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胃内滴定法结合胃外pH值测定——一种临床适用且可靠的胃液分泌定量分析技术(作者译)

[Intragastric titration with extragastric pH-metry--a clinically applicable and reliable technique of quantitative analysis of gastric secretion (author's transl)].

作者信息

Weingart J, Lux G, Frimberger E, Ottenjann R

出版信息

Med Klin. 1977 Mar 25;72(12):497-500.

PMID:14297
Abstract

A technique is described by which the secretory capacity of the stomach can be determined. It appears to be superior both to intragastric titration along with intragastric pH-metry and to common analysis of gastric juice obtained by aspiration. There is no essential difference when comparing results obtained intraindividually by intragastric titration with the pH being measured either inside or outside the stomach. When titrating intragastricly with the pH being measured extragastricly, a tube is used which can be check more easily, remains usable much longer, and - as a result of its smaller diameter - is tolerated much better by the patient. In contrast to common analysis of gastric juice obtained by aspiration, by intragastric titration with the pH being measured extragastricly gastric acid can be determined at its site of production (less volume loss and rediffusion of H+ -ions into tissue), the results obtained representing more accurately the true secretory capacity of the stomach. As can be seen from its results, the technique presented here is apt particularly to both testing antacids and the substances interfering with gastric secretion; it also appears to be superior to common analysis of gastric juice obtained by aspiration.

摘要

本文描述了一种可测定胃分泌能力的技术。该技术似乎优于胃内滴定法联合胃内pH测定法以及通过抽吸获得的胃液常规分析法。比较胃内滴定法在胃内或胃外测量pH值时个体内获得的结果,没有本质差异。当胃外测量pH值进行胃内滴定时,使用的管子更容易检查,使用寿命更长,并且由于其直径较小,患者耐受性更好。与通过抽吸获得的胃液常规分析法相比,通过胃外测量pH值进行胃内滴定可在胃酸产生部位测定胃酸(减少体积损失和H⁺离子再扩散到组织中),所获得的结果更准确地代表胃的真实分泌能力。从其结果可以看出,本文介绍的技术特别适用于测试抗酸剂和干扰胃分泌的物质;它似乎也优于通过抽吸获得的胃液常规分析法。

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