u88dc\u5145\u5291 Potassium<\/li>\n<li>\u56db\u74b0\u7d20\u985e\u6297\u751f\u7d20 Tetracyclines<\/li>\n<li>\u96d9\u81a6\u9178\u9e7d Bisphosphonates \u5982 Alendronate<\/li>\n<li>\u6297\u81bd\u9e7c\u85e5\uff08\u53c3\u770b\u300c\u85e5\u7269\u526f\u4f5c\u7528\u300d\u7bc7\u7ae0\u4ee5\u4e86\u89e3\u4f55\u8b02\u300c\u6297\u81bd\u9e7c\u85e5\u300d\uff09\u3001\u90e8\u4efd\u6297\u6291\u9b31\u85e5\u3001\u5b89\u7720\u85e5\/\u93ae\u975c\u5291<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><em>\u975e\u985e\u56fa\u9187\u6d88\u708e\u6b62\u75db\u85e5\uff08<\/em><em>NSAIDs<\/em><em>\uff09<\/em><\/strong><\/p>\n<p>\u975e\u9078\u64c7\u6027\ufe30\u5982 Ibuprofen\u3001Diclofenac\u3001Naproxen\u3001Indomethacin<\/p>\n<p>COX-2 \u9078\u64c7\u6027\ufe30\u5982 Nimesulide\u3001Celecoxib\u3001Etoricoxib<\/p>\n<p>\u6b64\u985e\u85e5\u7269\u6216\u6703\u640d\u5bb3\u80c3\u7c98\u819c\uff0c\u589e\u52a0\u80c3\u6f70\u760d\u6216\u51fa\u8840\u98a8\u96aa\u3002COX-2 \u9078\u64c7\u6027 NSAIDs \u4e00\u822c\u6bd4\u975e\u9078\u64c7\u6027 NSAIDs \u5c11\uff0c\u4f46\u4ea6<span style=\"color: #0000ff;\">\u5efa\u8b70\u9910\u5f8c\u670d\uff0c\u800c\u670d\u975e\u9078\u64c7\u6027 NSAIDs \u5247\u591a\u6578\u9700\u8981\u914d\u642d\u80c3\u85e5<\/span>\uff08\u4f46\u4e0d\u4e00\u5b9a\u540c\u6642\u9593\u670d\uff1b\u53c3\u770b\u6587\u7ae0\u4e0b\u65b9\u6297\u80c3\u9178\u85e5\u8868\u683c\uff09\uff0c\u5c24\u5176\u7528\u65bc\u9ad8\u98a8\u96aa\u4eba\u58eb\uff08\u53c3\u770b\u63a5\u4e0b\u4f86\u300c\u8584\u8840\u85e5\u300d\u90e8\u4efd\uff09\u3002Ibuprofen \u5728\u773e\u591a\u975e\u9078\u64c7\u6027 NSAIDs \u4e2d\u76f8\u5c0d\u8f03\u5c11\u300c\u50b7\u80c3\u300d\uff0c\u53ef\u65bc\u85e5\u623f\u627e\u8a3b\u518a\u85e5\u5291\u5e2b\u914d\u85e5\uff08\u5176\u4ed6\u53e3\u670d\u6d88\u708e\u6b62\u75db\u85e5\u5247\u7d55\u5927\u90e8\u4efd\u9700\u8981\u91ab\u751f\u8655\u65b9\uff09\u3002<span style=\"color: #0000ff;\">\u6d88\u708e\u6b62\u75db\u85e5\u9664\u4e86\u300c\u50b7\u80c3\u300d\u5916\u9084\u6709\u4e0d\u5c11\u526f\u4f5c\u7528\uff0c\u5efa\u8b70\u9700\u8981\u6642\u670d\u7528\u6700\u4f4e\u5291\u91cf\u4ee5\u53ca\u6700\u77ed\u7642\u7a0b\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u8584\u8840\u85e5<\/em><\/strong><\/p>\n<p>\u6297\u8840\u5c0f\u677f\u85e5\ufe30\u5982 Aspirin \u4e9e\u58eb\u5339\u9748\u3001Clopidogrel\u3001Ticagrelor<\/p>\n<p>\u6297\u51dd\u8840\u85e5\ufe30\u5982 Warfarin\u3001Apixaban\u3001Dabigatran\u3001Rivaroxaban\u3001Edoxaban<\/p>\n<p>\u8584\u8840\u85e5\u53ef\u7528\u65bc\u9810\u9632\u5fc3\u808c\u6897\u585e\u3001\u4e2d\u98a8\u3001\u6cbb\u7642\u8840\u7ba1\u6813\u585e\u7b49\u75be\u75c5\u3002<span style=\"color: #0000ff;\">\u6240\u6709\u8584\u8840\u85e5\u5747\u6709\u51fa\u8840\u98a8\u96aa<\/span>\uff0c\u5305\u62ec\u80c3\u51fa\u8840\u3001\u80c3\u6f70\u760d\u3001\u8166\u51fa\u8840\u7b49\uff0c\u56e0\u6b64\u4e0d\u5c11\u4eba\u670d\u8584\u8840\u85e5\uff08\u5c24\u5176\u4e9e\u58eb\u5339\u9748\uff1b\u540c\u6642\u4ea6\u5c6c\u65bc\u975e\u985e\u56fa\u9187\u6d88\u708e\u6b62\u75db\u85e5\uff09\u6703\u7372\u91ab\u751f\u8655\u65b9\u80c3\u85e5\uff0c\u4f46\u9019\u4e26\u975e\u5fc5\u7136\uff0c\u9700\u8981\u8003\u616e\u75c5\u4eba\u51fa\u73fe\u56b4\u91cd\u8178\u80c3\u526f\u4f5c\u7528\u7684\u98a8\u96aa\u56e0\u7d20\ufe30<\/p>\n<ul>\n<li>\u5e74\u9577<\/li>\n<li>\u8178\u80c3\u51fa\u8840\/\u6f70\u760d\u75c5\u53f2<\/li>\n<li>\u540c\u6642\u4f7f\u7528\u591a\u65bc\u4e00\u7a2e\u8584\u8840\u85e5<\/li>\n<li>\u540c\u6642\u4f7f\u7528\u5176\u4ed6\u589e\u52a0\u51fa\u8840\u98a8\u96aa\u85e5\u7269\u5982\u985e\u56fa\u9187\u3001\u975e\u985e\u56fa\u9187\u6d88\u708e\u6b62\u75db\u85e5 NSAIDs<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u8178\u80c3\u4e0d\u9069\u6216\u8a31\u662f\u6f5b\u5728\u75be\u75c5\u7684\u8868\u5fb5\uff0c\u5982\u80c3\u708e\u3001\u6d88\u5316\u6027\u6f70\u760d\u75be\u75c5\uff08\u5305\u62ec\u80c3\u6f70\u760d\u3001\u5341\u4e8c\u6307\u8178\u6f70\u760d\uff09\u3001\u5e7d\u9580\u87ba\u65cb\u83cc\u611f\u67d3\u3001\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3001\u81bd\u7d50\u77f3\u7b49\u7b49\uff0c\u751a\u81f3\u6709\u6a5f\u6703\u662f\u5fc3\u81df\u554f\u984c\u6216\u60c5\u7dd2\u75c5\u3002<span style=\"color: #0000ff;\">\u82e5\u4e0d\u80af\u5b9a\u81ea\u5df1\u7684\u60c5\u6cc1\u5c6c\u65bc\u8f15\u5fae\u4e14\u53ef\u81ea\u884c\u8655\u7406\u9084\u662f\u6f5b\u5728\u96a0\u75be\uff0c\u53ef\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #ff0000;\">\u9047\u5230\u4ee5\u4e0b\u75c7\u72c0\u9700\u5118\u65e9\u6c42\u91ab\ufe30<\/span><\/p>\n<ul>\n<li>\u5614\u5410\u7269\u5e36\u8840\u6216\u5496\u5561\u6e23\u72c0\u7269<\/li>\n<li>\u5927\u4fbf\u5448\u9ed1\u8272<\/li>\n<li>\u98df\u617e\u4e0b\u964d<\/li>\n<li>\u9ad4\u91cd\u4e0d\u5c0b\u5e38\u4e0b\u964d<\/li>\n<li>\u541e\u56a5\u56f0\u96e3<\/li>\n<li>\u6301\u7e8c\u8179\u75db\u6216\u5614\u5410<\/li>\n<li>\u6539\u5584\u751f\u6d3b\u7fd2\u6163\u548c\u81ea\u884c\u7528\u85e5\u5f8c\u75c7\u72c0\u4ecd\u6c92\u6709\u597d\u8f49<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong>\u9810\u9632\u548c\u6e1b\u8f15\u8178\u80c3\u4e0d\u9069<\/strong><\/h3>\n<p>\u6539\u5584\u751f\u6d3b\u7fd2\u6163\ufe30<\/p>\n<ul>\n<li>\u7d30\u56bc\u98df\u7269<\/li>\n<li>\u907f\u514d\u9032\u98df\u6cb9\u81a9\u98df\u7269\uff0c\u591a\u5403\u65b0\u9bae\u852c\u679c<\/li>\n<li>\u5403\u4e03\u5206\u98fd<\/li>\n<li>\u9032\u9910\u5f8c\u907f\u514d\u5f4e\u8170\u6216\u9032\u884c\u5287\u70c8\u904b\u52d5\uff0c\u53ef\u4ee5\u7de9\u6b65\u884c\u7d04\u534a\u5c0f\u6642<\/li>\n<li>\u665a\u9910\u5f8c\u5f85 2 \u2013 3 \u5c0f\u6642\u5f8c\u624d\u7761\u89ba<\/li>\n<li>\u907f\u514d\u7a7f\u7dca\u8eab\u8932\u3001\u675f\u8170\u3001\u4e45\u5750<\/li>\n<li>\u6212\u7159\u9152<\/li>\n<li>\u8212\u7de9\u7dca\u5f35\u548c\u58d3\u529b\u60c5\u7dd2<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\">\u82e5\u61f7\u7591\u8178\u80c3\u4e0d\u9069\u662f\u7531\u85e5\u7269\u5f15\u8d77\uff0c\u5207\u5fcc\u81ea\u884c\u505c\u670d\u9577\u671f\u85e5\u7269\uff0c\u61c9\u5118\u65e9\u8207\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u5546\u8a0e\uff0c\u8a55\u4f30\u8178\u80c3\u4e0d\u9069\u7684\u6210\u56e0\u4ee5\u53ca\u8abf\u6574\u85e5\u7269\u7684\u9700\u8981\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u80c3\u85e5<\/strong><\/h3>\n<p>\u80c3\u85e5\u6709\u5f88\u591a\u7a2e\u985e\uff0c\u4ee5\u4e0b\u4e3b\u8981\u8b1b\u89e3\u6297\u80c3\u9178\u7684\u80c3\u85e5\u3002<span style=\"color: #0000ff;\">\u6297\u80c3\u9178\u85e5\u56e0\u6b64\u985e\u85e5\u7269\u9664\u4e86\u5e38\u7528\u65bc\u8212\u7de9\u6d88\u5316\u4e0d\u826f\u3001\u80c3\u9178\u5012\u6d41\u7b49\u76f8\u5c0d\u8f15\u5fae\u7684\u75c7\u72c0\u5916\uff0c\u4ea6\u5e38\u7528\u65bc\u9810\u9632\u6216\u91ab\u6cbb\u80c3\u708e\u3001\u8178\/\u80c3\u6f70\u760d\u7b49\u56b4\u91cd\u75be\u75c5\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u6297\u80c3\u9178\u85e5\u5206\u4ee5\u4e0b\u4e09\u5927\u985e\uff1a<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"96\"><\/td>\n<td width=\"180\"><strong>\u4e2d\u548c\u80c3\u9178\u85e5 <\/strong><\/p>\n<p>Antacids<\/td>\n<td width=\"163\"><strong>\u7d44\u7e54\u80fa\u4e8c\u578b\u53d7\u9ad4<\/strong><\/p>\n<p><strong>\u5c0d\u6297\u5291 <\/strong><\/p>\n<p>Histamine 2 Receptor Antagonists (H2RA)<\/td>\n<td width=\"163\"><strong>\u8cea\u5b50\u6cf5\u6291\u5236\u5291 <\/strong><\/p>\n<p>Proton Pump Inhibitors (PPI)<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u4f8b\u5b50<\/td>\n<td width=\"180\">Magnesium Trisilicate \/ Hydroxide, Aluminium Hydroxide, Calcium carbonate, Sodium bicarbonate<\/td>\n<td width=\"163\">Famo<u>tidine<\/u>, Rani<u>tidine<\/u>, Cime<u>tidine<\/u><\/td>\n<td width=\"163\">Panto<u>prazole<\/u>, Esome<u>prazole<\/u>, Ome<u>prazole<\/u>, Lanso<u>prazole<\/u>, Dexlanso<u>prazole<\/u>, Rabe<u>prazole<\/u><\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u85e5\u7406<\/td>\n<td width=\"180\">\u4e2d\u548c\u80c3\u9178<\/td>\n<td width=\"163\">\u6291\u5236\u80c3\u9178\u5206\u6ccc\uff0c<\/p>\n<p>\u53ef\u5e6b\u52a9\u6f70\u760d\u7652\u5408<\/td>\n<td width=\"163\">\u6291\u5236\u80c3\u9178\u5206\u6ccc\uff0c<\/p>\n<p>\u53ef\u5e6b\u52a9\u6f70\u760d\u7652\u5408<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u7528\u9014<\/td>\n<td width=\"180\">\u8212\u7de9\u75c7\u72c0<\/td>\n<td width=\"163\">\u8212\u7de9\u75c7\u72c0<\/p>\n<p>\u9810\u9632\u6216\u91ab\u6cbb\u6f70\u760d\u7b49\u75be\u75c5<\/td>\n<td width=\"163\">\u8212\u7de9\u75c7\u72c0<\/p>\n<p>\u9810\u9632\u6216\u91ab\u6cbb\u6f70\u760d\u7b49\u75be\u75c5<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u670d\u7528\u65b9\u6cd5<\/td>\n<td width=\"180\"><span style=\"color: #0000ff;\">\u9910\u5f8c\u670d\uff0c\u6216\u51fa\u73fe\u75c7\u72c0\u6642\u670d<\/span><\/p>\n<p><span style=\"color: #0000ff;\">\u85e5\u4e38\u9700\u54ac\u788e\u5f8c\u541e\u670d\uff1b\u6c34\u5291\u9808\u6416\u52fb<\/span><\/td>\n<td width=\"163\"><span style=\"color: #0000ff;\">\u9910\u524d\u3001\u9910\u5f8c\u670d\u4ea6\u53ef<\/span><\/td>\n<td width=\"163\"><span style=\"color: #0000ff;\">\u65e9\u9910\u524d\u670d\uff08\u7d55\u5927\u90e8\u4efd\uff09\uff0c\u4e0d\u53ef\u5480\u56bc\u6216\u58d3\u788e<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"96\"><span style=\"color: #000000;\">\u7279\u6027<\/span><\/td>\n<td width=\"180\"><span style=\"color: #0000ff;\">\u8d77\u6548\u5feb\u3001\u6301\u4e45\u6027\u77ed\u3001\u85e5\u6548\u5f31\uff08\u4ee5\u8212\u7de9\u75c7\u72c0\u70ba\u4e3b\uff09<\/span><\/td>\n<td width=\"163\"><span style=\"color: #0000ff;\">\u8d77\u6548\u3001\u6301\u4e45\u6027\u548c\u85e5\u6548\u4ecb\u4e4e\u53e6\u5916\u5169\u7a2e\u6297\u80c3\u9178\u85e5\u4e4b\u9593<\/span><\/td>\n<td width=\"163\"><span style=\"color: #0000ff;\">\u8d77\u6548\u6162\u3001\u6301\u4e45\u6027\u9577\u3001\u85e5\u6548\u5f37<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u53ef\u80fd\u526f\u4f5c\u7528\uff08\u4e00\u822c\u4e0d\u5e38\u898b\u3001\u8f15\u5fae\uff1b\u6216\u8207\u672c\u8eab\u8178\u80c3\u75c5\u6709\u95dc\uff09<\/td>\n<td width=\"180\">\u4fbf\u79d8\u3001\u8179\u7009<\/td>\n<td width=\"163\">\u4fbf\u79d8\u3001\u8179\u7009\u3001\u982d\u6688\u3001\u982d\u75db<\/td>\n<td width=\"163\">\u4fbf\u79d8\u3001\u8179\u7009\u3001\u982d\u6688\u3001<\/p>\n<p>\u982d\u75db\u3001\u5641\u5fc3\u3001\u8179\u75db\u3001<\/p>\n<p>\u4e0a\u547c\u5438\u9053\u611f\u67d3\u75c7\u72c0<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u85e5\u7269\u76f8\u6c96<\/td>\n<td width=\"180\">Alendronate\u3001\u90e8\u4efd\u6297\u751f\u7d20\uff08\u5982\u56db\u74b0\u7d20\uff09\u3001Mycophenolate mofetil \/ Mycophenolic acid<\/td>\n<td width=\"163\">Cimetidine\ufe30Warfarin \u83ef\u6cd5\u6797\u3001\u90e8\u4efd\u6297\u6291\u9b31\u85e5\u3001Diazepam\u3001Phenytoin\u3001Ketoconazole<\/td>\n<td width=\"163\">Esomeprazole \/ Omeprazole\ufe30Clopidogrel<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u6ce8\u610f\u4eba\u58eb<\/td>\n<td width=\"180\">\u814e\u529f\u80fd\u4e0d\u5168\u60a3\u8005<\/p>\n<p>Sodium bicarbonate\ufe30\u9ad8\u8840\u58d3\u3001\u5fc3\u8870\u7aed\u3001\u809d\u8870\u7aed\/\u786c\u5316\u3001\u61f7\u5b55<\/td>\n<td width=\"163\">\/<\/td>\n<td width=\"163\">\/<\/td>\n<\/tr>\n<tr>\n<td width=\"96\">\u6cd5\u4f8b\u552e\u8ce3\u898f\u7ba1<\/td>\n<td width=\"180\">\u7121\uff1b\u53ef\u81ea\u884c\u8cfc\u8cb7\uff0c\u7121\u9700\u91ab\u751f\u8655\u65b9\u6216\u85e5\u5291\u5e2b\u76e3\u7763\u4e0b\u552e\u8ce3<\/td>\n<td width=\"163\">\u7121\uff1b\u53ef\u81ea\u884c\u8cfc\u8cb7\uff0c\u7121\u9700\u91ab\u751f\u8655\u65b9\u6216\u85e5\u5291\u5e2b\u76e3\u7763\u4e0b\u552e\u8ce3<\/td>\n<td width=\"163\"><span style=\"color: #0000ff;\">\u9664 Omeprazole \u548c\u7279\u5b9a\u5291\u578b\u7684 Pantoprazole \uff08\u5305\u62ec\u6bcf\u65e5\u4e0d\u591a\u65bc 20 \u6beb\u514b\u4ee5\u53ca\u6700\u591a 7 \u5929\u4efd\u91cf\u7b49\u898f\u5b9a\uff09\u4e4b\u5916\uff0c\u5176\u4ed6\u5747\u9700\u91ab\u751f\u8655\u65b9\u5916<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>\u9664\u4e86\u4e0a\u8ff0\u85e5\u7269\u76f8\u6c96\u5916\uff0c\u6297\u80c3\u9178\u85e5\u9084\u6703\u56e0\u5f71\u97ff\u80c3\u90e8\u9178\u9e7c\u5ea6\uff08\u7e7c\u800c\u5f71\u97ff\u85e5\u7269\u5438\u6536\uff09\u548c\u5f71\u97ff\u809d\u9175\u7d20\u5206\u89e3\u85e5\u7269\uff08\u7e7c\u800c\u5f71\u97ff\u85e5\u6548\u548c\u6bd2\u6027\uff09\u7b49\u56e0\u7d20\u8207\u6297\u764c\u85e5\uff08\u5982\u6a19\u9776\u85e5\uff09\u3001\u6297\u75c5\u6bd2\u85e5\u3001\u6297\u751f\u7d20\u3001\u6297\u771f\u83cc\u85e5\u7b49\u76f8\u6c96\u3002\u6b63\u5728\u670d\u7528\u9019\u4e9b\u85e5\u7269\u7684\u4eba\u58eb\u82e5\u9700\u8981\u670d\u80c3\u85e5\uff0c\u5b9c\u5148\u8aee\u8a62\u91ab\u8b77\u4eba\u54e1\uff0c\u6216\u8a31\u9700\u8981\u5c07\u5169\u7a2e\u85e5\u5206\u958b\u6578\u5c0f\u6642\u670d\u7528\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u6297\u80c3\u9178\u85e5\u4e4b\u9577\u671f\u526f\u4f5c\u7528<\/em><\/strong><\/p>\n<p>\u90e8\u4efd\u4eba\u6216\u66fe\u770b\u5230\u8cea\u5b50\u6cf5\u6291\u5236\u5291\u7684\u85e5\u7269\u6a19\u7c64\u4e0a\u5beb\u6709\u300c\u53ef\u80fd\u589e\u52a0\u611f\u67d3\u6216\u5e36\u6297\u85e5\u6027\u7d30\u83cc\u98a8\u96aa\u300d\uff0c\u6216\u807d\u805e\u9577\u671f\u670d\u80c3\u85e5\u6703\u6e1b\u5c11\u9223\u3001\u9382\u548c\u5176\u4ed6\u5fae\u91cf\u71df\u990a\u7d20\u5438\u6536\uff0c\u589e\u52a0\u9aa8\u6298\u98a8\u96aa\uff0c\u751a\u81f3\u6709\u60a3\u4e0a\u814e\u75c5\u3001\u5931\u667a\u3001\u5fc3\u808c\u6897\u585e\u3001\u80c3\u764c\u7684\u53ef\u80fd\u3002<span style=\"color: #0000ff;\">\u7e31\u4f7f\u91ab\u5b78\u4e0a\u6709\u76f8\u95dc\u7814\u7a76\uff0c\u4f46\u73fe\u968e\u6bb5\u6c92\u6709\u5145\u4efd\u7684\u8b49\u64da\u8b49\u660e\u670d\u80c3\u85e5\u6703\u76f4\u63a5\u5f15\u8d77\u56b4\u91cd\u526f\u4f5c\u7528\u3002\u5728\u67d0\u4e9b\u60c5\u6cc1\u4e0b\uff0c\u5982\u6d88\u5316\u9053\u6f70\u760d\u3001\u80c3\u708e\u3001\u6b63\u5728\u670d\u8584\u8840\u85e5\u4e14\u9ad8\u98a8\u96aa\u51fa\u73fe\u8178\u80c3\u4f75\u767c\u75c7\u4eba\u58eb\uff0c\u75c5\u4eba\u6709\u660e\u78ba\u539f\u56e0\u9700\u8981\u670d\u80c3\u85e5\u4e00\u6bb5\u6642\u9593\u53bb\u9810\u9632\u6216\u91ab\u6cbb\u75be\u75c5\uff0c\u4e0d\u5b9c\u56e0\u4e00\u4e9b\u4e0d\u78ba\u5b9a\u7684\u526f\u4f5c\u7528\u800c\u81ea\u884c\u505c\u85e5\uff0c\u5426\u5247\u5f97\u4e0d\u511f\u5931\u3002<\/span>\u53cd\u4e4b\uff0c\u9593\u4e2d\u51fa\u73fe\u8f15\u5fae\u80c3\u9178\u5012\u6d41\u6216\u6d88\u5316\u4e0d\u826f\u75c7\u72c0\u5247\u7121\u9700\u9577\u671f\u670d\u80c3\u85e5\u3002\u75c5\u4eba\u53ef\u7559\u610f\u85e5\u7269\u6a19\u7c64\u4e0a\u7684\u670d\u85e5\u6307\u793a\u6709\u5426\u5beb\u300c\u9700\u8981\u6642\u670d\u300d\u3002\u82e5\u6709\uff0c\u53ef\u5728\u4e0d\u9069\u6642\u624d\u670d\u80c3\u85e5\uff1b\u82e5\u7121\uff0c\u5247\u9700\u8981\u6bcf\u65e5\u5b9a\u6642\u670d\u80c3\u85e5\u3002\u5982\u679c\u75c5\u4eba\u5c0d\u81ea\u5df1\u9700\u5426\u6301\u7e8c\u670d\u85e5\u6709\u61f7\u7591\uff0c\u53ef\u8a62\u554f\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u5176\u4ed6\u80c3\u85e5<\/em><\/strong><\/p>\n<ul>\n<li>\u5316\u80c3\u6c23\u85e5\u5982 Simethicone \u548c Dimethicone (Dimethylpolysiloxane) \u900f\u904e\u964d\u4f4e\u6c23\u6ce1\u8868\u9762\u5f35\u529b\uff0c\u4ee4\u6c23\u6ce1\u805a\u5408\uff0c\u7e7c\u800c\u7206\u7834\uff0c\u7d93\u6d88\u5316\u9053\u6392\u51fa\u9ad4\u5916\u3002\u6b64\u985e\u85e5\u4e00\u822c\u7121\u751a\u526f\u4f5c\u7528\uff0c\u5e38\u65bc\u8907\u65b9\u7522\u54c1\u5167\u8207\u4e2d\u548c\u80c3\u9178\u85e5\u5408\u4f75\u4f7f\u7528\u3002<\/li>\n<li>\u6d77\u85fb\u9178\u9e7d Sodium Alginate<\/li>\n<li>*\u524d\u5217\u817a\u7d20 E \u884d\u751f\u7269 Misoprostol<\/li>\n<li>\u786b\u7cd6\u92c1 Sucralfate<\/li>\n<li>*\u80c3\u8178\u8815\u52d5\u4fc3\u9032\u5291 Prokinetics\uff0c\u5982 Metoclopramide\u3001Domperidone<\/li>\n<li>*\u6b62\u5614\u85e5 Antiemetics\uff0c\u5982 Prochlorperazine\u3001Promethazine<\/li>\n<li>*\u6297\u6291\u9b31\u85e5 Antidepressants\uff0c\u5982 Amitriptyline<\/li>\n<li>\u6d88\u5316\u9175\u7d20 \/ \u9176 Enzyme<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u53ef\u53c3\u8003\u4e0b\u5217\u300c\u5ef6\u4f38\u95b1\u8b80\u300d\u90e8\u4efd\u4ee5\u4e86\u89e3\u4e0a\u8ff0\u85e5\u7269\u7684\u7279\u6027\u3002\uff08* \u9700\u8981\u91ab\u751f\u8655\u65b9\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80\ufe30<\/p>\n<ol>\n<li>\u885e\u751f\u7f72\u2013\u85e5\u7269\u8fa7\u516c\u5ba4\u3002\u6d88\u5316\u6027\u6f70\u760d\u7652\u5408\u85e5\u7269\u30022013\u3002\u53d6\u81ea <a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_11.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_11.html<\/a>\u3002<\/li>\n<li>\u885e\u751f\u7f72\u2013\u85e5\u7269\u8fa7\u516c\u5ba4\u3002\u89e3\u75d9\u85e5\u548c\u6b62\u5614\u85e5\u30022013\u3002\u53d6\u81ea <a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_13.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_13.html<\/a>\u3002<\/li>\n<li>\u6e2f\u5b89\u91ab\u7642\u3002\u80c3\u9178\u5012\u6d41\u3002\u53d6\u81ea <a href=\"https:\/\/www.hkah.org.hk\/tc\/conditions-and-treatments\/acid-reflux\">https:\/\/www.hkah.org.hk\/tc\/conditions-and-treatments\/acid-reflux<\/a><\/li>\n<li>\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u91ab\u5b78\u9662\u3002\u80c3\u9178\u5012\u6d41\u75c5\u3002\u53d6\u81ea <a href=\"https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/gastroesophageal-acid-reflux-disease-gerd\/gastroesophageal-acid-reflux-disease-gerd\">https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/gastroesophageal-acid-reflux-disease-gerd\/gastroesophageal-acid-reflux-disease-gerd<\/a>\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\ufe30<\/p>\n<ol>\n<li>Mayo Clinic. GERD: Can certain medications make it worse? 2022. Available at <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gerd\/expert-answers\/heartburn-gerd\/faq-20058535\">https:\/\/www.mayoclinic.org\/diseases-conditions\/gerd\/expert-answers\/heartburn-gerd\/faq-20058535<\/a>.<\/li>\n<li>Mass\u00f3 Gonz\u00e1lez EL, et al. Variability among nonsteroidal antiinflammatory drugs in risk of upper gastrointestinal bleeding.\u00a0<em>Arthritis Rheum<\/em>. 2010;62(6):1592-1601.<\/li>\n<li>Bhatt DL, et al. ACCF\/ACG\/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. <em>Circulation<\/em>. 2008;118(18):1894-1909.<\/li>\n<li>Freedberg DE, et al. The Risks and Benefits of Long-term Use of Proton Pump Inhibitors: Expert Review and Best Practice Advice From the American Gastroenterological Association.\u00a0<em>Gastroenterology<\/em>. 2017;152(4):706-715.<\/li>\n<li>Targownik LE, et al. AGA Clinical Practice Update on De-Prescribing of Proton Pump Inhibitors: Expert Review.\u00a0<em>Gastroenterology<\/em>. 2022;162(4):1334-1342.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\uff1a2023 \u5e74 6 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NSAIDs<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u80c3\u4e0d\u9069\u6216\u8a31\u662f\u6f5b\u5728\u75be\u75c5\u7684\u8868\u5fb5\uff0c\u5982\u80c3\u708e\u3001\u6d88\u5316\u6027\u6f70\u760d\u75be\u75c5\uff08\u5305\u62ec\u80c3\u6f70\u760d\u3001\u5341\u4e8c\u6307\u8178\u6f70\u760d\uff09\u3001\u5e7d\u9580\u87ba\u65cb\u83cc\u611f\u67d3\u3001\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3001\u81bd\u7d50\u77f3\u7b49\u7b49\uff0c\u751a\u81f3\u6709\u6a5f\u6703\u662f\u5fc3\u81df\u554f\u984c\u6216\u60c5\u7dd2\u75c5\u3002\u82e5\u4e0d\u80af\u5b9a\u81ea\u5df1\u7684\u60c5\u6cc1\u5c6c\u65bc\u8f15\u5fae\u4e14\u53ef\u81ea\u884c\u8655\u7406\u9084\u662f\u6f5b\u5728\u96a0\u75be\uff0c\u53ef\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u9047\u5230\u4ee5\u4e0b\u75c7\u72c0\u9700\u5118\u65e9\u6c42\u91ab\ufe30<\/p>\n<p>\u5614\u5410\u7269\u5e36\u8840\u6216\u5496\u5561\u6e23\u72c0\u7269<br \/>\n\u5927\u4fbf\u5448\u9ed1\u8272<br \/>\n\u98df\u617e\u4e0b\u964d<br 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\/>\n\u8212\u7de9\u7dca\u5f35\u548c\u58d3\u529b\u60c5\u7dd2<\/p>\n<p>&nbsp;<\/p>\n<p>\u82e5\u61f7\u7591\u8178\u80c3\u4e0d\u9069\u662f\u7531\u85e5\u7269\u5f15\u8d77\uff0c\u5207\u5fcc\u81ea\u884c\u505c\u670d\u9577\u671f\u85e5\u7269\uff0c\u61c9\u5118\u65e9\u8207\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u5546\u8a0e\uff0c\u8a55\u4f30\u8178\u80c3\u4e0d\u9069\u7684\u6210\u56e0\u4ee5\u53ca\u8abf\u6574\u85e5\u7269\u7684\u9700\u8981\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u80c3\u85e5<\/strong><\/p>\n<p>\u80c3\u85e5\u6709\u5f88\u591a\u7a2e\u985e\uff0c\u4ee5\u4e0b\u4e3b\u8981\u8b1b\u89e3\u6297\u80c3\u9178\u7684\u80c3\u85e5\u3002\u6297\u80c3\u9178\u85e5\u56e0\u6b64\u985e\u85e5\u7269\u9664\u4e86\u5e38\u7528\u65bc\u8212\u7de9\u6d88\u5316\u4e0d\u826f\u3001\u80c3\u9178\u5012\u6d41\u7b49\u76f8\u5c0d\u8f15\u5fae\u7684\u75c7\u72c0\u5916\uff0c\u4ea6\u5e38\u7528\u65bc\u9810\u9632\u6216\u91ab\u6cbb\u80c3\u708e\u3001\u8178\/\u80c3\u6f70\u760d\u7b49\u56b4\u91cd\u75be\u75c5\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u6297\u80c3\u9178\u85e5\u5206\u4ee5\u4e0b\u4e09\u5927\u985e\uff1a<\/p>\n<p><strong>\u4e2d\u548c\u80c3\u9178\u85e5 <\/strong><\/p>\n<p>Antacids<br \/>\n<strong>\u7d44\u7e54\u80fa\u4e8c\u578b\u53d7\u9ad4<\/strong><\/p>\n<p><strong>\u5c0d\u6297\u5291 <\/strong><\/p>\n<p>Histamine 2 Receptor Antagonists (H2RA)<br \/>\n<strong>\u8cea\u5b50\u6cf5\u6291\u5236\u5291 <\/strong><\/p>\n<p>Proton Pump Inhibitors (PPI)<\/p>\n<p>\u4f8b\u5b50<br \/>\nMagnesium Trisilicate \/ Hydroxide, Aluminium Hydroxide, Calcium carbonate, Sodium bicarbonate<br \/>\nFamotidine, [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":8597,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39,92],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/8588"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=8588"}],"version-history":[{"count":5,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/8588\/revisions"}],"predecessor-version":[{"id":10311,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/8588\/revisions\/10311"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/8597"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=8588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=8588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=8588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}