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妊娠对胃肠转运的影响。

Effect of pregnancy on gastrointestinal transit.

作者信息

Wald A, Van Thiel D H, Hoechstetter L, Gavaler J S, Egler K M, Verm R, Scott L, Lester R

出版信息

Dig Dis Sci. 1982 Nov;27(11):1015-8. doi: 10.1007/BF01391748.

DOI:10.1007/BF01391748
PMID:7140485
Abstract

In order to evaluate the possible effects of pregnancy-associated sex steroids on gastrointestinal function, we determined gastrointestinal transit times and sex steroid levels in 15 women during the third trimester of their pregnancies and again 4--6 weeks following delivery when gastrointestinal function had symptomatically returned to normal. Gastrointestinal transit time from ingestion of a liquid lactulose meal to its delivery to the cecum was determined by monitoring breath hydrogen concentrations at 10-min intervals. Gastrointestinal transit times were significantly prolonged in the third trimester of pregnancy, when progesterone and estradiol levels were increased, compared to the postpartum period. This study supports previous findings which suggest that increasing levels of progesterone and estradiol affect gastrointestinal function and therefore may contribute to gastrointestinal symptoms that often occur in pregnant women.

摘要

为了评估妊娠相关性激素对胃肠功能的可能影响,我们测定了15名妇女在妊娠晚期以及产后4 - 6周(此时胃肠功能在症状上已恢复正常)的胃肠转运时间和性激素水平。通过每隔10分钟监测呼气中氢气浓度来测定从摄入液体乳果糖餐到其到达盲肠的胃肠转运时间。与产后时期相比,妊娠晚期孕酮和雌二醇水平升高时,胃肠转运时间显著延长。这项研究支持了先前的研究结果,即孕酮和雌二醇水平的升高会影响胃肠功能,因此可能导致孕妇经常出现的胃肠道症状。

相似文献

1
Effect of pregnancy on gastrointestinal transit.妊娠对胃肠转运的影响。
Dig Dis Sci. 1982 Nov;27(11):1015-8. doi: 10.1007/BF01391748.
2
Gastrointestinal transit: the effect of the menstrual cycle.胃肠转运:月经周期的影响
Gastroenterology. 1981 Jun;80(6):1497-500.
3
Gastrointestinal transit time in human pregnancy: prolongation in the second and third trimesters followed by postpartum normalization.人类孕期的胃肠传输时间:妊娠中期和晚期延长,产后恢复正常。
Gastroenterology. 1985 Nov;89(5):996-9. doi: 10.1016/0016-5085(85)90199-4.
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Gastric emptying and orocecal transit time in pregnancy.孕期胃排空及口盲肠转运时间
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Postpartum restoration of pregnancy-induced cholecystoparesis and prolonged intestinal transit time.产后妊娠诱发的胆囊动力减弱及肠道传输时间延长的恢复
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The menstrual cycle has no effect on gastrointestinal transit time. Evaluation by means of the lactulose H2 breath test.月经周期对胃肠传输时间没有影响。采用乳果糖H2呼气试验进行评估。
Ital J Gastroenterol. 1992 Oct;24(8):449-51.
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Gastric emptying and gastrointestinal transit during lactation in rats.
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Effects of sex steroid hormones on gastric emptying and gastrointestinal transit in rats.性类固醇激素对大鼠胃排空和胃肠转运的影响。
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Progesterone and estrogen are potential mediators of gastric slow-wave dysrhythmias in nausea of pregnancy.孕酮和雌激素是妊娠恶心时胃慢波节律失常的潜在介质。
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本文引用的文献

1
Heartburn in late pregnancy. Manometric studies of esophageal motor function.妊娠晚期烧心。食管运动功能的测压研究。
J Clin Invest. 1961 Jun;40(6):954-70. doi: 10.1172/JCI104335.
2
Effects of pregnancy and contraceptive steroids on gallbladder function.妊娠和避孕类固醇对胆囊功能的影响。
N Engl J Med. 1980 Feb 14;302(7):362-4. doi: 10.1056/NEJM198002143020702.
3
Gastrointestinal transit: the effect of the menstrual cycle.胃肠转运:月经周期的影响
妊娠期胃排空及其临床意义:一篇叙述性综述。
Br J Anaesth. 2025 Jan;134(1):124-167. doi: 10.1016/j.bja.2024.09.005. Epub 2024 Oct 22.
4
Clinical Findings of Infections with a Special Focus on Bone Localizations.特别关注骨定位感染的临床发现
Microorganisms. 2024 Jan 16;12(1):178. doi: 10.3390/microorganisms12010178.
5
Clinical Features and Antibiotic Treatment of Neonatal Listeriosis: A Hospital-Based Study.新生儿李斯特菌病的临床特征与抗生素治疗:一项基于医院的研究
Infect Drug Resist. 2023 Oct 11;16:6647-6659. doi: 10.2147/IDR.S431402. eCollection 2023.
6
Prevalence and severity of bowel disorders in the third trimester of pregnancy.妊娠晚期肠道疾病的患病率及严重程度
AJOG Glob Rep. 2023 May 17;3(3):100218. doi: 10.1016/j.xagr.2023.100218. eCollection 2023 Aug.
7
Intestinal permeability and peripheral immune cell composition are altered by pregnancy and adiposity at mid- and late-gestation in the mouse.在妊娠中期和晚期,肠道通透性和外周免疫细胞组成会因怀孕和肥胖而发生改变。
PLoS One. 2023 Aug 7;18(8):e0284972. doi: 10.1371/journal.pone.0284972. eCollection 2023.
8
Optimizing Pharmacology Studies in Pregnant and Lactating Women Using Lessons From HIV: A Consensus Statement.优化孕妇和哺乳期妇女的药理学研究:从 HIV 中吸取的经验教训:共识声明。
Clin Pharmacol Ther. 2021 Jul;110(1):36-48. doi: 10.1002/cpt.2048. Epub 2020 Oct 15.
9
Perioperative fasting and feeding in adults, obstetric, paediatric and bariatric population: Practice Guidelines from the Indian Society of Anaesthesiologists.成人、产科、儿科及肥胖症患者围手术期禁食与进食:印度麻醉医师协会实践指南
Indian J Anaesth. 2020 Jul;64(7):556-584. doi: 10.4103/ija.IJA_735_20. Epub 2020 Jul 1.
10
Epidemiology and Clinical Manifestations of Infection.感染的流行病学和临床表现。
Microbiol Spectr. 2019 May;7(3). doi: 10.1128/microbiolspec.GPP3-0014-2018.
Gastroenterology. 1981 Jun;80(6):1497-500.
4
Gallbladder emptying during the normal menstrual cycle. A cholecystographic study.正常月经周期中的胆囊排空:一项胆囊造影研究
Acta Chir Scand. 1967;133(8):648-52.
5
Heartburn in pregnancy--a manometric study.妊娠期胃灼热——一项测压研究。
Can Med Assoc J. 1968 Mar 23;98(12):571-4.
6
Radioimmunoassay of plasma progesterone.血浆孕酮的放射免疫测定
J Clin Endocrinol Metab. 1971 May;32(5):619-24. doi: 10.1210/jcem-32-5-619.
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Time course of serum estrogen and luteinizing hormone (LH) concentrations during the menstrual cycle of the rhesus monkey.恒河猴月经周期中血清雌激素和促黄体生成素(LH)浓度的时间进程。
Endocrinology. 1971 Jul;89(1):177-83. doi: 10.1210/endo-89-1-177.
8
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Gastroenterology. 1976 Aug;71(2):232-4.
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Lower sphincter of the opossum esophagus in pseudopregnancy.负鼠食管下括约肌在假孕状态下的情况。
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Altered lower esophageal sphincter function during early pregnancy.妊娠早期食管下括约肌功能改变。
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