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十二指肠灌注对胃排空激活和抑制过程中胃肌电图的影响。

The effect of duodenal infusion on the electromyogram of gastric muscle during activation and inhibition of gastric emptying.

作者信息

Bell F R

出版信息

J Physiol. 1975 Jun;248(2):377-91. doi: 10.1113/jphysiol.1975.sp010980.

Abstract
  1. When the abomasum of the conscious calf is partially distended, rhythmic motility can readily be recorded from the e.m.g. of the smooth muscle of the fundus (body) and antrum. 2. In gastric evacuation rhythmic contractions of the antrum are reinforced by both rhythmic and tonic fundic contractions. 3. The output volume of the stomach can be directly correlated with e.m.g. activity. 4. Intragastric fluid is usually emptied in gushes coinciding with a strong contraction of the antrum but fluid may be evacuated, when the antrum is inactive, through the force generated by persisting rhythmic fundic contractions. 5. Using re-entrant cannulae so that the duodenum can be infused separately from the gastric effluent, isotonic sodium bicarbonate produced almost 100% gastric evacuation with greatly enhanced e.m.g. activity of fundus and antrum. Infusion of the duodenum with a solution of HCl, 60 m-equiv/l., produced the opposite effect, the gastric muscle becoming quiescent and 100% of the gastric test meal being retained. 6. These results show that the activating or inhibitory effects of a duodenal infusate are produced through an activating or inhibitory effect on the smooth muscle of the stomach. 7. The mechanism of the interrelation between duodenal receptor and gastric effector has not yet been elucidated but the connexion is not intramural since it continues when the duodenum is transected near to the pylorus.
摘要
  1. 当清醒小牛的皱胃部分扩张时,很容易从胃底(体部)和胃窦平滑肌的肌电图记录到节律性运动。2. 在胃排空过程中,胃窦的节律性收缩会因胃底的节律性和紧张性收缩而增强。3. 胃的排出量可直接与肌电图活动相关。4. 胃内液体通常在胃窦强烈收缩时呈涌出状排空,但当胃窦不活动时,液体可通过胃底持续的节律性收缩产生的力量排空。5. 使用再入式套管,以便能将十二指肠与胃流出物分开灌注,等渗碳酸氢钠几乎可使胃完全排空,同时胃底和胃窦的肌电图活动大大增强。用60毫当量/升的盐酸溶液灌注十二指肠则产生相反的效果,胃肌变得静止,100%的胃试验餐被保留。6. 这些结果表明,十二指肠灌注液的激活或抑制作用是通过对胃平滑肌的激活或抑制作用产生的。7. 十二指肠感受器与胃效应器之间相互关系的机制尚未阐明,但这种联系不是壁内的,因为当十二指肠在靠近幽门处横断时这种联系仍会持续。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a77/1309528/c4b362e95860/jphysiol00895-0147-a.jpg

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