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肠抑制反射对犬肠段肠系膜血流的影响。

Influence of intestinal inhibitory reflex on mesenteric blood flow through an intestinal segment of the dog.

作者信息

Semba T, Mizonishi T, Ikeda Y, Nagao Y

出版信息

Jpn J Physiol. 1977;27(4):439-50. doi: 10.2170/jjphysiol.27.439.

DOI:10.2170/jjphysiol.27.439
PMID:599739
Abstract

The variations in both tonus and rhythmical motility of the intestinal musculature are known to affect profoundly intestinal blood flow. In the present study, the influence of marked reflex inhibition of intestinal tone on the blood flow through an intestinal segment was investigated in the dog. Experiments were performed under conditions of both normal circulation and cross-circulation. Inhibitory reflex was elicited by elevating the intraluminal pressure of a loop or by electrical stimulation of the intestinal wall. Fluctuations of blood flow during the intestinal inhibitory reflex were observed with normal circulation. Arterial and venous blood flows decreased in the initial period of intestinal relaxation, and recovered within 30 sec although reflex inhibition still remained. This is an autoregulatory escape phenomenon. In successive periods, arterial and venous blood flows decreased again due to "the venous-arteriolar response" and then recovered to the quiescent level. The decrease in venous blood flow corresponded to an increase of the degree of oxygen saturation in the venous blood. The decreases in arterial and venous blood flows were observed during the inhibitory reflex even when the intestinal circulation was maintained by the cross-circulation. Two different patterns, i.e., the parallel and reversed patterns, were distinguished in correlation with venous blood flow and oxygen saturation. The autoregulatory escape phenomenon could not be elicited in the experiments in the cross-circulation system because variation of the systemic blood pressure during inhibitory reflex was limited to +/-4%.

摘要

已知肠道肌肉组织的紧张度和节律性运动的变化会深刻影响肠道血流。在本研究中,在犬身上研究了显著的肠道张力反射抑制对通过一段肠段的血流的影响。实验在正常循环和交叉循环条件下进行。通过升高肠袢腔内压力或电刺激肠壁引发抑制性反射。在正常循环下观察肠道抑制性反射期间的血流波动。在肠道松弛的初始阶段,动脉和静脉血流减少,尽管反射抑制仍然存在,但在30秒内恢复。这是一种自动调节逃逸现象。在随后的阶段,由于“静脉-小动脉反应”,动脉和静脉血流再次减少,然后恢复到静止水平。静脉血流的减少与静脉血中氧饱和度的增加相对应。即使通过交叉循环维持肠道循环,在抑制性反射期间也观察到动脉和静脉血流减少。根据静脉血流和氧饱和度区分出两种不同的模式,即平行模式和反向模式。在交叉循环系统的实验中不能引发自动调节逃逸现象,因为抑制性反射期间全身血压的变化限制在±4%。

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