Svestka T, Krechler T, Zák A, Fabry T L, Zhang Z G
Gastroenterologické centrum IV. interní kliniky 1. LF UK a VFN, Praha.
Cas Lek Cesk. 2003;142(12):751-4.
It has been proven that damage to the gastric mucosa is the result of the combined effects of acidopeptic agents including infection with Helicobacter pylori and insufficient protective mechanisms of the mucosa. Thickness of gastric mucus is very important protective factor. We can hypothetically expect that fasting may cause changes in the thickness of gastric mucus layer, which may in certain circumstances contribute to the conditions for mucosal injury. We have therefore conducted an experimental study on laboratory rats, aiming to assess the changes in the thickness of gastric mucus after 8 and 24-hour periods of fasting.
We measured gastric mucus thickness with the aid of microelectrodes in 279 laboratory rats (group I) after 8 hours of fasting (2 measurements each, total of 558 measurements), followed by the same measurement in 70 laboratory rats (group II) after a 24-hour fasting. Group I had a gastric mucus thickness of 595 +/- 10 (mean +/- SD, microns); in group II the thickness was 502 +/- 10 (mean +/- SD, microns). After statistical analysis of the homogeneity of the two populations (Fisher's analysis), it has been proven that both groups belong to the same basic population sample. The statistical evaluation of the thickness of gastric mucus in both groups showed thinning of the mucus layer to 1% of the significant statistical difference. The difference between both groups is statistically significant.
The thickness of gastric mucus is reduced after 24 hours' fasting in laboratory rats. This change is statistically significant (P < 0.01). It can be hypothesized that--under the specific conditions--this process can facilitate the injury of gastric mucosa.
已证实胃黏膜损伤是包括幽门螺杆菌感染在内的酸相关因子与黏膜保护机制不足共同作用的结果。胃黏液厚度是非常重要的保护因素。我们可以推测禁食可能会导致胃黏液层厚度发生变化,在某些情况下这可能会促成黏膜损伤的条件。因此,我们对实验大鼠进行了一项实验研究,旨在评估禁食8小时和24小时后胃黏液厚度的变化。
我们借助微电极测量了279只实验大鼠(I组)禁食8小时后的胃黏液厚度(每组测量2次,共558次测量),随后对70只实验大鼠(II组)进行了24小时禁食后的相同测量。I组胃黏液厚度为595±10(平均值±标准差,微米);II组厚度为502±10(平均值±标准差,微米)。对两组总体均一性进行统计分析(费舍尔分析)后,已证明两组属于同一基本总体样本。对两组胃黏液厚度的统计评估显示黏液层变薄至具有显著统计学差异的1%。两组之间的差异具有统计学意义。
实验大鼠禁食24小时后胃黏液厚度降低。这一变化具有统计学意义(P<0.01)。可以推测,在特定条件下,这一过程可能会促使胃黏膜损伤。