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维拉帕米对犬胃酸分泌和胃泌素释放的影响。

Influence of verapamil on gastric acid secretion and gastrin release in dogs.

作者信息

Grimm G, Salem G, Prager-Petz J, Pils P, Gloeckler M, Sadowsky J, Pointner H

出版信息

Digestion. 1985;32(4):282-7. doi: 10.1159/000199249.

Abstract

Gastric secretion is supposed to be calcium-dependent. The effect of verapamil (0.3 mg/kg/h i.v.), a calcium channel-blocking agent, on stimulated gastric acid secretion and gastrin release was investigated in 8 mongrel dogs. Stimulation was either performed by bombesin (1.0 microgram/kg/h i.v.) or by insulin (0.3 U/kg i.v.). Verapamil significantly inhibited both the bombesin- and the insulin-stimulated gastric acid secretion. Mean total gastric acid output over a 120-min period was 9.5 +/- (SEM) 2.2 mmol after bombesin stimulation and 6.3 +/- 2.0 mmol after bombesin and verapamil (p less than 0.01). The respective values were 15.3 +/- 2.0 mmol for insulin stimulation and 7.0 +/- 1.6 mmol for insulin and verapamil (p less than 0.01). There was no significant influence of verapamil on plasma gastrin concentrations. Thus, the impairment of acid secretion by verapamil is not due to an inhibition of gastrin release in intact dogs.

摘要

胃液分泌被认为是钙依赖性的。在8只杂种犬中研究了钙通道阻滞剂维拉帕米(静脉注射0.3毫克/千克/小时)对刺激胃酸分泌和胃泌素释放的影响。刺激通过蛙皮素(静脉注射1.0微克/千克/小时)或胰岛素(静脉注射0.3单位/千克)进行。维拉帕米显著抑制了蛙皮素和胰岛素刺激的胃酸分泌。在蛙皮素刺激后120分钟内的平均总胃酸分泌量为9.5±(标准误)2.2毫摩尔,在蛙皮素和维拉帕米作用后为6.3±2.0毫摩尔(p<0.01)。胰岛素刺激时的相应值为15.3±2.0毫摩尔,胰岛素和维拉帕米作用时为7.0±1.6毫摩尔(p<0.01)。维拉帕米对血浆胃泌素浓度没有显著影响。因此,在完整的犬中,维拉帕米对胃酸分泌的损害并非由于抑制胃泌素释放所致。

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