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法莫替丁、雷尼替丁和枸橼酸钠预防性应用在上腹部手术中的效果。

The effect of prophylactic use of famotidine, ranitidine, and sodium citrate in upper abdominal surgery.

作者信息

Suojaranta-Ylinen R, Hendolin H, Alhava E, Kontra K

机构信息

Department of Anaesthesia, Kuopio University Central Hospital, Finland.

出版信息

Agents Actions. 1990 Apr;30(1-2):297-9. doi: 10.1007/BF01969066.

DOI:10.1007/BF01969066
PMID:2371929
Abstract

The effects of famotidine (40 mg), ranitidine (300 mg) and sodium citrate (30 ml) on the gastric pH and volume were tested in 114 patients undergoing upper abdominal surgery. Gastric content was aspirated through a multiorifice tube immediately after intubation, at the end of operation and after a recovery room period of one hour. All three drug regimens significantly increased the mean gastric pH value compared with the control group. Famotidine and ranitidine reduced the volume of gastric content in comparison with sodium citrate and the control group. However, the difference was significant only in the recovery room sample.

摘要

在114例接受上腹部手术的患者中,测试了法莫替丁(40毫克)、雷尼替丁(300毫克)和柠檬酸钠(30毫升)对胃pH值和胃容量的影响。插管后、手术结束时以及在恢复室停留一小时后,通过多孔管抽吸胃内容物。与对照组相比,所有三种药物方案均显著提高了平均胃pH值。与柠檬酸钠和对照组相比,法莫替丁和雷尼替丁减少了胃内容物的容量。然而,差异仅在恢复室样本中显著。

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本文引用的文献

1
Efficacy of clear antacid prophylaxis in obstetrics.
Acta Anaesthesiol Scand. 1984 Jun;28(3):301-4. doi: 10.1111/j.1399-6576.1984.tb02065.x.
2
Pulmonary aspiration--effects of volume and pH in the rat.肺误吸——大鼠中容量和pH值的影响
Anesth Analg. 1984 Jul;63(7):665-8.
3
Ranitidine and metoclopramide for prophylaxis of aspiration pneumonitis in elective surgery.雷尼替丁和甲氧氯普胺用于择期手术中预防误吸性肺炎
Anesth Analg. 1984 Oct;63(10):903-10.
4
Reducing the risk of acid aspiration during cesarean section.降低剖宫产术中胃酸误吸的风险。
Anesth Analg. 1974 Nov-Dec;53(6):859-68. doi: 10.1213/00000539-197453060-00010.
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Sodium citrate pretreatment in elective cesarean section patients.
Anesth Analg. 1985 Jan;64(1):34-7.
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Aspiration during anaesthesia: a computer-aided study of 185,358 anaesthetics.麻醉期间的误吸:一项对185358例麻醉进行的计算机辅助研究。
Acta Anaesthesiol Scand. 1986 Jan;30(1):84-92. doi: 10.1111/j.1399-6576.1986.tb02373.x.
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Noninvasive measurement of gastric emptying in obstetric patients.产科患者胃排空的无创测量
Anesth Analg. 1987 Jun;66(6):505-11.
8
Clinical pharmacology of famotidine: a summary.法莫替丁的临床药理学:概述。
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9
Comparison of the effects of famotidine and ranitidine on gastric secretion in patients undergoing elective surgery.
Anaesthesia. 1989 Mar;44(3):212-5. doi: 10.1111/j.1365-2044.1989.tb11225.x.