Leung F W, Guth P H, Scremin O U, Golanska E M, Kauffman G L
Gastroenterology. 1984 Jul;87(1):28-36.
Hydrogen gas clearance using 3% hydrogen in air and platinum contact electrodes was employed for measuring antral and corpus mucosal blood flow in anesthetized animals. Significantly greater antral than corpus mucosal blood flow was consistently demonstrated. Corpus but not antral mucosal blood flow showed a significant dose-related increase with intravenous pentagastrin. Vasopressin induced a significant dose-related decrease in both antral and corpus mucosal blood flow. Simultaneous measurement of basal corpus mucosal blood flow by hydrogen gas clearance and of gastric mucosal blood flow by aminopyrine clearance gave similar values, but the changes with intravenous pentagastrin or vasopressin measured by aminopyrine clearance were of a much higher order of magnitude. Hydrogen gas clearance, however, reflected changes in left gastric artery blood flow much more closely than did aminopyrine clearance. Therefore, we conclude that the hydrogen gas clearance technique as described is valid for measuring regional gastric mucosal blood flow. It is safe and has potential application in human studies.
采用含3%氢气的空气和铂接触电极进行氢气清除法,以测量麻醉动物的胃窦和胃体黏膜血流量。结果始终显示,胃窦黏膜血流量显著高于胃体。静脉注射五肽胃泌素后,胃体而非胃窦的黏膜血流量呈现显著的剂量相关性增加。血管加压素导致胃窦和胃体黏膜血流量均出现显著的剂量相关性降低。通过氢气清除法同步测量基础胃体黏膜血流量以及通过氨基比林清除法测量胃黏膜血流量,得到的数值相似,但通过氨基比林清除法测量的静脉注射五肽胃泌素或血管加压素后的变化幅度要高得多。然而,氢气清除法比氨基比林清除法更能准确反映胃左动脉血流量的变化。因此,我们得出结论,所述的氢气清除技术可有效测量局部胃黏膜血流量。它安全且在人体研究中有潜在应用价值。