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β-肾上腺素能受体及β-肾上腺素能阻滞剂普萘洛尔对组胺和利血平刺激的人体胃酸分泌的影响:正常人和十二指肠溃疡患者

Beta-adrenergic receptors and the effect of beta-adrenergic blocking agent propranolol on histamine and reserpine stimulated gastric acid secretion in man: normals and duodenal ulcer cases.

作者信息

El-Gendi M A, Geumei A, Issa I, El-Shazly M K, Sadek A M

出版信息

Pahlavi Med J. 1976 Jan;7(1):40-70.

PMID:1264468
Abstract

The effects of the beta adrenergic stimulant drug, "Nylidrin", and the beta adrenergic blocking agent, "Propranolol", on human basal gastric acid secretion were studied in 20 healthy volunteer subjects and 10 chronic D.U. cases. Nylidrin increased gastric acid secretion and volume. All effects of nylidrin were blocked by prior administration of beta adrenergic inhibitor propranolol. Propranolol diminished both acid secretion and volume in both normal and D.U. cases. The presence of beta adrenergic receptors in the human stomach was suggested. The effects of beta adrenergic blocking agent propranolol on gastric secretion, stimulated with histamine, were studied in 10 normal subjects and 10 cases of chronic duodenal ulcer patients. Pretreatment with propranolol produced a signigicant depression of the 90 minute acid response to histamine in both volume and acidity in normals and duodenal ulcer cases. It is concluded that propranolol has an antisecretory effect, not only on basal gastric secretion but also on histamine stimulated secretion in man. Reserpine stimulated gastric acid secretion and volume in normals but showed no similar effect in D.U. cases. After pretreatment with propranolol it reduces the gastric acid secretion and volume in normals and D.U. cases.

摘要

在20名健康志愿者和10例慢性十二指肠溃疡患者中,研究了β肾上腺素能兴奋剂药物“尼立替林”和β肾上腺素能阻滞剂“普萘洛尔”对人基础胃酸分泌的影响。尼立替林增加胃酸分泌量和分泌体积。尼立替林的所有作用均被预先给予的β肾上腺素能抑制剂普萘洛尔所阻断。普萘洛尔在正常人和十二指肠溃疡患者中均降低了胃酸分泌量和分泌体积。提示人胃中存在β肾上腺素能受体。在10名正常人和10例慢性十二指肠溃疡患者中,研究了β肾上腺素能阻滞剂普萘洛尔对组胺刺激的胃分泌的影响。普萘洛尔预处理后,正常人和十二指肠溃疡患者对组胺的90分钟胃酸反应在分泌量和酸度方面均出现显著降低。结论是普萘洛尔不仅对人基础胃分泌有抗分泌作用,而且对组胺刺激的分泌也有抗分泌作用。利血平在正常人中刺激胃酸分泌量和分泌体积,但在十二指肠溃疡患者中未显示类似作用。普萘洛尔预处理后,它在正常人和十二指肠溃疡患者中均降低胃酸分泌量和分泌体积。

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