呼氢试验用于胃泌酸功能的测定  

Breath H2 test for gastric acid secretion

作　　者：李永奇[1] 许才绂[1] 赵国宁[1] 孙晖[1] 

机构地区：[1]唐都医院消化内科,唐都医院门诊部治疗室

出　　处：《第四军医大学学报》1994年第1期40-42,共3页Journal of the Fourth Military Medical University

摘　　要：根据口服金属镁可与胃内盐酸反应产生氢气的原理，作者开展了用呼氢试验测定胃泌酸功能的临床研究．胃、十二指肠疾病患者２６例和健康志愿者４例的呼氢试验与传统胃液分析对比结果表明：口服镁呼氢量与基础胃酸分泌量之间呈正相关，ｒ１＝０．７２；与胃液Ｈ＋浓度相关显著，ｒ２＝０．８８，ｒ２＞ｒ１（Ｐ＜０．０５）．在１０例受试者中重复呼氢试验，ｒ＝０．９０．消化性溃疡患者１０例经雷尼替丁治疗，呼氢量显著减少（Ｐ＜０．０１）．呼氢试验无创伤，无副作用，可以发展成为一项用于临床评价与研究胃泌酸功能的新方法．The authors have developed a noninvasive test for gastric acid secretion based on the reaction of in-gested magnesium with gastric acid to produce hydrogen gas, which is excreted in exhaled air and balches.This test was compared with the standard intubation test by performing both,on different days,in 30 adultvolunteers; the correlation coeffticient for OMBHT result and BAO was 0.72,for OMBHT result and[H+]was 0.88, and the resulting test-retest correlation coefficient was 0.90.OMBHT result was blocked by rane-tidine. The new test compare favorably with the standard intubation test. Because it is also noninvasive andshould therefore be more acceptable to subjects, this new test may be useful for clinical evaluation and re-search studies on subjects gastric acid secretion.

关 键 词：呼氢试验 胃酸 镁 

分 类 号：R443.6[医药卫生—诊断学]