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[人单次晚间服用依替替丁:对胃酸分泌及重要激素行为的影响]

[Single evening administration of etintidine in the human: effect on acid secretion and behavior of important hormones].

作者信息

Müller P, Dammann H G, Simon B

出版信息

Z Gastroenterol. 1985 Mar;23(3):115-20.

PMID:2867653
Abstract

The potency and duration of action of a single dose of etintidine, ranitidine and cimetidine were compared in placebo-controlled studies. In addition, the effect of a single night-time dose of etintidine (600 mg) on gastric acid secretion and basal hormone levels was assessed before, during and after a 28-day treatment. Nocturnal gastric acidity (23.00-07.00) was inhibited from 41.04 +/- 5.0 mmol/l to 12.9 +/- 2.8 mmol/l by 300 mg etintidine, to 6.50 +/- 2.5 mmol/l by 600 mg etintidine and to 8.58 +/- 2.5 mmol/l by 800 mg cimetidine nocte. Etintidine and cimetidine did not reduce H+-concentrations during the following day. Pentagastrin-stimulated acid output was virtually not affected after 600 mg etintidine and 800 mg cimetidine as well. By contrast, stimulated acid secretion was still suppressed by about 50% following 300 mg ranitidine. Basal levels of testosterone, prolactin etc. remained unchanged by 28-day etintidine (600 mg dose at night) treatment. Clinical studies are needed to examine the place of the single dose of etintidine (600 mg) at night for the short-term treatment of duodenal ulcer.

摘要

在安慰剂对照研究中比较了单剂量依替丁、雷尼替丁和西咪替丁的效力和作用持续时间。此外,在28天治疗前、治疗期间和治疗后评估了单剂量夜间依替丁(600毫克)对胃酸分泌和基础激素水平的影响。夜间胃酸度(23:00至07:00)在服用300毫克依替丁后从41.04±5.0毫摩尔/升降至12.9±2.8毫摩尔/升,服用600毫克依替丁后降至6.50±2.5毫摩尔/升,夜间服用800毫克西咪替丁后降至8.58±2.5毫摩尔/升。依替丁和西咪替丁在第二天并未降低氢离子浓度。600毫克依替丁和800毫克西咪替丁后,五肽胃泌素刺激的胃酸分泌实际上也未受影响。相比之下,300毫克雷尼替丁后,刺激的胃酸分泌仍被抑制约50%。28天依替丁(夜间600毫克剂量)治疗后,睾酮、催乳素等基础水平保持不变。需要进行临床研究以检验夜间单剂量依替丁(600毫克)在十二指肠溃疡短期治疗中的地位。

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