Horn Charles C
Monell Chemical Senses Center, 3500 Market Street, Philadelphia, PA 19104, USA.
Appetite. 2008 Mar-May;50(2-3):430-4. doi: 10.1016/j.appet.2007.09.015. Epub 2007 Oct 11.
Nausea and vomiting are important as biological systems for drug side effects, disease co-morbidities, and defenses against food poisoning. Vomiting can serve the function of emptying a noxious chemical from the gut, and nausea appears to play a role in a conditioned response to avoid ingestion of offending substances. The sensory pathways for nausea and vomiting, such as gut and vestibular inputs, are generally defined but the problem of determining the brain's final common pathway and central pattern generator for nausea and vomiting is largely unsolved. A neurophysiological analysis of brain pathways provides an opportunity to more closely determine the neurobiology of nausea and vomiting and its prodromal signs (e.g., cold sweating, salivation).
恶心和呕吐作为药物副作用、疾病共病以及食物中毒防御的生物系统具有重要意义。呕吐可起到将有害化学物质从肠道排出的作用,而恶心似乎在避免摄入有害物质的条件反应中发挥作用。恶心和呕吐的感觉通路,如肠道和前庭输入,通常已明确,但确定大脑中恶心和呕吐的最终共同通路及中枢模式发生器的问题在很大程度上仍未解决。对脑通路进行神经生理学分析为更深入确定恶心和呕吐的神经生物学及其前驱症状(如冷汗、流涎)提供了契机。