作者
Georg Petroianu, Gerhard Hein, Anka Petroianu, Wolfgang Bergler, Roderich Rüfer
发表日期
1997/9/1
期刊
Clinical therapeutics
卷号
19
期号
5
页码范围
1031-1038
出版商
Elsevier
简介
Idiopathic chronic hiccup (ICH) is defined as recurring hiccup attacks that last for longer than an arbitrary time limit (eg, 1 month) and for which no organic cause can be found. In patients with ICH, therapy is largely empiric. For practical purposes, idiopathic hiccup can be assumed to have its origin either in the viscera (gastrointestinal tract) or in the central nervous system. Cisapride and omeprazole—through reduction of gastric acid production and facilitation of gastric emptying, respectively—are thought to reduce an assumed afferent input from the periphery to a putative supraspinal hiccup center. Baclofen is thought to reduce excitability and depress reflex hiccup activity. Fifteen male patients (mean [± SD] age, 68.2 ± 11.6 years) who had recurring hiccup attacks for a mean duration of 100.8 ± 134.1 months (range, 12 to 564 months) were treated for ICH with a combination of cisapride, omeprazole, and baclofen …
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