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吗啡通过作用于外周阿片受体引发移行性肌电复合波。

Morphine initiates migrating myoelectric complexes by acting on peripheral opioid receptors.

作者信息

Telford G L, Hoshmonai M, Moses A J, Szurszewski J H

出版信息

Am J Physiol. 1985 Nov;249(5 Pt 1):G557-62. doi: 10.1152/ajpgi.1985.249.5.G557.

DOI:10.1152/ajpgi.1985.249.5.G557
PMID:2998200
Abstract

The role of peripheral and central opioid receptors in morphine-induced migrating myoelectric complexes (MMECs) was studied in conscious dogs implanted with silver-silver chloride electrodes. In normal fasted dogs morphine (100-200 micrograms/kg iv) initiated phase III of the MMEC in the duodenum. Once initiated the MMEC propagated distally. This effect of morphine was blocked by the opioid receptor antagonists naloxone (2 mg/kg iv) and N,N-diallylnormorphinium bromide (4 mg/kg iv). Higher doses of morphine (300-600 micrograms/kg iv) initiated phase III activity in fed dogs as early as 20 min after feeding, while lower doses (150 micrograms/kg iv) initiated phase III activity routinely when administered 100 min after feeding. In dogs with bilateral vagotomies and bilateral thoracolumbar sympathetic chain ganglionectomies, morphine (150 micrograms/kg iv) initiated phase III activity in the duodenum, which then migrated distally. This study demonstrates that morphine initiates phase III of the MMEC by acting through peripheral opioid receptors.

摘要

在植入银 - 氯化银电极的清醒犬中,研究了外周和中枢阿片受体在吗啡诱导的移行性肌电复合波(MMECs)中的作用。在正常禁食犬中,静脉注射吗啡(100 - 200微克/千克)可启动十二指肠中MMEC的Ⅲ期。一旦启动,MMEC向远端传播。吗啡的这种作用被阿片受体拮抗剂纳洛酮(静脉注射2毫克/千克)和N,N - 二烯丙基去甲吗啡溴化物(静脉注射4毫克/千克)阻断。更高剂量的吗啡(静脉注射300 - 600微克/千克)在喂食后20分钟内即可在喂食犬中启动Ⅲ期活动,而较低剂量(静脉注射150微克/千克)在喂食后100分钟给药时通常会启动Ⅲ期活动。在双侧迷走神经切断术和双侧胸腰交感链神经节切除术的犬中,静脉注射吗啡(150微克/千克)可启动十二指肠中的Ⅲ期活动,然后向远端迁移。本研究表明,吗啡通过作用于外周阿片受体来启动MMEC的Ⅲ期。

相似文献

1
Morphine initiates migrating myoelectric complexes by acting on peripheral opioid receptors.吗啡通过作用于外周阿片受体引发移行性肌电复合波。
Am J Physiol. 1985 Nov;249(5 Pt 1):G557-62. doi: 10.1152/ajpgi.1985.249.5.G557.
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引用本文的文献

1
Morphine and gastroduodenal motility.
Dig Dis Sci. 1999 Nov;44(11):2178-86. doi: 10.1023/a:1026684132254.
2
Lower oesophageal sphincter hypersensitivity to opioid receptor stimulation in patients with idiopathic achalasia.特发性贲门失弛缓症患者下食管括约肌对阿片受体刺激的超敏反应。
Gut. 1993 Jan;34(1):16-20. doi: 10.1136/gut.34.1.16.
3
Biliary motility. Changes in detailed characteristics correlated to duodenal migrating motor complex and effects of morphine and motilin in dogs.胆道运动性。与十二指肠移行性运动复合波相关的详细特征变化以及吗啡和胃动素对犬的影响。
Dig Dis Sci. 1994 Jun;39(6):1294-301. doi: 10.1007/BF02093796.
4
Long-term effects of jejunoileal autotransplantation on myoelectrical activity in canine small intestine.空肠回肠自体移植对犬小肠肌电活动的长期影响。
Dig Dis Sci. 1990 Dec;35(12):1505-17. doi: 10.1007/BF01540569.
5
Demonstration of intrathecal and systemic morphine and ST-91 effects on fed canine upper gut motility.鞘内注射和全身应用吗啡及ST-91对喂食犬上消化道运动影响的演示。
Dig Dis Sci. 1990 Oct;35(10):1249-56. doi: 10.1007/BF01536415.