Gugler R, Wolf H, Kliems G, Somogyi A
MMW Munch Med Wochenschr. 1980 Sep 26;122(39):1337-40.
Absorption characteristics of cimetidine were studied in 10 patients after Billroth I and 12 patients after Billroth II gastrectomy and compared with 9 patients without gastric disease. The onset of absorption after 400 mg cimetidine was identical in all groups, but peak plasma concentrations occurred somewhat (18%) later in B I and significantly (42%) later in B II patients (p less than 0.05). Plasma half life was not different between the 3 groups. The area under the plasma level curve as a measure for bioavailability was significantly increased in the two gastrectomy groups (17% and 23%, resp.). In addition, the duration of effective plasma concentrations above 0.5 microgram/ml was significantly prolonged in the two groups.
在10例毕罗Ⅰ式胃切除术后患者和12例毕罗Ⅱ式胃切除术后患者中研究了西咪替丁的吸收特性,并与9例无胃部疾病的患者进行了比较。所有组在服用400毫克西咪替丁后吸收开始时间相同,但毕罗Ⅰ式患者的血浆峰值浓度出现时间稍晚(18%),毕罗Ⅱ式患者则显著延迟(42%)(p<0.05)。三组之间的血浆半衰期无差异。作为生物利用度指标的血浆水平曲线下面积在两个胃切除组中显著增加(分别为17%和23%)。此外,两组中血浆有效浓度高于0.5微克/毫升的持续时间显著延长。