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不同类型迷走神经切断术对犬胃电活动和收缩活动的影响(作者译)

[Effects of various types of vagotomy on electrical and contractile activities of the canine stomach (author's transl)].

作者信息

Kuwashima T

出版信息

Nihon Heikatsukin Gakkai Zasshi. 1977 Mar;13(1):55-67. doi: 10.1540/jsmr1965.13.55.

Abstract

Thirteen mongrel dogs equipped with four bipolar electrodes and three strain gauges on the anterior wall of the stomach underwent three types of vagotomy: truncal vagotomy (TV)-6 dogs; selective proximal vagotomy (SPV)-3 dogs; and antral vagotomy (AV)-4 dogs. Electrical and contractile activities of the stomach were examined before and after these vagotomies on both the fasting and postprandial states. TV caused an increased incidence of dysrhythmia and a 12 to 33% reduction of the propagation velocity of the basic electrical rhythm (BER). Following feeding, the characteristic waxing and waning pattern of normal gastric contraction was altered to a monotonic steady pattern, increasing overall contraction activity of the pyloric sphincter. These changes seem to be attributable to delayed gastric emptying following truncal vagotomy. SPV reduced the propagation velocity of the BER slightly (2.5-7.3%), preserving the inherent physiological contractile activity in the antrum and pyloric sphincter, and transforming the contractile activity in the corpus to a more monotonic pattern. AV effected a localized monotonic contractile activity in the antral region with no changes discernible in the body and pyloric sphincter. The propagation velocity was not changed significantly by antral vagotomy. The discharge interval of the BER was not altered significantly by these vagotomies.

摘要

13只杂种犬在胃前壁植入4个双极电极和3个应变仪,分别接受了三种类型的迷走神经切断术:全迷走神经切断术(TV)——6只犬;选择性近端迷走神经切断术(SPV)——3只犬;胃窦迷走神经切断术(AV)——4只犬。在禁食和餐后状态下,分别于迷走神经切断术前、后检测胃的电活动和收缩活动。全迷走神经切断术导致心律失常发生率增加,基本电节律(BER)的传播速度降低12%至33%。进食后,正常胃收缩的典型增减模式转变为单调稳定模式,幽门括约肌的整体收缩活动增加。这些变化似乎归因于全迷走神经切断术后胃排空延迟。选择性近端迷走神经切断术使基本电节律的传播速度略有降低(2.5% - 7.3%),保留了胃窦和幽门括约肌固有的生理收缩活动,并使胃体部的收缩活动转变为更单调的模式。胃窦迷走神经切断术使胃窦区域出现局部单调收缩活动,胃体和幽门括约肌未见明显变化。胃窦迷走神经切断术对传播速度无显著影响。这些迷走神经切断术对基本电节律的放电间隔无显著改变。

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