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迷走神经输入对维持犬胃张力的重要性。

Importance of vagal input in maintaining gastric tone in the dog.

作者信息

Azpiroz F, Malagelada J R

机构信息

Gastroenterology Research Unit, Mayo Clinic, Rochester, MN 55905.

出版信息

J Physiol. 1987 Mar;384:511-24. doi: 10.1113/jphysiol.1987.sp016467.

Abstract
  1. Using a gastric barostat to quantify variations in gastric tone, we had previously demonstrated that food ingestion or intestinal nutrient perfusion induces gastric relaxation. These data suggested a basal tonic contraction of the stomach during fasting. 2. To determine the role of vagal input in maintaining fasting gastric tone, we prepared two chronic canine models, either isolating both cervical vagal trunks in a cutaneous tunnel or including the supradiaphragmatic vagi within an implanted cooling jacket. In the fasted conscious dogs, we then studied the effect, on gastric tone, of acute and reversible vagal blockade by cooling. 3. Cervical vagal cooling produced a reversible gastric relaxation and increased the heart rate. Supradiaphragmatic vagal cooling produced a similar gastric relaxation without the cardiac effect. 4. Adrenergic blockade did not change either the base-line gastric tone or the cooling-induced relaxation. Adrenaline decreased gastric tone, but vagal cooling still produced a significant relaxation. 5. Atropine alone or combined with adrenergic antagonists produced a gastric relaxation that was not further increased by vagal cooling. Bethanechol increased gastric tone, an effect unchanged by vagal cooling. 6. We conclude that gastric tone during fasting is maintained by a cholinergic input, which is vagally mediated at both the cervical and the supradiaphragmatic levels.
摘要
  1. 我们此前使用胃内压测定仪来量化胃张力的变化,结果表明食物摄入或肠道营养物质灌注会引起胃舒张。这些数据提示在禁食期间胃存在基础张力性收缩。2. 为了确定迷走神经传入在维持禁食时胃张力中的作用,我们制备了两种慢性犬模型,一种是将双侧颈迷走神经干分离至皮下隧道,另一种是将膈上迷走神经纳入植入的冷却套内。然后,在禁食的清醒犬中,我们研究了通过冷却进行急性和可逆性迷走神经阻滞对胃张力的影响。3. 颈迷走神经冷却导致可逆性胃舒张并使心率增加。膈上迷走神经冷却产生类似的胃舒张,但无心脏效应。4. 肾上腺素能阻滞既不改变基线胃张力,也不改变冷却诱导的舒张。肾上腺素降低胃张力,但迷走神经冷却仍产生显著舒张。5. 单独使用阿托品或与肾上腺素能拮抗剂联合使用会产生胃舒张,迷走神经冷却不会进一步增强这种舒张。氨甲酰甲胆碱增加胃张力,迷走神经冷却对此作用无影响。6. 我们得出结论,禁食期间的胃张力由胆碱能传入维持,该传入在颈段和膈上段均由迷走神经介导。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1bf/1192275/30adffda27cc/jphysiol00536-0508-a.jpg

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