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[静脉注射一种新的胆碱能阻滞剂(普米维林)、阿托品和丁溴东莨菪碱后人体食管测压结果]

[Eosphagomanometric finding in man after intravenous administration of a new cholinolytic (pramiverine), atropine and scopolamine butylbromide].

作者信息

Niemann H, Jakob G

出版信息

Arzneimittelforschung. 1976 Apr;26(4b):728-30.

PMID:989022
Abstract

The tone depressing effect on deglutition peristaltic processes in the esophagus by i.v. application of 4,4-diphenyl-N-isopropyl-cyclohexylamine hydrochloride (pramiverine, Sistalgin) (0.03 and 0.045 mg/kg body weight), atropine (0.5 mg) and hyoscine-N-butylbromide (scopolamine-butylbromide, SBB) (20 mg) was tested on trained subjects. During the first 30 min following the larger dose of pramiverine, the effect is not quite so pronounced as it is seen after the usual atropine dose; from the 30th to the 60th min, however, the tone depressing effect of pramiverine is superior to that of atropine, 1 h after application of pyramiverine the pressure amplitude is still reduced to 54.3% of the initial value, while after atropine the effect has returned to 70.9% of the initial value by this time. Neither atropine nor pramiverine were able to exert a tone depressing effect as pronounced as that of SSB. But 30 min after application of the effect of SBB was not statistically significant any longer and after 40 min it could not be measured at all. Following atropine and SBB, the side effect of tachycardia was correlated exactly to the main effect tested. Further side effects, such as dryness of mouth and disturbed accomodation, were most pronounced after atropine. With pramiverine at the effective doses of 0.03 and 0.045 mg/kg, the side effects were not appreciable; neither objective measuring nor subjective reports of the subjects indicated any conspicuous deviations.

摘要

通过静脉注射4,4 - 二苯基 - N - 异丙基 - 环己胺盐酸盐(普拉米维林,西斯塔金)(0.03和0.045毫克/千克体重)、阿托品(0.5毫克)和丁溴东莨菪碱(东莨菪碱丁溴化物,SBB)(20毫克),对训练有素的受试者测试其对食管吞咽蠕动过程的肌张力抑制作用。在给予较大剂量普拉米维林后的最初30分钟内,其效果不如给予常规剂量阿托品后明显;然而,从第30分钟到第60分钟,普拉米维林的肌张力抑制作用优于阿托品,应用普拉米维林1小时后,压力幅度仍降至初始值的54.3%,而此时阿托品的作用已恢复到初始值的70.9%。阿托品和普拉米维林都不能产生像SBB那样明显的肌张力抑制作用。但应用SBB 30分钟后,其效果不再具有统计学意义,40分钟后则完全无法测量。给予阿托品和SBB后,心动过速的副作用与所测试的主要作用完全相关。其他副作用,如口干和调节障碍,在给予阿托品后最为明显。使用0.03和0.045毫克/千克有效剂量的普拉米维林时,副作用不明显;无论是客观测量还是受试者的主观报告均未表明有任何明显偏差。

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