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西沙必利对功能性消化不良患者胃肠动力影响的双盲荧光镜研究

A double-blind fluoroscopic study of cisapride on gastrointestinal motility in patients with functional dyspepsia.

作者信息

Degryse H, De Schepper A, Verlinden M

机构信息

Dept. of Radiology and Medical Imaging, University Hospital Antwerp, Belgium.

出版信息

Scand J Gastroenterol Suppl. 1993;195:1-4. doi: 10.3109/00365529309098321.

DOI:10.3109/00365529309098321
PMID:8516652
Abstract

Twenty patients with functional dyspepsia were referred for radiologic examination and, upon confirmation of a hypomotile stomach, were given either 10 mg cisapride or placebo in a double-blind manner (10 patients per group). The movement of a 250-ml barium meal was assessed by means of television fluoroscopy performed at regular time intervals. Cisapride significantly improved antral contractility and enhanced gastric emptying compared with placebo. Deep peristaltic waves occurred over the entire small bowel, and motility and small-bowel transit time of the barium meal were significantly increased in the cisapride group compared with the placebo group. The study demonstrates that when a carefully defined protocol is observed, fluoroscopy following barium ingestion offers considerable potential in the assessment of gastrointestinal motility.

摘要

20例功能性消化不良患者被转诊接受放射学检查,在确认胃动力不足后,以双盲方式给予10 mg西沙必利或安慰剂(每组10例患者)。通过定期进行的电视荧光透视法评估250 ml钡餐的移动情况。与安慰剂相比,西沙必利显著改善了胃窦收缩力并增强了胃排空。整个小肠出现了深蠕动波,与安慰剂组相比,西沙必利组钡餐的蠕动和小肠通过时间显著增加。该研究表明,当遵循精心定义的方案时,吞钡后的荧光透视法在评估胃肠动力方面具有相当大的潜力。

相似文献

1
A double-blind fluoroscopic study of cisapride on gastrointestinal motility in patients with functional dyspepsia.西沙必利对功能性消化不良患者胃肠动力影响的双盲荧光镜研究
Scand J Gastroenterol Suppl. 1993;195:1-4. doi: 10.3109/00365529309098321.
2
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Cisapride accelerates gastric emptying and mouth-to-caecum transit of a barium meal.西沙必利可加速钡餐的胃排空及从口腔至盲肠的传输。
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Cisapride in chronic dyspepsia: results of a double-blind, placebo-controlled trial.
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Dual effects of cisapride on gastric emptying and antropyloroduodenal motility.西沙必利对胃排空及胃幽门十二指肠运动的双重作用。
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The effect of cisapride on dysmotility-like functional dyspepsia: reduction of the fasting and postprandial area, but not of the postprandial antral expansion.西沙必利对运动障碍样功能性消化不良的影响:减少空腹和餐后面积,但不减少餐后胃窦扩张。
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Cisapride stimulates antral motility and decreases biliary reflux in patients with severe dyspepsia.西沙必利可刺激严重消化不良患者的胃窦运动并减少胆汁反流。
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Cisapride in children with chronic intestinal pseudoobstruction. An acute, double-blind, crossover, placebo-controlled trial.西沙必利用于治疗儿童慢性假性肠梗阻:一项急性、双盲、交叉、安慰剂对照试验。
Gastroenterology. 1991 Dec;101(6):1564-70. doi: 10.1016/0016-5085(91)90393-y.

引用本文的文献

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DA-9701: A New Multi-Acting Drug for the Treatment of Functional Dyspepsia.DA-9701:一种用于治疗功能性消化不良的新型多效药物。
Biomol Ther (Seoul). 2013 May 30;21(3):181-9. doi: 10.4062/biomolther.2012.096.
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Gastric myoelectrical activity in healthy children and children with functional dyspepsia.健康儿童和功能性消化不良儿童的胃肌电活动
Dig Dis Sci. 1998 Nov;43(11):2384-91. doi: 10.1023/a:1026661627304.
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Impaired postprandial gastric slow waves in patients with functional dyspepsia.功能性消化不良患者餐后胃慢波受损。
Dig Dis Sci. 1998 Aug;43(8):1678-84. doi: 10.1023/a:1018806913907.
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Cisapride. An updated review of its pharmacology and therapeutic efficacy as a prokinetic agent in gastrointestinal motility disorders.西沙必利。作为胃肠动力障碍促动力剂的药理学及治疗效果的最新综述。
Drugs. 1994 Jan;47(1):116-52. doi: 10.2165/00003495-199447010-00008.