Katoh A, Nakamura H, Nakamura H, Nohara S, Ohmura K, Munemoto Y, Oda M
Department of Surgery (1), School of Medicine, Kanazawa University.
Nihon Shokakibyo Gakkai Zasshi. 1992 Feb;89(2):469-76.
To clarify the pathogenetic mechanisms in acute gastric lesions induced by vibration (VIB), the effects of VIB (3.0 G, 10 Hz, 90 min) on changes in gastric mucosal blood flow (GMBF), plasma corticosterone (COR) and catecholamines (CA) as well as ulcer formation were compared with those of forced water immersion stress (FWI). While the VIB increased the GMBF during the exposure, the FWI decreased it during and after the stress. No difference in the severity of ulcer formation between the VIB groups was seen. Although both VIB and FWI increased the COR and CA, the degree of increased in the COR by the VIB tended to be less than that by the FWI. The truncal vagotomy inhibited the reduction of the GMBF and ulcer formation by the FWI, but promoted the reduction of the GMBF by the VIB. These results suggest that ulceration induced by VIB is caused primarily by its direct, mechanical and specific actions and not through the central nerve system.
为阐明振动(VIB)诱发急性胃损伤的发病机制,将VIB(3.0G,10Hz,90分钟)对胃黏膜血流量(GMBF)、血浆皮质酮(COR)和儿茶酚胺(CA)变化以及溃疡形成的影响与强迫水浸应激(FWI)的影响进行了比较。VIB暴露期间GMBF增加,而FWI应激期间及应激后GMBF减少。VIB各组间溃疡形成的严重程度未见差异。虽然VIB和FWI均使COR和CA升高,但VIB使COR升高的程度往往低于FWI。切断迷走神经干可抑制FWI引起的GMBF降低和溃疡形成,但促进VIB引起的GMBF降低。这些结果表明,VIB诱发的溃疡主要是由其直接的、机械的和特异性作用引起的,而非通过中枢神经系统。