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恰加斯病中下食管括约肌的胆碱能神经支配

Cholinergic innervation of the lower esophageal sphincter in Chagas' disease.

作者信息

Dantas R O, Godoy R A, Oliveira R B, Meneghelli U G, Troncon L E

机构信息

Departamento de Clínica Médica, Faculdade de Medicina de Riberirão Preto, Universidade de São Paulo, Brasil.

出版信息

Braz J Med Biol Res. 1987;20(5):527-32.

PMID:3133005
Abstract
  1. The effect of 12 micrograms/kg iv atropine on the lower esophageal sphincter (LES) pressure was studied by continuous perfusion manometry in 14 Chagasic patients, 9 controls, and 3 patients with achalasia, and the effect of 3 ml iv saline was studied in 7 Chagasic patients. 2. Resting LES pressure did not differ between Chagasic patients (11.5 +/- 4.1 mmHg) and controls (15.9 +/- 4.9 mmHg, P greater than 0.05). 3. Atropine caused a significant decrease in LES pressure in both Chagasics and controls, but the reduction in controls was significantly greater (56%) than in Chagasics (25%). 4. Saline did not change the LES pressure of Chagasics. Atropine caused a similar reduction of LES pressure in achalasia patients (49%) and in controls (56%). 5. These results suggest that the cholinergic excitatory nerves are impaired in Chagas' disease, but not in achalasia, where they were either normal or only minimally impaired.
摘要
  1. 通过连续灌注测压法,对14例恰加斯病患者、9例对照者和3例贲门失弛缓症患者研究了静脉注射12微克/千克阿托品对食管下括约肌(LES)压力的影响,并对7例恰加斯病患者研究了静脉注射3毫升生理盐水的影响。2. 恰加斯病患者的静息LES压力(11.5±4.1毫米汞柱)与对照者(15.9±4.9毫米汞柱,P>0.05)之间无差异。3. 阿托品使恰加斯病患者和对照者的LES压力均显著降低,但对照者的降低幅度(56%)显著大于恰加斯病患者(25%)。4. 生理盐水未改变恰加斯病患者的LES压力。阿托品使贲门失弛缓症患者(49%)和对照者(56%)的LES压力降低幅度相似。5. 这些结果表明,恰加斯病中胆碱能兴奋性神经受损,但贲门失弛缓症中未受损,贲门失弛缓症中的胆碱能兴奋性神经要么正常,要么仅轻微受损。

相似文献

1
Cholinergic innervation of the lower esophageal sphincter in Chagas' disease.恰加斯病中下食管括约肌的胆碱能神经支配
Braz J Med Biol Res. 1987;20(5):527-32.
2
Effect of isosorbide dinitrate and atropine on the lower esophageal sphincter pressure in Chagasic patients.硝酸异山梨酯和阿托品对恰加斯病患者食管下括约肌压力的影响。
Acta Physiol Pharmacol Latinoam. 1988;38(2):151-8.
3
Integrity of cholinergic innervation to the lower esophageal sphincter in achalasia.贲门失弛缓症患者食管下括约肌胆碱能神经支配的完整性
Gastroenterology. 1986 Apr;90(4):924-9. doi: 10.1016/0016-5085(86)90869-3.
4
Lower esophageal sphincter pressure in Chagas' disease.恰加斯病患者的食管下括约肌压力
Dig Dis Sci. 1990 Apr;35(4):508-12. doi: 10.1007/BF01536927.
5
[The lower esophageal sphincter in patients with Chagas' disease with peristalsis and aperistalsis].[患有恰加斯病且存在蠕动和无蠕动的患者的食管下括约肌]
Arq Gastroenterol. 1983 Jan-Mar;20(1):13-6.
6
Esophageal motility of patients with Chagas' disease and idiopathic achalasia.恰加斯病和特发性贲门失弛缓症患者的食管动力
Dig Dis Sci. 2001 Jun;46(6):1200-6. doi: 10.1023/a:1010698826004.
7
Upper esophageal sphincter pressure in patients with Chagas' disease and primary achalasia.恰加斯病和原发性贲门失弛缓症患者的食管上括约肌压力
Braz J Med Biol Res. 2000 May;33(5):545-51. doi: 10.1590/s0100-879x2000000500009.
8
Effect of nifedipine on the lower esophageal sphincter pressure in chagasic patients.
Braz J Med Biol Res. 1986;19(2):205-9.
9
Response of the lower esophageal sphincter to pentagastrin on patients with megaesophagus secondary to Chagas' disease.恰加斯病继发巨食管患者下食管括约肌对五肽胃泌素的反应
Rev Hosp Clin Fac Med Sao Paulo. 1989 Sep-Oct;44(5):178-80.
10
Comparison of idiopathic achalasia and Chagas' disease esophagopathy at the light of high-resolution manometry.基于高分辨率测压法的特发性贲门失弛缓症与恰加斯病食管病变的比较。
Dis Esophagus. 2014 Feb-Mar;27(2):128-33. doi: 10.1111/dote.12098. Epub 2013 Jun 24.

引用本文的文献

1
Are idiopathic and Chagasic achalasia two different diseases?特发性贲门失弛缓症和恰加斯病性贲门失弛缓症是两种不同的疾病吗?
Dig Dis Sci. 2004 Mar;49(3):353-60. doi: 10.1023/b:ddas.0000020486.71719.62.
2
Lower esophageal sphincter pressure in Chagas' disease.恰加斯病患者的食管下括约肌压力
Dig Dis Sci. 1990 Apr;35(4):508-12. doi: 10.1007/BF01536927.