瀉藥是指促進腸蠕動以加速糞便排出的藥物,根據(jù)其作用機制的不同可分為四類:①容積性瀉藥(也稱鹽類或機械性瀉藥),例如硫酸鎂等;②刺激性瀉藥,如酚酞、蓖麻油等;③潤滑性瀉藥,如石蠟油等;④潤濕性瀉藥,如辛丁酯磺酸鈉等。這類藥物在臨床上主要用于治療各種原因引起的便秘,或排出腸內(nèi)毒物,或清潔腸道以便進行腸道檢查或手術。
止瀉藥則通過減少腸蠕動或保護腸道免受刺激來達到止瀉目的。根據(jù)其作用方式不同可分為四類:①阿片制劑,如復方樟腦酊等;②收斂保護藥,例如鞣酸蛋白、次碳酸鉍等;③吸附劑,比如藥用炭;④減少腸道蠕動并具有收斂作用的藥物,如地芬諾酯、氯苯哌酰胺等。止瀉藥適用于劇烈腹瀉或長期慢性腹瀉的情況,但若為炎癥性腹瀉,則通常不使用此類藥物,如有必要,需與抗生素聯(lián)合使用。
| 中文名稱 | 英文名稱 | CAS號 | 化學式 |
|---|---|---|---|
| 阿洛司瓊 | alosetron | 122852-42-0 | C17H18N4O |
| 酚酞 | phenolphthalein | 77-09-8 | C20H14O4 |
| 蘆薈素,葡糖基蒽酮,蘆薈大黃素甙 | (10S)-1,8-dihydroxy-3-(hydroxymethyl)-10-[(2S,3R,4R,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]-10H-anthracen-9-one | 1415-73-2 | C21H22O9 |
| 鹽酸阿洛司瓊 | alosetron hydrochloride | 122852-69-1 | C17H18N4O*ClH |
| 鹽酸洛哌丁胺 | loperamide hydrochloride | 34552-83-5 | C29H33ClN2O2*ClH |
| 甘油 | glycerol | 56-81-5 | C3H8O3 |
| 消旋卡多曲 | racecadotril | 81110-73-8 | C21H23NO4S |
| 洛哌丁胺 | loperamide | 53179-11-6 | C29H33ClN2O2 |
| 比沙可啶 | bisacodyl | 603-50-9 | C22H19NO4 |
| 異蘆薈苷 | Aloin B | 28371-16-6 | C21H22O9 |
| 多庫脂鈉 | Dioctyl sulfosuccinate sodium | 577-11-7 | C20H38NaO7S |
| 雙醋酚丁 | oxyphenisatin acetate | 115-33-3 | C24H19NO5 |
| 利達脒 | 1-[1-Amino-1-methylamino-meth-(Z)-ylidene]-3-(2,6-dimethyl-phenyl)-urea | 66871-56-5 | C11H16N4O |
| 一水硫酸鎂 | Sulfuricacid,magnesiumsalthydrate | 14168-73-1 | H4MgO5S |
| 3,3-二(4-羥基苯基)-2(3H)-吲哚酮 | oxyphenisatine | 125-13-3 | C20H15NO3 |
| 1,8-二羥基蒽醌 | 1,8-dihydroxy-9,10-anthracenedione | 117-10-2 | C14H8O4 |
| —— | 1,8-dihydroxy-3-(hydroxymethyl)-10-[(3R,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]-10H-anthracen-9-one | 1415-73-2 | C21H22O9 |
| —— | sodium sulfate | 7757-82-6 | 2Na*O4S |
| —— | 10-beta-D-Glucopyranosyl-1,8-dihydro-3-(hydroxymethyl)-9(10H)-anthracenone | 8015-61-0 | C21H22O9 |
| —— | (10R)-1,8-Dihydroxy-3-(hydroxymethyl)-10-[(2S,3S,4R,5R,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]-10H-anthracen-9-one | 8015-61-0 | C21H22O9 |
| —— | bis<(S)ethyl-2-hexyl> sodium sulfosuccinate | 577-11-7 | C20H37O7S*Na |
| —— | bis(1-ethylhexyl) sulfosuccinate sodium salt | 577-11-7 | C20H37O7S*Na |
| —— | 10R,1'R-Aloin | 1415-73-2 | C21H22O9 |
| —— | sodium docusate | 577-11-7 | C20H37O7S*Na |
| —— | Barbaloin | 73649-93-1 | C21H22O9 |