PMID- 26131224 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150701 LR - 20200930 IS - 1940-5901 (Print) IS - 1940-5901 (Electronic) IS - 1940-5901 (Linking) VI - 8 IP - 4 DP - 2015 TI - Peptic ulcer hemorrhage combined with acute gout: analyses of treatment in 136 cases. PG - 6193-9 AB - This study aims to compare the safety and curative effect of celecoxib and small-dose methylprednisolone sodium succinate in patients with peptic ulcer hemorrhage combined with acute gout. In this randomized, controlled trial, a total of 136 patients with peptic ulcer hemorrhage combined with acute gout were divided into the celecoxib group or the small-dose methylprednisolone sodium succinate group. These patients underwent gastroscopy hemostasis and proton pump inhibitor (PPI) therapy. Moreover, for the treatment of gout, the patients were administered either celecoxib or small-dose methylprednisolone sodium succinate. Adverse reactions and the visual analogue scale (VAS) score were recorded for the two groups. The difference in adverse reactions between the two groups was not significant (chi(2) = 0.002, P = 0.967). The duration of evident pain relief after the first dose of treatment showed a significant difference between the two groups (t = 13.728, P < 0.01). The VAS scores before treatment were not significantly different between the two groups (t = -1.786, P = 0.076). The VAS scores at 6 h, 2 days, 4 days, 6 days, and 8 days after treatment were significantly different between the two groups (t = 3.239, 6.586, 6.280, 3.737, 3.215; P = 0.002, 0.000, 0.000, 0.000, 0.002, respectively). In cases that receive effective gastroscopy hemostasis and PPI therapy, small-dose methylprednisolone sodium succinate exhibits a greater clinical curative effect for peptic ulcer hemorrhage combined with acute gout as compared to celecoxib, and is associated with greater safety. FAU - Xu, Zhenglei AU - Xu Z AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Zhang, Ru AU - Zhang R AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Zhang, Dingguo AU - Zhang D AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Yao, Jun AU - Yao J AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Shi, Ruiyue AU - Shi R AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Tang, Qinghong AU - Tang Q AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. FAU - Wang, Lisheng AU - Wang L AD - Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Shenzhen 518000, Guangdong Province, China. LA - eng PT - Journal Article DEP - 20150415 PL - United States TA - Int J Clin Exp Med JT - International journal of clinical and experimental medicine JID - 101471010 PMC - PMC4483932 OTO - NOTNLM OT - Peptic ulcer OT - acute gout OT - hemorrhage EDAT- 2015/07/02 06:00 MHDA- 2015/07/02 06:01 PMCR- 2015/04/15 CRDT- 2015/07/02 06:00 PHST- 2015/02/02 00:00 [received] PHST- 2015/04/02 00:00 [accepted] PHST- 2015/07/02 06:00 [entrez] PHST- 2015/07/02 06:00 [pubmed] PHST- 2015/07/02 06:01 [medline] PHST- 2015/04/15 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Med. 2015 Apr 15;8(4):6193-9. eCollection 2015.