Karaus M, Wienbeck M, Grussendorf M, Erckenbrecht J F, Strohmeyer G
Department of Medicine, University Hospitals, Düsseldorf, Federal Republic of Germany.
Gastroenterology. 1989 Oct;97(4):911-9. doi: 10.1016/0016-5085(89)91497-2.
The small intestinal motor effects of experimental hyperthyroidism were studied in 8 conscious dogs to reveal possible mechanisms of accelerated small bowel transit in hyperthyroidism. Six strain gauge transducers were implanted on the small intestine of each dog. Long-term hyperthyroidism was induced by subcutaneous administration of 100 and 200 micrograms/kg.day of thyroxin. Application of thyroxin did not interrupt the cyclic fasting motor activity. Thyroxin (100 micrograms/kg.day) caused a slight increase in the period of the migrating motor complex (p less than 0.05). The maximum contractile frequency rose dose-dependently up to 11% (p less than 0.05). During phase 2 and the digestive state the contraction frequency increased up to 29% and 27%, respectively (p less than 0.05). More contractions occurred in groups during the digestive state in hyperthyroidism. Half of the dogs showed giant migrating contractions during thyroxin administration, whereas those contractions were not observed during the control period. We conclude that fasted and postprandial intestinal motility is changed in experimental hyperthyroidism. Acceleration of small bowel transit may be caused by changes in contractile pattern of phase 2 and the digestive state or by the increased frequency of giant migrating contractions.
在8只清醒犬中研究了实验性甲状腺功能亢进对小肠运动的影响,以揭示甲状腺功能亢进时小肠转运加速的可能机制。每只犬的小肠植入6个应变片式传感器。通过皮下注射100和200微克/千克·天的甲状腺素诱导长期甲状腺功能亢进。应用甲状腺素并未中断周期性禁食运动活动。甲状腺素(100微克/千克·天)使移行性运动复合波的周期略有增加(P<0.05)。最大收缩频率剂量依赖性增加,最高可达11%(P<0.05)。在第2期和消化状态期间,收缩频率分别增加高达29%和27%(P<0.05)。甲状腺功能亢进时,消化状态下各组出现更多收缩。一半的犬在给予甲状腺素期间出现巨大移行性收缩,而在对照期未观察到这些收缩。我们得出结论,实验性甲状腺功能亢进时禁食和餐后肠道运动发生改变。小肠转运加速可能是由第2期和消化状态下收缩模式的改变或巨大移行性收缩频率增加所致。