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合成促胰液素治疗十二指肠溃疡的经验。

Experience with synthetic secretin in the treatment of duodenal ulcer.

作者信息

Henn R M, Selcon S, Sturdevant R A, Isenberg J I, Grossman M I

出版信息

Am J Dig Dis. 1976 Nov;21(11):921-5. doi: 10.1007/BF01071902.

DOI:10.1007/BF01071902
PMID:790943
Abstract

Hospitalized male patients with endoscopically verified duodenal ulcer were studied to determine the effect of secretin on the clinical course of their disease. Seven patients received synthetic porcine secretin, 333 mug subcutaneously every 4 hr for 10 days, and 6 patients received placebo injections on the same schedule. Repeat endoscopy was performed within 48 hr of completing the 10-day treatment period. The trial was discontinued because of transient, asymptomatic, hyperamylasemia in secretin-treated patients. Although significant gastric alkalinization could be reproducibly demonstrated in secretin-treated patients, secretin was not more effective than placebo in relieving pain or healing duodenal ulcer. However, because the number of patients was small, definitive conclusions regarding efficacy of secretin in ulcer treatment could not be drawn.

摘要

对经内镜检查确诊为十二指肠溃疡的住院男性患者进行了研究,以确定促胰液素对其疾病临床病程的影响。7例患者接受合成猪促胰液素治疗,每4小时皮下注射333微克,共10天;6例患者按相同疗程接受安慰剂注射。在完成10天治疗期后的48小时内进行重复内镜检查。由于接受促胰液素治疗的患者出现短暂、无症状的高淀粉酶血症,该试验提前终止。尽管在接受促胰液素治疗的患者中可重复性地显示出显著的胃碱化,但促胰液素在缓解疼痛或治愈十二指肠溃疡方面并不比安慰剂更有效。然而,由于患者数量较少,无法就促胰液素在溃疡治疗中的疗效得出明确结论。

相似文献

1
Experience with synthetic secretin in the treatment of duodenal ulcer.合成促胰液素治疗十二指肠溃疡的经验。
Am J Dig Dis. 1976 Nov;21(11):921-5. doi: 10.1007/BF01071902.
2
Treatment of duodenal ulcer with a long-acting synthetic secretin: a pilot trial.
Acta Hepatogastroenterol (Stuttg). 1975 Oct;22(5):310-3.
3
[Treatment of duodenal ulcer with synthetic depot secretin - a double-blind study].
Z Gastroenterol. 1983 May;21(5):212-9.
4
[Secretin as a possible therapeutic agent in ulcer disease].
Vrach Delo. 1974 Dec(12):55-8.
5
Duodenal ulcer healing with four antacid tablets daily.
Scand J Gastroenterol. 1985 Nov;20(9):1041-5. doi: 10.3109/00365528509088868.
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Healing of duodenal ulcer with an antacid regimen.采用抗酸疗法治疗十二指肠溃疡。
N Engl J Med. 1977 Aug 18;297(7):341-5. doi: 10.1056/NEJM197708182970701.
7
Gastrointestinal effects of long-term treatment of duodenal ulcer with depot secretin: clinical, secretory, ultra-structural, and enzymological aspects.
Scand J Gastroenterol Suppl. 1976;42:136-45.
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Unhealed duodenal ulcers despite Helicobacter pylori eradication.尽管幽门螺杆菌已根除,但十二指肠溃疡仍未愈合。
Scand J Gastroenterol. 1997 Jul;32(7):643-50. doi: 10.3109/00365529708996512.
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Influence of oral cimetidine and ranitidine on gastric emptying in active duodenal ulcer.
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[A clinical trial on the effect of aluminum containing antacids on the course of duodenal ulcer healing and morphology of the gastric mucosa].[含铝抗酸剂对十二指肠溃疡愈合过程及胃黏膜形态影响的临床试验]
Folia Med Cracov. 1995;36(1-4):3-20.

本文引用的文献

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Gastroenterology. 1966 Jun;50(6):912-3.
7
Comparison of synthetic and natural porcine secretins on human pancreatic secretion.合成猪促胰液素与天然猪促胰液素对人体胰腺分泌的比较。
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8
Inhibition by secretin of the gastric acid responses to meals and to pentagastrin in duodenal ulcer patients.十二指肠溃疡患者中,促胰液素对进餐及五肽胃泌素引起的胃酸反应的抑制作用。
Gut. 1973 Nov;14(11):842-6. doi: 10.1136/gut.14.11.842.
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Simulation of macroamylasaemia by salivary-type ('S type') hyperamylasaemia.通过唾液型(“S型”)高淀粉酶血症模拟巨淀粉酶血症。
Gut. 1973 Sep;14(9):726-9. doi: 10.1136/gut.14.9.726.
10
Secretin snuff: evaluation of the action on pentagastrin-stimulated gastric acid secretion and on pancreatic bicarbonate production.促胰液素鼻吸剂:对五肽胃泌素刺激胃酸分泌及胰腺碳酸氢盐生成作用的评估
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