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大建中汤基于给药部位和时间差异对胃肠动力的影响。

Effect of Dai-kenchu-to on gastrointestinal motility based on differences in the site and timing of administration.

作者信息

Kawasaki Naruo, Nakada Koji, Nakayoshi Tomoko, Furukawa Yoshiyuki, Suzuki Yutaka, Hanyu Nobuyoshi, Yanaga Katsuhiko

机构信息

Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.

出版信息

Dig Dis Sci. 2007 Oct;52(10):2684-94. doi: 10.1007/s10620-006-9391-y. Epub 2007 Apr 3.

DOI:10.1007/s10620-006-9391-y
PMID:17404886
Abstract

The purpose of this study was to investigate the effects of the herbal medicine dai-kenchu-to on gastrointestinal motility based on differences in the administration site and timing. We sutured strain-gauge transducers to the stomach (three), duodenum (one), jejunum (one), ileum (one), and colon (two) and inserted indwelling tubes into the stomach, jejunum, and proximal colon of beagles. Dai-kenchu-to was administered to each site during the fasting or fed state. During the fasting state, the prokinetic effects of dai-kenchu-to were evident at all administration sites. The effects were attenuated during the fed state. With intracolonic administration, a contraction similar to the giant migrating contraction-like contraction was induced during the fasting and the fed state, and defecation occurred. Despite the differences in administration site and timing, no contraction complex appeared orad to the administration sites. These results indicate that the prokinetic effects of dai-kenchu-to differ with the site or timing of administration.

摘要

本研究旨在基于给药部位和时间的差异,探讨草药大建中汤对胃肠动力的影响。我们将应变片式传感器缝合到犬的胃(三个)、十二指肠(一个)、空肠(一个)、回肠(一个)和结肠(两个),并将留置管插入到比格犬的胃、空肠和近端结肠。在禁食或进食状态下将大建中汤给予各个部位。在禁食状态下,大建中汤在所有给药部位均表现出促动力作用。在进食状态下,这些作用减弱。结肠内给药时,在禁食和进食状态下均诱导出类似于巨大移行收缩样的收缩,并出现排便。尽管给药部位和时间存在差异,但在给药部位近端未出现收缩复合波。这些结果表明,大建中汤的促动力作用因给药部位或时间的不同而有所差异。

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本文引用的文献

1
Intraduodenal and intrajejunal administration of the herbal medicine, dai-kenchu-tou, stimulates small intestinal motility via cholinergic receptors in conscious dogs.在清醒犬中,草药大建中汤的十二指肠内和空肠内给药通过胆碱能受体刺激小肠运动。
Dig Dis Sci. 2001 Jun;46(6):1171-6. doi: 10.1023/a:1010690624187.
2
Effect of different prokinetic agents and a novel enterokinetic agent on postoperative ileus in rats.不同促动力药物及一种新型肠动力药物对大鼠术后肠梗阻的影响。
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Epithelial transient receptor potential ankyrin 1 (TRPA1)-dependent adrenomedullin upregulates blood flow in rat small intestine.上皮型瞬时受体电位锚蛋白 1(TRPA1)依赖性肾上腺髓质素上调大鼠小肠血流。
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Intragastric administration of rikkunshito stimulates upper gastrointestinal motility and gastric emptying in conscious dogs.胃内给予枳术汤可刺激清醒犬的上消化道运动和胃排空。
J Gastroenterol. 2013 May;48(5):611-9. doi: 10.1007/s00535-012-0687-8. Epub 2012 Oct 10.
9
Effect of the Japanese herbal kampo medicine dai-kenchu-to on postoperative adhesive small bowel obstruction requiring long-tube decompression: a propensity score analysis.大建中汤对需要长期管减压的术后黏连性小肠梗阻的影响:倾向评分分析。
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大建中汤对离体兔空肠自发收缩作用的药理学研究。
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Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II.非胃部腹部手术后的胃排空延迟和术后肠梗阻:第二部分。
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