Tsimmerman Ia S, Syman L N, Golovanova E S
Sov Med. 1990(5):39-43.
The efficacy of a new peripheral M-cholinolytic, chlorozyl, was studied in two representative groups of duodenal ulcer patients and compared with that of atropine sulfate. The effects of single doses of chlorozyl and atropine on gastric acid production and motor function were under study, as was the effect of a course of treatment lasting 24-26 days on clinical symptoms, impaired gastric functions, healing of the ulcer defect, and remote results (in 1-3 years). The findings evidence that chlorozyl drastically inhibited gastric acid production and normalized motor function after a single administration and a course of treatment (in combination with antacids), rapidly alleviated painful and dyspeptic syndromes and provided ulcer cicatrization in 82 percent of patients, reduced the incidence of recurrences twofold within the first year after a course of treatment. Chlorozyl is much superior to atropine in respect of all the parameters listed; side effects are more rare, this being due to the fact that it poorly penetrates the hematoencephalic barrier and its central effect is weaker.
在两组具有代表性的十二指肠溃疡患者中研究了一种新型外周M胆碱能阻滞剂氯唑嗪的疗效,并与硫酸阿托品进行了比较。研究了单次剂量的氯唑嗪和阿托品对胃酸分泌和运动功能的影响,以及持续24 - 26天的疗程对临床症状、胃功能受损、溃疡缺损愈合及远期疗效(1 - 3年)的影响。研究结果表明,氯唑嗪单次给药及一个疗程(联合抗酸剂)治疗后能显著抑制胃酸分泌并使运动功能恢复正常,能迅速缓解疼痛和消化不良综合征,82%的患者溃疡愈合,疗程结束后第一年内复发率降低一半。在所列的所有参数方面,氯唑嗪均远优于阿托品;副作用较少,这是因为它很难透过血脑屏障,其中枢作用较弱。