Matov V
Vutr Boles. 1987;26(3):50-6.
The effect of Cimetidine (Pharmachim), tablets of 200 mg on pH of the stomach was studied in 30 patients with active duodenal ulcer via two-electrode pH-metric probe. The drug effect could be seen from the summed up pH-gram of the patients. pH increase (p less than 0.001) began by 45 min, reaching the maximum by 135 min and lasting for 3.5 hours on the average, the pH maintained over 3.00 in the corpus and over 5.00 in the antrum for 2 h and 45 min. That effect showed a difference depending on the values of the basal pH being significantly stronger in the patients with basal normacidity (8 subjects) and compensated hyperacidity (II subjects) as compared with those with decompensated hyperacidity (II subjects). In the latter, the tested dose was not sufficiently effective--pH in the corpus was maintained over 3.00 only for 1/2 h, and in the antrum over 5.00--I h. In the other 2/3 of the patients, the single dose of Cimetidine (Pharmachim) of 200 mg proved to be sufficient for and effective control of the gastric acid secretion in the course of 3.5 hours.
采用双电极pH测量探头,对30例活动性十二指肠溃疡患者研究了200毫克西咪替丁(保加利亚制药厂生产)片剂对胃pH值的影响。从患者的累积pH图中可以看出药物的作用。pH值升高(p<0.001)在45分钟时开始,135分钟时达到最大值,平均持续3.5小时,胃体部pH值在3.00以上、胃窦部pH值在5.00以上分别持续2小时45分钟。根据基础pH值,这种作用存在差异,基础胃酸正常(8例)和代偿性胃酸过多(11例)的患者,其作用明显强于失代偿性胃酸过多(11例)的患者。对于失代偿性胃酸过多的患者,受试剂量效果不佳——胃体部pH值在3.00以上仅维持半小时,胃窦部pH值在5.00以上维持1小时。在其他2/3的患者中,200毫克西咪替丁(保加利亚制药厂生产)单次剂量被证明足以在3.5小时内有效控制胃酸分泌。