Nagy L, Mózsik G, Fiegler M, Gerber E, Past T, Ruzsa C, Vezekényi Z, Jávor T
Acta Physiol Acad Sci Hung. 1982;60(4):219-27.
The authors studied the effect of drugs with different mechanisms of action on the prevention of stress ulcer production in the rat. Stress ulcer was induced by a method developed by the authors: intact, starved rats were swum in water at 23 degrees C for 5 hours. Atropine (0.1-0.5 and 1.0 mg/kg i.m.), cimetidine (1.0-5.0 and 25 mg/kg i.p.), prostacyclin (PGI2) (5.0-25.0 and 100 micrograms/kg i.p.) and phentolamine (0.35-1.75-3.5 and 7.0 mg/kg i.m.) were shown to decrease the production of stress ulcers significantly, in a dose-dependent fashion. Propranolol (0.35-1.75-3.5 and 7.0 mg/kg i.m.) did not influence the production of stress ulcers. The finding that drugs with different actions could considerably reduce or prevent the production of stress ulcer appears to indicate the complexity of the neural, hormonal and biochemical processes involved in the pathogenesis. On the basis of the present results the authors suggest the use of a preventive therapeutic regimen in clinical practice with an appropriate combination of drugs.
作者研究了具有不同作用机制的药物对预防大鼠应激性溃疡形成的作用。应激性溃疡通过作者开发的方法诱发:将完整的饥饿大鼠置于23摄氏度的水中游泳5小时。结果显示,阿托品(0.1 - 0.5和1.0毫克/千克,肌肉注射)、西咪替丁(1.0 - 5.0和25毫克/千克,腹腔注射)、前列环素(PGI2)(5.0 - 25.0和100微克/千克,腹腔注射)和酚妥拉明(0.35 - 1.75 - 3.5和7.0毫克/千克,肌肉注射)均能以剂量依赖的方式显著减少应激性溃疡的形成。普萘洛尔(0.35 - 1.75 - 3.5和7.0毫克/千克,肌肉注射)对应激性溃疡的形成没有影响。不同作用的药物能够显著减少或预防应激性溃疡形成这一发现似乎表明发病机制中涉及的神经、激素和生化过程具有复杂性。基于目前的结果,作者建议在临床实践中使用预防性治疗方案,并适当联合用药。