Puscas I, Nadaban F, Voicu L, Lerintiu A, Kovács T, Blaj S, Turi Z, Orbán I
Acta Hepatogastroenterol (Stuttg). 1977 Aug;24(4):288-92.
This study examined the modifications of acid gastric secretion caused by magnesium oxide, peroxide, silicate and sulphate in 805 patients with duodenal ulcers; The calcium-magnesium antagonism on the one hand and the acetazolamide - magnesium synergia on the other, were also investigated. Our results show that administration of magnesium, either oral or parenteral, does not significantly modify gastric acid secretion, either basal or stimulated by maximal histamine. Administration of un infusion of calcium gluconate 15 mg/kg body weight, significantly increases gastric acid secretion as compared to basal secretion. Addition of a dose of magnesium sulphate to the infusion antagonises the effect of gastric acid secretion caused by calcium. Administration of 1.5 gr magnesium oxide along with 25 mg acetazolamide per kg/body weight, strengthens the inhibitory effect of acetazolamide upon gastric acid secretion, increasing the proportion of significant inhibitory effects up to 98% of the cases under investigation. Addition of magnesium to the classical therapy antagonises the noxious effects of calcium compounds; the presence of magnesium in the composition of antacid powders proves necessary.
本研究对805例十二指肠溃疡患者,研究了氧化镁、过氧化物、硅酸盐和硫酸盐对胃酸分泌的影响;同时还研究了钙 - 镁拮抗作用以及乙酰唑胺 - 镁协同作用。我们的结果表明,口服或胃肠外给予镁,对基础胃酸分泌或最大组胺刺激引起的胃酸分泌均无显著影响。静脉输注15mg/kg体重的葡萄糖酸钙,与基础分泌相比,可显著增加胃酸分泌。向输注液中添加一定剂量的硫酸镁可拮抗钙引起的胃酸分泌作用。每千克体重给予1.5克氧化镁与25毫克乙酰唑胺,可增强乙酰唑胺对胃酸分泌的抑制作用,使显著抑制作用的比例在高达98%的研究病例中增加。在经典疗法中添加镁可拮抗钙化合物的有害作用;抗酸粉剂成分中存在镁被证明是必要的。