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[不同类型迷走神经切断术对大鼠实验性溃疡胃十二指肠区黏膜中前列腺素(E、F2α)、血栓素和前列环素合成的影响]

[Effect of various types of vagotomy on prostaglandins (E, F2 alpha), thromboxane and prostacyclin synthesis in the mucosa of the gastroduodenal zone in experimental ulcer in the rat].

作者信息

Morenkova S A, Tabutsadze T U, Fedorova L M

出版信息

Vopr Med Khim. 1988 Jan-Feb;34(1):109-12.

PMID:3285586
Abstract

Synthesis of prostaglandins E2 and F2 alpha (PGE2, PGF2 alpha) thromboxane B2 (TXB2) and prostacycline (PGI) was studied in mucose of gastroduodenal area under conditions of experimental ulcer in rats after complete truncal vagotomy as well as after incomplete vagotomy involving dissection of one vagus trunk, proximal selective dissection, dissection of vagus nerve. Estimation of PGE2, PGF2 alpha, TXB2 and PGI biosynthesis in mucose of stomach fundal and anthral parts and in duodenal mucose showed that dissection of vagus nerve, as compared with complete truncal vagotomy or with dissection of one vagus trunk, was the most effective type of operation in ulcers of duodenum. After this operation the synthesis of the eucosanoids (PGE2 and PGI) was activated, which caused cytoprotective and secrete-regulating effects, while production of PGE2 and TXB2 alpha (the tissue-deteriorating substances) was inhibited. Dissection of vagus nerve appears to contribute to secretion of hydrogen chloride in stomach as well as to accelerate reparative processes in gastroduodenal mucose via the metabolic mechanisms studied.

摘要

在大鼠实验性溃疡条件下,研究了完全切断迷走神经干以及不完全切断迷走神经(包括切断一侧迷走神经干、近端选择性切断、迷走神经分支切断)后胃十二指肠区域黏膜中前列腺素E2和F2α(PGE2、PGF2α)、血栓素B2(TXB2)和前列环素(PGI)的合成情况。对胃底和胃窦部黏膜以及十二指肠黏膜中PGE2、PGF2α、TXB2和PGI生物合成的评估表明,与完全切断迷走神经干或切断一侧迷走神经干相比,迷走神经分支切断术对十二指肠溃疡是最有效的手术方式。该手术后,类二十烷酸(PGE2和PGI)的合成被激活,产生细胞保护和分泌调节作用,而PGE2和TXB2α(组织破坏物质)的产生受到抑制。迷走神经分支切断术似乎通过所研究的代谢机制促进胃中盐酸的分泌,并加速胃十二指肠黏膜的修复过程。

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