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电脉冲活动沿小肠的传播:内在神经影响与外在神经影响

Propagation of electrical spiking activity along the small intestine: intrinsic versus extrinsic neural influences.

作者信息

Bueno L, Praddaude F, Ruckebusch Y

出版信息

J Physiol. 1979 Jul;292:15-26. doi: 10.1113/jphysiol.1979.sp012835.

Abstract
  1. The electrical activity of the small intestine of conscious dog, recorded by means of chronically implanted electrodes, was related to the transit time estimated by phenol red infusion and its propagation observed after a single or double transection and following either isolation or removal of a 50 cm jejunal loop. 2. In the fasted dog, the activity was characterized by the propagation of myoelectric complexes at a velocity of 4 cm/min during which the mean transit time averaged 13 min/m. About 2/3 of these complexes were seen to pass beyond a single section and anastomosis of the jejunum with a delay of 15 min. This number was reduced to 1/3 and the delay doubled when a second section was performed 50 cm distally. 3. In dog with an isolated jejunal loop, most of the myo-electric complexes were seen to pass from the proximal intestine to the loop and then to the intestine beyond the sit of anastomosis within 37 min. Some complexes however passed directly through the anastomosis within 30-32 min, affecting or not the loop. Others started on the loop and/or on the intestine beyond the anastomosis. Finally, the total number of complexes recorded on the distal jejunum was greater than on the duodenum, an effect which disappeared after removal of the isolated loop. 4. The propagation of the complexes occurred at a lower velocity after denervation of a jejunal segment in situ but was arrested in the case of an isolated-denervated jejunal loop. 5. It is concluded that continuity of structures in the bowel is essential for the propagation of a myo-electric complex which is stopped and replaced by another complex at the level of an anastomosis, the number os complexes reorganized beyond an anastomosis and their velocity of propagation depending upon both intrinsic and extrinsic neural influences.
摘要
  1. 通过长期植入电极记录清醒犬小肠的电活动,该电活动与通过酚红输注估计的转运时间相关,并在单次或双次横断后以及分离或切除50 cm空肠袢后观察其传播情况。2. 在禁食犬中,活动的特征是肌电复合波以4 cm/min的速度传播,在此期间平均转运时间平均为13 min/m。约2/3的这些复合波被观察到通过空肠的单个节段和吻合处,延迟15分钟。当在距远端50 cm处进行第二个节段横断时,这个数字减少到1/3,延迟增加一倍。3. 在有孤立空肠袢的犬中,大多数肌电复合波在37分钟内从近端肠段传到肠袢,然后再传到吻合处远端的肠段。然而,一些复合波在30 - 32分钟内直接通过吻合处,影响或不影响肠袢。其他的则在肠袢和/或吻合处远端的肠段开始。最后,在空肠远端记录到的复合波总数大于十二指肠,在切除孤立肠袢后这种效应消失。4. 原位空肠段去神经后,复合波的传播速度降低,但在孤立去神经空肠袢的情况下传播停止。5. 得出结论,肠道结构的连续性对于肌电复合波的传播至关重要,肌电复合波在吻合处停止并被另一个复合波取代,在吻合处远端重新组织的复合波数量及其传播速度取决于内在和外在神经影响。

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