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促胰液素和缩胆囊素引起的血气浓度变化。是否表明存在血管舒缩效应?

Changes in the blood gas concentration caused by secretin and cholecystokinin. Indication of a vasomotor effect?

作者信息

Bauer F E, von Kleist D, Janisch H D, Hampel K E

出版信息

J Clin Gastroenterol. 1986 Jun;8(3 Pt 1):263-6. doi: 10.1097/00004836-198606000-00012.

Abstract

The assumption that secretin has a general vascular effect led to an investigation of the blood gas level in the peripheral veins and the acid/base balance under the influence of secretin (1 CU/kg/h, 0-120 min) and cholecystokinin (CCK) (1 IU/kg/h, 60-120 min) in a group of 10 volunteers. Six of the volunteers were subjected to a randomized, cross-over NaCl infusion study. With a secretin infusion alone (0-60 min) there was a transient, significant rise in PO2 (p less than 0.01) and oxygen saturation (p less than 0.05), which was no longer detectable after 60 min (p greater than 0.05). With an additional administration of CCK (60-120 min) and in the follow-up phase of observation (120-180 min) there was a significant fall in both parameters (120 min: p less than 0.05, 180 min: p less than 0.01). PCO2, HCO-3, and pH remained unaffected. The isolated increase in PO2 and O2 saturation may be attributed to vasodilation induced by secretin. The drop in both parameters under the influence of an additional infusion of CCK and in the follow-up phase of observation is linked to a possible vascular effect of CCK.

摘要

促胰液素具有普遍血管效应这一假设,促使研究人员对10名志愿者在促胰液素(1 CU/千克/小时,0 - 120分钟)和胆囊收缩素(CCK)(1 IU/千克/小时,60 - 120分钟)影响下的外周静脉血气水平及酸碱平衡进行了研究。其中6名志愿者接受了一项随机交叉氯化钠输注研究。单独输注促胰液素时(0 - 60分钟),PO₂(p < 0.01)和血氧饱和度(p < 0.05)出现短暂显著升高,60分钟后不再能检测到这种变化(p > 0.05)。额外给予CCK(60 - 120分钟)以及在观察的后续阶段(120 - 180分钟),这两个参数均显著下降(120分钟:p < 0.05,180分钟:p < 0.01)。PCO₂、HCO₃⁻和pH值未受影响。PO₂和O₂饱和度单独升高可能归因于促胰液素诱导的血管舒张。在额外输注CCK影响下及观察后续阶段这两个参数的下降与CCK可能的血管效应有关。

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