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婴儿的胃排空:对甲氧氯普胺的反应取决于潜在病情。

Gastric emptying in infants: response to metoclopramide depends on the underlying condition.

作者信息

Hyman P E, Abrams C E, Dubois A

机构信息

Department of Pediatrics, UCLA Harbor-UCLA Medical Center, Torrance 90502.

出版信息

J Pediatr Gastroenterol Nutr. 1988 Mar-Apr;7(2):181-4.

PMID:3351700
Abstract

In a double-blind, placebo-controlled, randomized study we measured the effect of 1 mg/kg intravenous metoclopramide on the gastric emptying of a 15 ml/kg 5% glucose meal, using a phenol red dye dilution technique. In a group of nine infants referred for multiple daily episodes of regurgitation, metoclopramide doubled the rate of gastric emptying (p less than 0.02). In six infants with prolonged gastroparesis following abdominal surgery, metoclopramide more than doubled the rate of gastric emptying (p less than 0.05). In contrast, in seven infants with gastroparesis related to prematurity, metoclopramide did not significantly change gastric emptying. No extrapyramidal side effects of metoclopramide occurred during the study.

摘要

在一项双盲、安慰剂对照、随机研究中,我们采用酚红染料稀释技术,测定了1毫克/千克静脉注射胃复安对15毫升/千克5%葡萄糖餐胃排空的影响。在一组因每日多次反流而转诊的9名婴儿中,胃复安使胃排空率提高了一倍(p<0.02)。在6名腹部手术后出现胃轻瘫延长的婴儿中,胃复安使胃排空率提高了一倍多(p<0.05)。相比之下,在7名与早产相关的胃轻瘫婴儿中,胃复安并未显著改变胃排空。研究期间未出现胃复安的锥体外系副作用。

相似文献

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Gastric emptying in infants: response to metoclopramide depends on the underlying condition.婴儿的胃排空:对甲氧氯普胺的反应取决于潜在病情。
J Pediatr Gastroenterol Nutr. 1988 Mar-Apr;7(2):181-4.
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Effect of metoclopramide and bethanechol on gastric emptying in infants.胃复安和氨甲酰甲胆碱对婴儿胃排空的影响。
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引用本文的文献

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Childhood gastroparesis is a unique entity in need of further investigation.儿童胃轻瘫是一种需要进一步研究的独特病症。
Neurogastroenterol Motil. 2020 Mar;32(3):e13699. doi: 10.1111/nmo.13699. Epub 2019 Aug 13.
2
Pharmacologic Treatment for Pediatric Gastroparesis: A Review of the Literature.小儿胃轻瘫的药物治疗:文献综述
J Pediatr Pharmacol Ther. 2016 Mar-Apr;21(2):120-32. doi: 10.5863/1551-6776-21.2.120.
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The Safety of Metoclopramide in Children: A Systematic Review and Meta-Analysis.甲氧氯普胺在儿童中的安全性:一项系统评价和荟萃分析。
Drug Saf. 2016 Jul;39(7):675-87. doi: 10.1007/s40264-016-0418-9.
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High-dose oral erythromycin decreased the incidence of parenteral nutrition-associated cholestasis in preterm infants.高剂量口服红霉素降低了早产儿肠外营养相关胆汁淤积的发生率。
Gastroenterology. 2007 May;132(5):1726-39. doi: 10.1053/j.gastro.2007.03.043. Epub 2007 Mar 24.
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Cisapride reduces neonatal postoperative ileus: randomised placebo controlled trial.西沙必利可减轻新生儿术后肠梗阻:随机安慰剂对照试验。
Arch Dis Child Fetal Neonatal Ed. 1997 Sep;77(2):F119-22. doi: 10.1136/fn.77.2.f119.