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十二指肠酸化和高渗状态引发绵羊移行性肌电复合波:迷走神经的作用

Initiation of migrating myoelectric complex in sheep by duodenal acidification and hyperosmolarity: role of vagus nerves.

作者信息

Gregory P C, Rayner D V, Wenham G

出版信息

J Physiol. 1984 Oct;355:509-21. doi: 10.1113/jphysiol.1984.sp015435.

Abstract

Gastrointestinal motility was studied in conscious sheep by X-radiography and by electromyography from chronically implanted electrodes before and after total thoracic vagotomy. Duodenal infusion of 0.5-3 mmol HCl (0.035-0.1 M-HCl) induced premature duodenal regular spiking activity (r.s.a.) within 1-7 min in fifteen of seventeen sheep studied when infused at 20 min after a natural r.s.a. There was no correlation between abomasal pH and any phase of the migrating myoelectric complex (m.m.c.). Duodenal alkalinization by infusion of 0.3 M-Tris buffer (pH 10.2) or 0.1 M-NaHCO3 had no influence on the occurrence of the m.m.c. Duodenal infusion of 20-50 ml 0.5 M-NaCl induced a premature duodenal r.s.a. within 1-5 min in seven of eight sheep. Vagotomy did not prevent the initiation or migration of the m.m.c., but reduced the rate of propagation of the r.s.a. from 40.5 +/- 7.2 (mean +/- S.E. of mean) to 16.7 +/- 0.1 cm/min in the duodenum, from 27.3 +/- 4.1 to 16.6 +/- 0.8 cm/min in the jejunum, and from 21.4 +/- 1.1 to 13.7 +/- 0.7 cm/min in the proximal ileum. Initially the frequency of r.s.a. increased, especially in the duodenum where they recurred at an interval of 98.4 +/- 6.8 min before vagotomy; and at 23.4 +/- 1.8 min in the first 24 h after vagotomy; the interval had lengthened to 86.7 +/- 5.2 min 2-3 weeks after vagotomy. Premature duodenal r.s.a. was not induced by duodenal infusion of HCl in five, or by duodenal infusion of hyperosmolar NaCl in three chronically vagotomized sheep. It is concluded that the vagus nerves contribute to the regulation of the frequency and propagation of the m.m.c. in sheep; duodenal acidification is not essential nor is it the normal stimulus for initiation of r.s.a., but duodenal infusion of HCl or hyperosmolar NaCl can initiate a premature duodenal r.s.a. via the vagus nerves.

摘要

通过X射线造影和对慢性植入电极进行肌电图检查,在全胸段迷走神经切断术前和术后,对清醒绵羊的胃肠动力进行了研究。在17只接受研究的绵羊中,有15只在自然十二指肠规则尖峰活动(r.s.a.)后20分钟输注时,十二指肠输注0.5 - 3 mmol HCl(0.035 - 0.1 M - HCl)在1 - 7分钟内诱发了过早的十二指肠规则尖峰活动。皱胃pH值与移行性肌电复合波(m.m.c.)的任何阶段均无相关性。输注0.3 M - Tris缓冲液(pH 10.2)或0.1 M - NaHCO₃使十二指肠碱化,对m.m.c.的发生没有影响。十二指肠输注20 - 50 ml 0.5 M - NaCl在8只绵羊中的7只中,在1 - 5分钟内诱发了过早的十二指肠r.s.a.。迷走神经切断术并未阻止m.m.c.的起始或移行,但使十二指肠中r.s.a.的传播速度从40.5±7.2(平均值±平均值标准误)降至16.7±0.1 cm/min,空肠中从27.3±4.1降至16.6±0.8 cm/min,回肠近端从21.4±1.1降至13.7±0.7 cm/min。最初,r.s.a.的频率增加,尤其是在十二指肠,迷走神经切断术前其复发间隔为98.4±6.8分钟;迷走神经切断术后24小时内为23.4±1.8分钟;迷走神经切断术后2 - 3周,间隔延长至86.7±5.2分钟。在5只慢性迷走神经切断的绵羊中,十二指肠输注HCl未诱发过早的十二指肠r.s.a.,在3只中十二指肠输注高渗NaCl也未诱发。结论是,迷走神经有助于调节绵羊m.m.c.的频率和传播;十二指肠酸化并非r.s.a.起始的必要条件,也不是其正常刺激因素,但十二指肠输注HCl或高渗NaCl可通过迷走神经诱发过早的十二指肠r.s.a.。

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