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題 名 | 胃輕癱之藥物治療=The Medications for Gastroparesis |
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作 者 | 童玟津; 江錦明; 陳昱旻; 簡素玉; | 書刊名 | 藥學雜誌 |
卷 期 | 29:1=114 2013.03[民102.03] |
頁 次 | 頁86-89 |
分類號 | 418.24 |
關鍵詞 | 胃輕癱; Metoclopramide; Erythromycin; Gastroparesis; |
語 文 | 中文(Chinese) |
中文摘要 | 胃輕癱亦稱為延遲性胃排空,臨床症狀較輕者為容易飽漲,嚴重者則包括噁心、嘔吐,甚至體重減輕、營養不良、電解質不平衡或昏迷等。臨床治療多分為四個方向,包括支持療法 (水分與營養),糖尿病患者適當血糖控制,藥品治療,最後必要時使用手術治療。有許多原因造成胃的功能失調,進而導致胃部排空異常。 糖尿病是造成胃輕癱最常見的原因之ㄧ,在積極控制血糖同時,應特別注意因胃排空遲緩,導致藥品吸收延緩,影響藥品療效,因此需密切監測血糖,調整注射胰島素與服用藥品時間點,避免產生嚴重併發症。 當患者出現胃輕癱急性惡化時,建議使用 erythromycin 靜脈輸注,無法忍受 erythromycin 副作用者可改用 metoclopramide,但應注意中樞副作用與錐體外系副作用等。慢性胃輕癱患者應調整飲食型態,避免食用高脂與高纖食物,且應少量多餐,嚴重患者時,則需要考慮可將固態食物勻漿化,或多進食流質食物,適時補充維他命,可使用口服藥品 metoclopramide、domperidone、erythromycin 或 azithromycin。 |
英文摘要 | Gastroparesis, also called delayed gastric emptying, may be manifested clinically by a variety of symptoms including nausea, vomiting, early or easy satiety, bloating, weight loss, malnutrition, dehydration, and electrolyte imbalances. The management included supportive measures, optimizing glycemic control in patients with diabetes mellitus, medications, occasional surgical therapy. This may be common in people with diabetes mellitus. We must concern about the glycemic control may be decreased in patients who have delayed gastric emptying particularly in those receiving insulin, and carefully monitor the blood glucose values to prevents severe complications. For the acute exacerbations of gastroparesis, we suggest the intravenously erythromycin, the alternative is to use metoclopramide, if patient can't stand the adverse reaction of erythromycin. For the chronic gastroparesis, the dietary modifications, a low-fat diet without nondigestible fiber and frequent, small meals are appropriate. In more severe conditions, substitution of mixed meals with homogenized or liquid meals supplemented with vitamins may be helpful. We suggest oral formulation of metoclopramide, domperidone, erythromycin, or azithromycin to treat the gastroparesis. |
本系統中英文摘要資訊取自各篇刊載內容。