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[泼尼松给药1周对健康人胃酸分泌及胃泌素释放的影响]

[Effect of 1 week's administration of prednisone on gastric acid secretion and liberation of gastrin in healthy humans].

作者信息

Steinert S, Singer M V, Eysselein V E, Benker G, Goebell H

机构信息

Abteilung für Gastroenterologie, Universitätsklinikum Essen.

出版信息

Z Gastroenterol. 1990 Mar;28(3):132-6.

PMID:2160758
Abstract

In a double-blind, randomized study we examined the effects of an oral administration of prednisone (60 mg/day for 6 days) or placebo on gastric acid output basally (BAO), in response to peptone meals 1%, 2%, 4% and 8%, 500 ml each) and to pentagastrin 6 micrograms/kg s.c. to determine maximal acid output, MAO) and on plasma gastrin levels in 14 healthy volunteers. Gastric acid output was measured by intragastric titration (pH 5.5). For gastrin determination we used a specific radioimmunoassay. Experiments were performed one day (day 0) before giving the drugs and one day (day 7) and one month (day 30) after finishing the treatment. Both groups were comparable in their gastric acid responses on day 0. Six days treatment with prednisone did not significantly alter BAO, MAO and the gastric acid response to peptone and pentagastrin. Also, one month after finishing the treatment there were no significant differences in gastric acid output. Both groups had similar plasma gastrin levels on each day. Prednisone did not significantly alter plasma gastrin levels. We conclude that a six-day treatment with prednisone does not alter BAO, MAO and gastric secretory responses to peptone nor release of gastrin in healthy human volunteers.

摘要

在一项双盲随机研究中,我们检测了口服泼尼松(60毫克/天,共6天)或安慰剂对14名健康志愿者基础胃酸分泌量(BAO)、对1%、2%、4%和8%的蛋白胨餐(每餐500毫升)以及对皮下注射6微克/千克的五肽胃泌素(以测定最大胃酸分泌量,MAO)的胃酸分泌反应,以及对血浆胃泌素水平的影响。胃酸分泌量通过胃内滴定法(pH 5.5)测量。胃泌素测定采用特异性放射免疫测定法。实验在给药前一天(第0天)、治疗结束后一天(第7天)和一个月(第30天)进行。两组在第0天的胃酸反应相当。泼尼松治疗6天未显著改变BAO、MAO以及对蛋白胨和五肽胃泌素的胃酸反应。此外,治疗结束一个月后,胃酸分泌量也无显著差异。两组在每一天的血浆胃泌素水平相似。泼尼松未显著改变血浆胃泌素水平。我们得出结论,在健康人类志愿者中,泼尼松治疗6天不会改变BAO、MAO以及对蛋白胨的胃分泌反应,也不会释放胃泌素。

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