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[五肽胃泌素的功能效应及五肽胃泌素试验的诊断可能性]

[Functional effects of pentagastrin and diagnostic possibilities of the pentagastrin test].

作者信息

Tsimmerman Ia S, Golovanova E S

出版信息

Klin Med (Mosk). 1991 Jul;69(7):56-60.

PMID:1942978
Abstract

The effect on gastric secretion of a single pentagastrin dose (6 micrograms/kg) against submaximal doses of histamine, euphylline and limontar was studied in 100 healthy subjects aged 20-30. It is shown that pentagastrin test corresponds to maximal histamine test allowing rough measurement of lining cells mass. Normal secretory values and mass of the lining cells have been established as well as normal secretory response of the stomach to submaximal histamine (0.008 mg/kg) and euphylline (7 mg/kg) tests. Diagnostic significance of the pentagastrin test in peptic ulcer and chronic gastritis with secretory insufficiency has been supported. There were some cases of secretory response to euphylline and limontar in pentagastrin-refractory forms of gastric secretion due to mobilization of functional cellular component of the gastric glands. Pentagastrin inhibited initially enhanced gastric evacuation though motor function of the stomach showed no response.

摘要

对100名年龄在20至30岁的健康受试者研究了单次五肽胃泌素剂量(6微克/千克)对次最大剂量组胺、氨茶碱和柠檬苦素胃分泌的影响。结果表明,五肽胃泌素试验相当于最大组胺试验,可大致测量胃黏膜细胞量。已确定了正常分泌值、胃黏膜细胞量以及胃对次最大组胺(0.008毫克/千克)和氨茶碱(7毫克/千克)试验的正常分泌反应。五肽胃泌素试验在消化性溃疡和伴有分泌功能不全的慢性胃炎中的诊断意义得到了证实。由于胃腺功能细胞成分的动员,在五肽胃泌素难治性胃分泌形式中存在对氨茶碱和柠檬苦素的分泌反应病例。五肽胃泌素最初抑制了增强的胃排空,尽管胃的运动功能没有反应。

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