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[服用抗酸剂后的粪便情况]

[Stool behavior following the administration of antacids].

作者信息

Kori-Lindner C

出版信息

Fortschr Med. 1984 Mar 22;102(11):318-22.

PMID:6714903
Abstract

The direct correlation between the dosage of magnesium in antacids and the appearance of partly massive diarrheas in ulcus-patients known from literature could be confirmed. The clinically relevant dosage of antacids of 420 mval NK/day, divided in six individual dosages, resulted in diarrheas from the second to fourth day in 32 percent of the test persons when antacid A with a high content of magnesium was administered. There was no hint for a constipating effect of Solugastril gel at these high dosages (= 12 individual doses). Indeed the application of an Al-Ca-antacid may result in a slight fecal impaction, however, at the same time also to an increase of stool frequency, which is similar to that obtained with antacid B having a lower content of magnesium. The antacid can be regarded as neutral concerning stool frequency and consistency in the majority of test persons. From all four tested antacids the triple-combination (Al, Mg, Ca), showed the least important deviations from the preceding norms concerning stool frequency and consistency. The triple-combination shows an absolutely neutral stool behaviour. Serum electrolytes remained in the normal range with the Al-Ca- and the Al-Mg-Ca-antacid; whereas after application of antacid. A with high magnesium content, important increases of magnesium could be observed after seven days already, which were also dealt with in the literature.

摘要

抗酸剂中镁的剂量与文献中已知的溃疡患者出现部分大量腹泻之间的直接相关性得到了证实。当给予镁含量高的抗酸剂A时,临床相关剂量为420mval NK/天,分为六个单次剂量,在32%的测试者中,从第二天到第四天会出现腹泻。在这些高剂量(=12个单次剂量)下,没有迹象表明Solugastril凝胶有便秘作用。事实上,应用铝钙抗酸剂可能会导致轻微的粪便嵌塞,但同时也会导致排便频率增加,这与镁含量较低的抗酸剂B相似。在大多数测试者中,抗酸剂在排便频率和粪便稠度方面可被视为中性。在所有四种测试的抗酸剂中,三联组合(铝、镁、钙)在排便频率和粪便稠度方面与先前标准的偏差最小。三联组合显示出绝对中性的排便行为。使用铝钙和铝镁钙抗酸剂时,血清电解质保持在正常范围内;而在使用高镁含量的抗酸剂A后,七天后就可以观察到镁的显著增加,这在文献中也有提及。

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