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通过直接测量评估生长抑素对食管静脉曲张压力的影响。

Effect of somatostatin on oesophageal variceal pressure assessed by direct measurement.

作者信息

Clements D, Rhodes J M, Elias E

出版信息

J Hepatol. 1986;2(2):262-6. doi: 10.1016/s0168-8278(86)80085-x.

DOI:10.1016/s0168-8278(86)80085-x
PMID:2870100
Abstract

The effect of a single bolus of somatostatin on oesophageal variceal pressure has been studied in 7 patients with cirrhosis and 5 patients with non-cirrhotic portal hypertension using a non-invasive variceal pressure gauge. Both groups of patients demonstrated similar reductions in variceal pressure with all subjects demonstrating a fall. The timing, duration and magnitude of this reduction in variceal pressure in response to somatostatin showed considerable individual variation which may explain the previous reports of a variable response to treatment of variceal haemorrhage with somatostatin. This individual variation should be borne in mind in the planning of future studies in the treatment of oesophageal variceal haemorrhage. The pneumatic pressure gauge allows the non-invasive study of the effects of drugs on variceal and portal pressure.

摘要

使用非侵入性静脉曲张压力计,对7例肝硬化患者和5例非肝硬化门静脉高压患者研究了单次推注生长抑素对食管静脉曲张压力的影响。两组患者的静脉曲张压力均有相似程度的降低,所有受试者的压力均出现下降。生长抑素引起的静脉曲张压力降低的时间、持续时间和幅度存在相当大的个体差异,这可能解释了先前关于生长抑素治疗静脉曲张出血反应不一的报道。在规划未来食管静脉曲张出血治疗的研究时应考虑到这种个体差异。气压计可用于对药物对静脉曲张和门静脉压力影响的非侵入性研究。

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Effect of somatostatin on oesophageal variceal pressure assessed by direct measurement.通过直接测量评估生长抑素对食管静脉曲张压力的影响。
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2
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引用本文的文献

1
Effects of somatostatin (SMS) on pancreatic microcirculation.生长抑素(SMS)对胰腺微循环的影响。
Dig Dis Sci. 1997 Nov;42(11):2254-63. doi: 10.1023/a:1018862616845.
2
Somatostatin reduces gastric mucosal blood flow in patients with portal hypertensive gastropathy: a randomized, double-blind crossover study.生长抑素可降低门静脉高压性胃病患者的胃黏膜血流量:一项随机、双盲交叉研究。
Dig Dis Sci. 1996 Dec;41(12):2440-6. doi: 10.1007/BF02100140.
3
Effect of Valsalva's manoeuvre and hyoscinbutylbromide on the pressure gradient across the wall of oesophageal varices.
瓦尔萨尔瓦动作和消旋山莨菪碱对食管静脉曲张壁压力梯度的影响。
Gut. 1987 Sep;28(9):1151-6. doi: 10.1136/gut.28.9.1151.
4
Somatostatin does not reduce oesophageal variceal pressure in liver cirrhotics.生长抑素不能降低肝硬化患者的食管静脉曲张压力。
Gut. 1988 Feb;29(2):153-6. doi: 10.1136/gut.29.2.153.
5
Therapeutic potential of a long acting somatostatin analogue in gastrointestinal diseases.长效生长抑素类似物在胃肠道疾病中的治疗潜力。
Gut. 1989 Sep;30(9):1165-72. doi: 10.1136/gut.30.9.1165.
6
Somatostatin in acute bleeding oesophageal varices. Pharmacology and rationale for use.生长抑素在急性食管静脉曲张出血中的应用。药理学及使用原理。
Drugs. 1992;44 Suppl 2:24-35; discussion 70-2. doi: 10.2165/00003495-199200442-00005.