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胃复安和氨甲酰甲胆碱对反流患者下食管括约肌压力的比较影响。

Comparative effects of metoclopramide and bethanechol on lower esophageal sphincter pressure in reflux patients.

作者信息

McCallum R W, Kline M M, Curry N, Sturdevant R A

出版信息

Gastroenterology. 1975 May;68(5 Pt 1):1114-8.

PMID:1092585
Abstract

The effects of oral metoclopramide, 10 and 20 mg, bethanechol, 25 mg, and placebo on lower esophageal sphincter pressure (LESP) were studied in 15 men with symptoms of gastroesophageal reflux and basal LESP less than 11 mm Hg. Each drug produced a significant increase in LESP when compared to placebo. Metoclopramide, 20 mg, produced a greater increase than either metoclopramide, 10 mg, or bethanechol, 25 mg. Serum gastrin concentrations were not altered by any of the drugs. Side effects were unremarkable. The LESP increasing effect of metoclopramide might be useful in treatment of gastro-esophageal reflux.

摘要

对15名有胃食管反流症状且基础下食管括约肌压力(LESP)低于11毫米汞柱的男性,研究了口服10毫克和20毫克胃复安、25毫克氨甲酰甲胆碱及安慰剂对下食管括约肌压力的影响。与安慰剂相比,每种药物均使下食管括约肌压力显著升高。20毫克胃复安产生的升高幅度大于10毫克胃复安或25毫克氨甲酰甲胆碱。所有药物均未改变血清胃泌素浓度。副作用不明显。胃复安增加下食管括约肌压力的作用可能对胃食管反流的治疗有用。

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1
Comparative effects of metoclopramide and bethanechol on lower esophageal sphincter pressure in reflux patients.胃复安和氨甲酰甲胆碱对反流患者下食管括约肌压力的比较影响。
Gastroenterology. 1975 May;68(5 Pt 1):1114-8.
2
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引用本文的文献

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Gastroenterol Res Pract. 2013;2013:714564. doi: 10.1155/2013/714564. Epub 2013 Jun 26.
2
Overlap of functional dyspepsia and GERD--diagnostic and treatment implications.功能性消化不良与胃食管反流病的重叠——诊断与治疗的意义。
Nat Rev Gastroenterol Hepatol. 2013 Mar;10(3):175-86. doi: 10.1038/nrgastro.2012.253. Epub 2013 Jan 8.
3
Pharmacokinetic optimisation in the treatment of gastro-oesophageal reflux disease.胃食管反流病治疗中的药代动力学优化
Clin Pharmacokinet. 1996 Nov;31(5):386-406. doi: 10.2165/00003088-199631050-00005.
4
Medical treatment of esophageal motility disorders.食管动力障碍的医学治疗。
Dysphagia. 1993;8(2):125-34. doi: 10.1007/BF02266993.
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Effect of oral bethanechol on parameters of esophageal peristalsis.口服氨甲酰甲胆碱对食管蠕动参数的影响。
Dig Dis Sci. 1981 Feb;26(2):129-32. doi: 10.1007/BF01312229.
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Guaiacol -- a new compound in the treatment of gastro-oesophageal reflux?愈创木酚——治疗胃食管反流的一种新化合物?
Gut. 1982 Dec;23(12):1044-7. doi: 10.1136/gut.23.12.1044.
7
Effect of metoclopramide on normal and delayed gastric emptying in gastroesophageal reflux patients.甲氧氯普胺对胃食管反流患者正常和延迟胃排空的影响。
Dig Dis Sci. 1983 Dec;28(12):1057-61. doi: 10.1007/BF01295802.
8
Metoclopramide. An updated review of its pharmacological properties and clinical use.甲氧氯普胺。对其药理特性及临床应用的最新综述。
Drugs. 1983 May;25(5):451-94. doi: 10.2165/00003495-198325050-00002.
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Effect of bethanechol on gastric acid secretion and serum gastrin concentration after proximal gastric vagotomy.胃近端迷走神经切断术后氨甲酰甲胆碱对胃酸分泌及血清胃泌素浓度的影响。
Ann Surg. 1982 Jul;196(1):14-7. doi: 10.1097/00000658-198207000-00003.
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Cisapride restores the decreased lower oesophageal sphincter pressure in reflux patients.西沙必利可恢复反流患者降低的食管下括约肌压力。
Gut. 1988 May;29(5):631-5. doi: 10.1136/gut.29.5.631.