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常用促胃肠动力药对健康人空腹胆囊运动功能影响的临床比较

Clinical comparison of gastroprokinetic agents on fast gallbladder in healthy volunteers
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摘要 目的观察常规剂量的多潘利酮、西沙必利、莫沙必利对健康志愿者空腹胆囊运动功能的影响,分析其可能的作用机制及临床应用价值。方法在体检的人群中随机抽取健康志愿者60例,随机分为多潘利酮组、西沙必利组和莫沙必利组,每组20例,空腹状态下,采用舌下含服给药的方法,分别给予上述药物,并于给药0、15、30、45、60、75、90、105和120min时应用三维彩超测定胆囊体积,观察给药前后胆囊体积的变化,并探讨其差异的显著性。结果在多潘利酮组,给药45和60min时与给药前相对比,胆囊体积减小,差异有显著性(P<0.05)。给药120min时与给药60min相对比,胆囊体积增大,差异有显著性(P<0.05)。在西沙必利组,给药15、30min后与给药前相对比,胆囊体积减小,差异有显著性(P<0.05)。给药120min时与给药30min相对比,胆囊体积增大,差异有显著性(P<0.01)。在莫沙必利组给药后与给药前相对比,胆囊体积无明显变化,差异无显著性(P>0.05)。结论促胃肠动力药多潘利酮、西沙必利对健康人的空腹胆囊运动功能有促进作用,可以诱发空腹胆囊排胆。莫沙必利对健康人的空腹胆囊运动功能可能没有明显影响。 [Objective] To observe the effect of Domperidone,Cisapride and Mosapride at clinical dose on fast gallbladder of healthy volunteers and analyse the possible mechanism and clinical application.[Methods] 60 healthy volunteers were selected randomly from persons who were carried on physical examination.They were divided into Domperidone group,Cisapride group and Mosarpide group randomly,20 cases in every group.The included agents were given sublingually,three dimension color Doppler was applied to measure the ...
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2008年第24期3635-3638,共4页 China Journal of Modern Medicine
关键词 促胃肠动力药 多潘利酮 西沙必利 莫沙必利 胆囊 三维彩超 gastroprokinetic agent Domperidone Cisapride Mosapride gallbladder three dimension color doppler ultrasonography
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