Sagrada A, Fargeas M J, Bueno L
Department of Pharmacology, INRA, Toulouse, France.
Gut. 1987 Aug;28(8):955-9. doi: 10.1136/gut.28.8.955.
The effects of phentolamine, yohimbine and prazosin on laparotomy induced intestinal motor disturbances were studied in anaesthetised fasted rats previously equipped with electrodes, chronically implanted on the duodenum and jejunum. During continuous recording of interdigestive myoelectric activity, laparotomy under thiopental anaesthesia (Nesdonal 40 mg/kg ip) induced a primary phase of total inhibition of spiking activity lasting 26.1 +/- 1.3 min (mean +/- SE) followed by a period of disorganised activity, the first propagated migrating myoelectric complex (MMC) occurring 71.4 +/- 7.9 min after laparotomy. Phentolamine (3 mg/kg), or yohimbine (1 mg/kg) given im before laparotomy decreased by 48 and 49%, respectively, the duration of postsurgical inhibition, with a normal MMC pattern occurring immediately after. In contrast, there was only a shortening of the postlaparotomy initial inhibition of spiking activity after im prazosin (100 micrograms/kg), with a late (50-60 min) recovery of the MMC pattern. These results suggest that the initial inhibition of intestinal motility induced by laparotomy may involve alpha-1 and alpha-2 adrenoceptors, while the disruption of the MMC pattern is mainly caused by the activation of alpha-2 receptors.
在先前已将电极长期植入十二指肠和空肠的禁食麻醉大鼠中,研究了酚妥拉明、育亨宾和哌唑嗪对剖腹手术诱发的肠道运动紊乱的影响。在连续记录消化间期肌电活动期间,硫喷妥钠麻醉(40 mg/kg腹腔注射内司巴比妥)下的剖腹手术诱发了一个持续26.1±1.3分钟(平均值±标准误)的尖峰活动完全抑制的初级阶段,随后是一段活动紊乱期,第一个传播性移行性肌电复合波(MMC)在剖腹手术后71.4±7.9分钟出现。剖腹手术前肌肉注射酚妥拉明(3 mg/kg)或育亨宾(1 mg/kg)分别使术后抑制持续时间缩短48%和49%,随后立即出现正常的MMC模式。相比之下,肌肉注射哌唑嗪(100 μg/kg)后,剖腹手术后尖峰活动的初始抑制仅有所缩短,MMC模式在后期(50 - 60分钟)恢复。这些结果表明,剖腹手术诱发的肠道运动初始抑制可能涉及α-1和α-2肾上腺素能受体,而MMC模式的破坏主要由α-2受体的激活引起。