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西沙必利和西咪替丁对胃食管反流病患者24小时食管内pH监测的影响。

Effect of cisapride and cimetidine on 24-hour intraesophageal pH monitoring in patients with gastroesophageal reflux disease.

作者信息

Chojnacki J, Tkaczewski W, Wichan P, Grzegorczyk K, Klupińska G

机构信息

Department of Gastroenterology of III Clinic of Internal Medicine MMA, Lódź, Poland.

出版信息

Mater Med Pol. 1992 Jul-Sep;24(3):196-8.

PMID:1307654
Abstract

In 16 patients with symptomatic gastroesophageal reflux disease (GERD) 24-h intraesophageal pH monitoring (Medilog 1010, Oxford) was carried out after placebo, cisapride (4 x 5 mg) and cimetidine (3 x 200 mg plus 400 mg at bedtime). The per cent time at which intraesophageal pH < 4.0 (refluxive time) was analysed. Cisapride shortened daytime and postprandial refluxive time from 16.1 +/- 14.5% and 12.6 +/- 9.2% to 5.1 +/- 4.4% and 7.5 +/- 6.5%, respectively (p < 0.01, p < 0.05). Whereas, cimetidine shortened particularly night refluxive time from 24.7 +/- 14.1% to 8.8 +/- 6.9% (p < 0.01) and total time from 20.4 +/- 12.8% to 12.0 +/- 6.4% (p < 0.05).

摘要

对16例有症状的胃食管反流病(GERD)患者,在给予安慰剂、西沙必利(4×5毫克)和西咪替丁(3×200毫克,睡前加服400毫克)后,进行了24小时食管内pH监测(使用Medilog 1010,牛津)。分析了食管内pH<4.0的时间百分比(反流时间)。西沙必利使白天和餐后反流时间分别从16.1±14.5%和12.6±9.2%缩短至5.1±4.4%和7.5±6.5%(p<0.01,p<0.05)。而西咪替丁特别使夜间反流时间从24.7±14.1%缩短至8.8±6.9%(p<0.01),总时间从20.4±12.8%缩短至12.0±6.4%(p<0.05)。

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