Furgała Agata, Mazur Marcel, Jabłoński Konrad, Madroszkiewicz Dorota, Ciećko-Michalska Irena, Thor Piotr J
Katedra Patofizjologii, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland.
Folia Med Cracov. 2008;49(3-4):49-58.
Explanation of the main causes of symptoms and dysfunctions in the FGIDs is focused on visceral hypersensitivity. Sympathetic stimulation increases sensitivity of visceral receptors. Thus overall influences of the autonomic nervous system are important not only in regulation of secretion and motility of the gastrointestinal tract but also in visceral sensation. The aim of this study was to evaluate gastric motility disturbances and changes in the autonomic nervous system (ANS) activity in irritable bowel syndrome patients (IBS). Our results show changes of the autonomic system activity in patients with IBS: decreased parasympathetic and increased sympathetic activity. The patients with autonomic dysfunction had also high percentage of dysrrhythmia time. We conclude that dyspeptic symptoms in patients with autonomic dysfunction are caused mostly by high adrenergic drive resulting in dysrrhythmias and decrease in the EGG amplitude.
功能性胃肠病(FGIDs)症状和功能障碍的主要原因解释集中在内脏高敏感性。交感神经刺激会增加内脏感受器的敏感性。因此,自主神经系统的整体影响不仅在调节胃肠道的分泌和运动方面很重要,在内脏感觉方面也很重要。本研究的目的是评估肠易激综合征(IBS)患者的胃动力障碍和自主神经系统(ANS)活动的变化。我们的结果显示IBS患者自主系统活动发生了变化:副交感神经活动减少,交感神经活动增加。自主神经功能障碍的患者心律失常时间百分比也很高。我们得出结论,自主神经功能障碍患者的消化不良症状主要是由高肾上腺素能驱动导致心律失常和胃电图(EGG)振幅降低引起的。