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[西咪替丁对消化性溃疡患者胃排空功能的影响]

[Effect of cimetidine on the gastric evacuatory function in peptic ulcer patients].

作者信息

Saakian A G, Kurbatova T S, Norinskiĭ E M

出版信息

Farmakol Toksikol. 1984 Sep-Oct;47(5):50-3.

PMID:6500035
Abstract

A modified x-ray method was used in 28 patients with peptic ulcer of the duodenum to examine, at an interval of 3 days, the rate of evacuation from the stomach of radiographic contrast capsules ingested together with trial food intakes. Assay of the rate of evacuation from the stomach of the radiographic contrast capsules demonstrated that as compared to controls (without cimetidine), a single oral intake of 200 micrograms cimetidine exerts a statistically significant stimulating effect on evacuation from the stomach of the capsules taken with both semolina and appropriate breakfast. The stimulating effect of cimetidine manifested itself commonly 1 h after food intake. It is suggested that dramatic inhibition of hydrochloric acid secretion plays an important role in the mechanism of the stimulating action of cimetidine, as a result of which the inhibitory enterogastral reflex that regulates gastric evacuation is put out of service.

摘要

采用改良的X射线方法,对28例十二指肠溃疡患者每隔3天进行一次检查,以测定与试验性食物一起摄入的造影剂胶囊从胃内排空的速率。对造影剂胶囊从胃内排空速率的测定表明,与对照组(未服用西咪替丁)相比,单次口服200微克西咪替丁对与粗粒小麦粉和适宜早餐一起服用的胶囊从胃内排空具有统计学上显著的促进作用。西咪替丁的促进作用通常在进食后1小时显现。提示西咪替丁促进作用机制中,胃酸分泌的显著抑制起重要作用,结果调节胃排空的抑制性肠胃反射不再起作用。

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