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小马的结肠运动反应:阿片类拮抗剂对结肠刺激的相关性

Colonic motor responses in the pony: relevance of colonic stimulation by opiate antagonists.

作者信息

Roger T, Bardon T, Ruckebusch Y

出版信息

Am J Vet Res. 1985 Jan;46(1):31-5.

PMID:3970439
Abstract

The electrical and mechanical activity of the digestive tract and its response to the administration of opiate agonists and antagonists was assessed from electrodes and strain gauges chronically implanted on the jejunum and the cecocolonic segments in 3 ponies given a diet of hay and concentrates. Before the drugs were given, 10 to 17 migrating myoelectric complexes/day were recorded on the small intestine, and a rhythmic motor activity (base line) was observed on the proximal portion of the colon at the rate of 3.5 to 6.6/hour. Propagated contractions from the proximal to the distal portion of the colon occurred at the rate of 1.5 to 2.3/hour. Each pony was used as its own control and was given morphine (0.5 or 1 mg/kg of body weight, IV) or fentanyl (0.01 or 0.05 mg, IV) at weekly intervals. After an early phase of inhibition of the overall activity that lasted from 0.5 to 3 hours, depending on the dose, the resting muscle tone of the colonic activity was increased for a dose-dependent period. Propagated contractions only reappeared at the end of this 2nd phase. The opiate antagonist naloxone (0.5 mg/kg, IV) elicited a marked propulsive activity on the left replicated colonic segment, characterized by an increase in the number of propagated contractions. The N-methyl-quaternary analog of naloxone (methylnaloxone, which presumably entails selective action at opiate receptors outside the CNS) was also effective, indicating peripheral effects at the dosage level used (0.5 mg/kg, IV). Seemingly, an inhibitory opioid system exists in the control of colonic motor function in ponies and the possible usefulness of opiate antagonists to relieve hypomotility resulting in colonic impaction and constipation.

摘要

通过长期植入3匹喂食干草和精饲料的小马空肠及盲结肠段的电极和应变仪,评估消化道的电活动和机械活动及其对阿片类激动剂和拮抗剂给药的反应。在给药前,小肠每天记录到10至17次移行性肌电复合波,结肠近端观察到有节律的运动活动(基线),频率为每小时3.5至6.6次。结肠从近端到远端的推进性收缩频率为每小时1.5至2.3次。每匹小马都作为自身对照,每周间隔静脉注射吗啡(0.5或1mg/kg体重)或芬太尼(0.01或0.05mg)。在持续0.5至3小时的总体活动抑制早期阶段后,根据剂量不同,结肠活动的静息肌张力在剂量依赖性时间段内增加。推进性收缩仅在第二阶段结束时重新出现。阿片类拮抗剂纳洛酮(0.5mg/kg,静脉注射)在左侧复制结肠段引发明显的推进性活动,其特征是推进性收缩次数增加。纳洛酮的N-甲基季铵类似物(甲基纳洛酮,推测在中枢神经系统外的阿片受体上具有选择性作用)也有效,表明在所使用的剂量水平(0.5mg/kg,静脉注射)具有外周效应。似乎在小马结肠运动功能的控制中存在抑制性阿片系统,以及阿片类拮抗剂在缓解导致结肠梗阻和便秘的运动减弱方面可能具有的作用。

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