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pH变化对贲门括约肌的影响。

Effect of pH changes on the cardiac sphincter.

作者信息

Giles G R, Humphries C, Mason M C, Clark C G

出版信息

Gut. 1969 Oct;10(10):852-6. doi: 10.1136/gut.10.10.852.

DOI:10.1136/gut.10.10.852
PMID:5350111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1552999/
Abstract

In 16 normal subjects the pressure characteristics of the cardiac sphincter have been examined. The effect of perfusing the gastric aspect of the sphincter mucosa has been studied by comparing the effects of saline with those of solutions where pH ranged from 1.0 to 8.0. Acid perfusion produced an increase in sphincteric pressure, particularly at pH 3.0. This suggests that a physiological mechanism exists which can increase the barrier pressure to gastrooesophageal reflux during periods of active secretion of the stomach, as occurs in digestion.

摘要

对16名正常受试者的贲门括约肌压力特征进行了检查。通过比较生理盐水与pH值范围为1.0至8.0的溶液对括约肌黏膜胃侧灌注的效果,研究了灌注的影响。酸灌注导致括约肌压力增加,尤其是在pH值为3.0时。这表明存在一种生理机制,在胃的活跃分泌期(如消化过程中),该机制可增加对胃食管反流的屏障压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/264a/1552999/0051ae88c625/gut00700-0098-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/264a/1552999/0051ae88c625/gut00700-0098-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/264a/1552999/0051ae88c625/gut00700-0098-a.jpg

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1
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本文引用的文献

1
The cardiac sphincter in the cat.猫的贲门括约肌。
Gut. 1961 Sep;2(3):252-62. doi: 10.1136/gut.2.3.252.
2
Esophageal motility after vagotomy, phrenicotomy, myotomv. and mvomectomv in dogs.犬迷走神经切断术、膈神经切断术、肌切开术和肌切除术术后的食管动力
Surg Gynecol Obstet. 1962 Jan;114:31-42.
3
Regurgitation in anaesthesia: a report on some exploratory work with animals.麻醉中的反流:关于一些动物探索性研究的报告。
Gut. 1971 Nov;12(11):948-56. doi: 10.1136/gut.12.11.948.
4
Oesophageal acidification does not increase lower oesophageal sphincter pressure.食管酸化不会增加食管下括约肌压力。
Gut. 1990 Mar;31(3):266-9. doi: 10.1136/gut.31.3.266.
5
On the relationship between gastric pH and pressure in the normal human lower oesophageal sphincter.关于正常人下食管括约肌胃内pH值与压力之间的关系。
Gut. 1979 Jan;20(1):59-63. doi: 10.1136/gut.20.1.59.
Can Anaesth Soc J. 1959 Jan;6(1):4-12. doi: 10.1007/BF03014190.
4
Comparison of cardiac and pyloric sphincters; a manometric study.心脏括约肌与幽门括约肌的比较;一项压力测量研究。
Lancet. 1957 Nov 9;273(7002):918-22. doi: 10.1016/s0140-6736(57)92381-4.
5
The gastroesophageal sphincter in healthy human beings.健康人体内的胃食管括约肌。
Gastroenterologia. 1956;86(3):135-50. doi: 10.1159/000200544.