Bogeski G, Shafton A D, Kitchener P D, Ferens D M, Furness J B
Department of Anatomy and Cell Biology and Centre for Neuroscience, University of Melbourne, Parkville, VIC 3010, Australia.
Neurogastroenterol Motil. 2005 Apr;17(2):262-72. doi: 10.1111/j.1365-2982.2004.00605.x.
We have developed methods that allow correlation of propulsive reflexes of the intestine with measurements of intraluminal pressure, fluid movement and spatio-temporal maps of intestinal wall movements for the first time in vivo. A segment of jejunum was cannulated and set up in a Trendelenburg recording system while remaining connected to the vascular and nerve supply of the anaesthetized rat. The resting intraluminal pressure in intact intestine was 2-4 mmHg. Hydrostatic pressures of 2, 4, 8 and 16 mmHg were imposed. At a baseline pressure of 4 mmHg, propulsive waves generated pressures of 9 +/- 1 mmHg, that progressed oral to anal at 2-5 mm s(-1). Individual propulsive waves propelled 0.8 +/- 0.4 mL of fluid. The frequency of propulsive waves increased with pressure, but peristaltic efficiency (mL per contraction) decreased with pressure increase between 4 and 16 mmHg. Atropine, as a bolus, transiently blocked peristalsis, but caused maintained block when infused. Hexamethonium blocked propulsive contractions. Inhibition of nitrergic transmission converted regular peristalsis to non-propulsive contractions. These studies demonstrate the utility of an adapted Trendelenburg method for quantitative investigation of motility and pharmacology of enteric reflexes in vivo.
我们首次在体内开发出了一些方法,能够将肠道的推进性反射与腔内压力测量、液体流动以及肠壁运动的时空图谱关联起来。在一段空肠上插管,并将其设置在头低脚高位记录系统中,同时使其与麻醉大鼠的血管和神经供应保持连接。完整肠道内的静息腔内压力为2 - 4 mmHg。施加了2、4、8和16 mmHg的静水压力。在4 mmHg的基线压力下,推进波产生的压力为9±1 mmHg,以2 - 5 mm s(-1)的速度向口腔至肛门方向推进。单个推进波推动0.8±0.4 mL的液体。推进波的频率随压力增加而增加,但在4至16 mmHg之间,蠕动效率(每次收缩的毫升数)随压力增加而降低。阿托品作为推注给药时,会短暂阻断蠕动,但持续输注时会导致持续阻断。六甲铵阻断推进性收缩。抑制一氧化氮能传递会将规则的蠕动转变为非推进性收缩。这些研究证明了改良的头低脚高位方法在体内定量研究肠道反射的运动性和药理学方面的实用性。