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新型质子泵抑制剂兰索拉唑在高胃酸分泌患者中的剂量范围研究。

Dose ranging study of lansoprazole, a new proton pump inhibitor, in patients with high gastric acid secretion.

作者信息

Berlin I, Molinier P, Duchier A, Cournot A, Durrel J, Dellatolas F, Duchier J

机构信息

Therapharm Recherches, Boulogne, France.

出版信息

Eur J Clin Pharmacol. 1992;43(2):117-9. doi: 10.1007/BF01740655.

DOI:10.1007/BF01740655
PMID:1425865
Abstract

The effects of single doses and of 7 days of lansoprazole 10, 20 and 30 mg PO versus placebo on gastric acid secretion have been evaluated in 8 patients with high gastric acid secretion. The double blind crossover period was followed by a simple blind 7 days on placebo to detect any rebound phenomenon. After the first dose lansoprazole did not modify basal acid output (BAO) but it significantly and dose dependently inhibited peak acid output (PAO) and increased the time during which nocturnal intragastric pH was greater than 3. After 7 days of treatment the same significant, dose-dependent suppression of gastric acid was found, but BAO was also blocked. One week after cessation of lansoprazole administration no rebound increase in gastric acid-secretion was observed. The plasma gastrin concentration remained unchanged throughout the study.

摘要

在8名胃酸分泌过多的患者中,评估了口服10、20和30毫克兰索拉唑单剂量以及连续7天给药与安慰剂相比对胃酸分泌的影响。双盲交叉期之后是为期7天的简单盲法安慰剂治疗,以检测任何反弹现象。首次给药后,兰索拉唑未改变基础酸排量(BAO),但显著且剂量依赖性地抑制了高峰酸排量(PAO),并延长了夜间胃内pH值大于3的时间。治疗7天后,发现胃酸受到同样显著的剂量依赖性抑制,且BAO也被阻断。停用兰索拉唑给药一周后,未观察到胃酸分泌的反弹增加。在整个研究过程中,血浆胃泌素浓度保持不变。

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引用本文的文献

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本文引用的文献

1
Effect of omeprazole--a gastric proton pump inhibitor--on pentagastrin stimulated acid secretion in man.奥美拉唑(一种胃质子泵抑制剂)对人五肽胃泌素刺激的胃酸分泌的影响。
Gut. 1983 Apr;24(4):270-6. doi: 10.1136/gut.24.4.270.
2
Effects of single and repeated doses of omeprazole on gastric acid and pepsin secretion in man.单次及重复剂量奥美拉唑对人体胃酸和胃蛋白酶分泌的影响。
Gut. 1984 Jul;25(7):707-10. doi: 10.1136/gut.25.7.707.
3
Differentiation among inhibitory actions of omeprazole, cimetidine, and SCN- on gastric acid secretion.奥美拉唑、西咪替丁和硫氰酸盐对胃酸分泌抑制作用的差异。
Am J Physiol. 1983 Jul;245(1):G64-71. doi: 10.1152/ajpgi.1983.245.1.G64.
4
Positioning of subject and of nasogastric tube during a gastric secretion study.胃液分泌研究期间受试者及鼻胃管的放置
Br Med J. 1970 Feb 21;1(5694):458-60. doi: 10.1136/bmj.1.5694.458.