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每日四次服用150毫克雷尼替丁对24小时胃内酸度及24小时血浆胃泌素浓度的影响。

Effects of ranitidine 150 mg four times a day on 24-hour intragastric acidity and 24-hour plasma gastrin concentration.

作者信息

Fraser A G, Sawyerr A M, Hudson M, Smith M, Pounder R E

机构信息

University Department of Medicine, Royal Free Hospital School of Medicine, London, UK.

出版信息

Dig Dis Sci. 1994 Jan;39(1):91-6. doi: 10.1007/BF02090066.

DOI:10.1007/BF02090066
PMID:8281874
Abstract

Twenty-four-hour integrated intragastric acidity and 24-hr integrated plasma gastrin concentration was measured twice in 23 healthy male volunteers on the seventh day of oral dosing with placebo or ranitidine 150 mg four times a day. The study was a randomized, double-blind, placebo-controlled, two-way crossover investigation. The mean integrated 24-hr intragastric acidity during dosing with ranitidine 150 mg four times a day decreased to 32% of the placebo value (placebo 825 mmol/hr/liter; ranitidine 265 mmol/hr/liter). The mean integrated 24-hr plasma gastrin concentration during dosing with ranitidine 150 mg four times a day was 904 pmol/hr/liter compared with placebo (410 pmol/hr/liter)--an increase of 122%. The median number of hours of pH > 3 during dosing with placebo and with ranitidine 150 mg four times a day were 5 and 11 hr, respectively. Ranitidine 150 mg four times a day caused a significant decrease of mean integrated intragastric acidity for each meal-related interval and also during the night.

摘要

在23名健康男性志愿者口服安慰剂或每天4次服用150毫克雷尼替丁的第7天,测量了24小时综合胃内酸度和24小时综合血浆胃泌素浓度,测量进行了两次。该研究是一项随机、双盲、安慰剂对照的双向交叉调查。每天4次服用150毫克雷尼替丁期间,24小时综合胃内酸度均值降至安慰剂值的32%(安慰剂为825毫摩尔/小时/升;雷尼替丁为265毫摩尔/小时/升)。每天4次服用150毫克雷尼替丁期间,24小时综合血浆胃泌素浓度均值为904皮摩尔/小时/升,而安慰剂为410皮摩尔/小时/升,增加了122%。服用安慰剂和每天4次服用150毫克雷尼替丁期间,pH>3的中位数小时数分别为5小时和11小时。每天4次服用150毫克雷尼替丁会导致每餐相关时间段以及夜间的平均综合胃内酸度显著降低。

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本文引用的文献

1
Basal acid output and gastric acid hypersecretion in gastroesophageal reflux disease. Correlation with ranitidine therapy.胃食管反流病的基础酸分泌与胃酸分泌过多。与雷尼替丁治疗的相关性。
Dig Dis Sci. 1994 Feb;39(2):410-7. doi: 10.1007/BF02090216.
2
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Aliment Pharmacol Ther. 1987 Jun;1(3):239-51. doi: 10.1111/j.1365-2036.1987.tb00623.x.
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Acute treatment of reflux oesophagitis: a multicentre trial to compare 150 mg ranitidine b.d. with 300 mg ranitidine q.d.s.
Aliment Pharmacol Ther. 1989 Jun;3(3):259-66. doi: 10.1111/j.1365-2036.1989.tb00212.x.
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Twenty-four-hour intragastric acidity in duodenal ulcer patients during dosing with placebo, and 150 mg ranitidine twice or four times daily.
Aliment Pharmacol Ther. 1989 Jun;3(3):253-8. doi: 10.1111/j.1365-2036.1989.tb00211.x.
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Gastric acid hypersecretion in refractory gastroesophageal reflux disease.
Gastroenterology. 1990 Mar;98(3):654-61. doi: 10.1016/0016-5085(90)90285-9.
6
Royal Free Hospital protocol for 24-hour intragastric acidity and plasma gastrin concentration.皇家自由医院24小时胃内酸度和血浆胃泌素浓度检测方案。
Dig Dis. 1990;8 Suppl 1:10-7. doi: 10.1159/000171287.
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Drug-induced changes of plasma gastrin concentration.药物引起的血浆胃泌素浓度变化。
Gastroenterol Clin North Am. 1990 Mar;19(1):141-53.
8
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Aliment Pharmacol Ther. 1990;4 Suppl 1:29-45.
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A critical analysis, with appropriate controls, of gastric acid and pepsin secretion in clinical esophagitis.对临床食管炎中胃酸和胃蛋白酶分泌进行的一项带有适当对照的批判性分析。
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