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阿托品对犬静脉注射雨蛙素后胰腺分泌反应的剂量-反应效应。

Dose-response effects of atropine on pancreatic secretory response to intravenous cerulein in dogs.

作者信息

Vazquez-Echarri J, Baumgärtner D, Singer M V

出版信息

Pancreas. 1986;1(4):341-6. doi: 10.1097/00006676-198607000-00009.

Abstract

In conscious dogs with gastric and pancreatic fistulas, we studied the effect of i.v. atropine in doses ranging from 1.8 to 29 nmol/kg/h on the pancreatic secretory response to i.v. cerulein in doses ranging from 3.7 to 118 pmol/kg/h. Cerulein was given with an i.v. background infusion of secretin (20.5 pmol/kg/h), started 1 h before the lowest dose of cerulein was given. Secretin alone did not stimulate pancreatic protein output above basal. Doses of 7 and 29 nmol/kg/h of atropine significantly (p less than 0.05) decreased the protein output during secretin. A dose of 29 nmol/kg/h, but not lower doses, of atropine significantly inhibited the bicarbonate response to secretin. A dose of 3.7 pmol/kg/h and all higher doses of cerulein significantly stimulated bicarbonate and protein output above the value observed during secretin alone. None of the three doses of atropine given had any significant effect on the incremental bicarbonate and protein responses to cerulein. Secretin and cerulein did not alter basal heart rate; only the highest dose (29 nmol/kg/h) of atropine significantly increased heart rate. These findings are compatible with the hypothesis that cholinergic nerves do not alter the effect of exogenous cerulein, a CCK analogue, on pancreatic bicarbonate and protein secretion in dogs.

摘要

在患有胃瘘和胰瘘的清醒犬中,我们研究了静脉注射剂量范围为1.8至29 nmol/kg/h的阿托品对静脉注射剂量范围为3.7至118 pmol/kg/h的雨蛙素所致胰腺分泌反应的影响。在给予最低剂量雨蛙素前1小时开始,静脉注射促胰液素(20.5 pmol/kg/h)作为背景输注的情况下给予雨蛙素。单独使用促胰液素不会使胰腺蛋白输出高于基础水平。7和29 nmol/kg/h剂量的阿托品显著(p<0.05)降低了促胰液素作用期间的蛋白输出。29 nmol/kg/h剂量而非更低剂量的阿托品显著抑制了对促胰液素的碳酸氢盐反应。3.7 pmol/kg/h剂量及所有更高剂量的雨蛙素显著刺激了碳酸氢盐和蛋白输出,使其高于单独使用促胰液素时观察到的值。所给予的三种剂量的阿托品均未对雨蛙素所致的碳酸氢盐和蛋白增量反应产生任何显著影响。促胰液素和雨蛙素未改变基础心率;只有最高剂量(29 nmol/kg/h)的阿托品显著增加了心率。这些发现与胆碱能神经不会改变外源性雨蛙素(一种CCK类似物)对犬胰腺碳酸氢盐和蛋白分泌的影响这一假说相符。

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