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切断大鼠胰腺神经丛对胰腺外分泌功能的影响。

The influence of cutting the pancreatic nerve plexus on exocrine function in the pancreas of rats.

作者信息

Kinami Y, Sakuma H

机构信息

Second Department of Surgery, Kanazawa Medical University, Ishikawa, Japan.

出版信息

Gastroenterol Jpn. 1989 Oct;24(5):549-55. doi: 10.1007/BF02773884.

Abstract

This study was performed to clarify changes in protein synthesis and exocrine enzymes of the pancreas after cutting the pancreatic nerve plexus of Wistar rats. The rats were divided into two groups, consisting of a group that underwent cutting of the pancreatic nerve plexus (neurotomy group) and a group that underwent a sham operation (control group). 3H-leucine uptake in the pancreatic protein fraction of the neurotomy group at 3, 5 and 7 days after the operation was significantly lower than that of the control group (P less than 0.05-0.01), and this low uptake returned to the normal range at 14 days. Amylase, lipase and trypsin values in pancreatic tissue of the neurotomy group decreased during the period of from 1 to 7 days, and there were significant differences in the values of the respective enzymes at 5 or 7 days between the neurotomy and the control group (P less than 0.05). Thereafter, all enzyme values increased to within the normal range. Upon examination of pancreatic blood flow using a microsphere, the neurotomy group showed a significant reduction at 7 days compared with the control group (P less than 0.05), and thereafter exhibited recovery of blood flow. These results indicate that after cutting the pancreatic nerve plexus, exocrine function in the pancreas is reduced immediately but recovers within a short period of time, and that these changes in exocrine function are affected by blood flow in the pancreas.

摘要

本研究旨在阐明切断Wistar大鼠胰腺神经丛后胰腺蛋白质合成及外分泌酶的变化。大鼠被分为两组,一组接受胰腺神经丛切断术(神经切断术组),另一组接受假手术(对照组)。术后3天、5天和7天,神经切断术组胰腺蛋白质部分的3H-亮氨酸摄取量显著低于对照组(P<0.05 - 0.01),且这种低摄取量在14天时恢复到正常范围。神经切断术组胰腺组织中的淀粉酶、脂肪酶和胰蛋白酶值在1至7天期间下降,神经切断术组与对照组在5天或7天时各酶值存在显著差异(P<0.05)。此后,所有酶值均升至正常范围内。使用微球检测胰腺血流时,神经切断术组在7天时与对照组相比血流显著减少(P<0.05),此后血流恢复。这些结果表明,切断胰腺神经丛后,胰腺外分泌功能立即降低,但在短时间内恢复,且这些外分泌功能的变化受胰腺血流的影响。

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