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我们选择对甲氰咪胍疗效不佳的患者采用胃复安治疗。该药有较强胆碱能和阻滞多巴胺作用,能增强胃窦收缩力和蠕动率,促进胃排空,缩短胃酸和胃蛋白酶与溃疡面接触时间,减少胆汁返流,防止胆汁对胃粘膜损害,是较理想的消化性溃疡治疗药物.病例选择经胃镜、X 线钡餐检查证实20例,全部连续应用甲氰咪胍治疗一月以上,仍以疼痛为主诉之患者,其中男性14例,女性6例.十二指肠溃疡18例、胃窦溃疡2例.最大年龄50岁,最小年龄36岁.病
We chose metoclopidine in patients with poor efficacy of metoclopramide treatment. The drug has a strong cholinergic and block the role of dopamine, can enhance gastric contractility and peristalsis rate, promote gastric emptying, shorten the gastric acid and pepsin and ulcer surface contact time, reduce bile reflux, to prevent the bile on the gastric mucosa Damage, is the ideal treatment of peptic ulcer.Case selection by gastroscopy, X-ray barium meal examination confirmed 20 cases, all continuous application of cimetidine for more than a month, still mainly pain in patients, including 14 males, 6 females, 18 cases of duodenal ulcer, gastric ulcer in 2. The oldest was 50 years old, the youngest was 36 years old.