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葡萄糖对人体头迷走神经刺激胃酸分泌的影响。

Influence of glucose on cephalic-vagal-stimulated gastric acid secretion in man.

作者信息

Moore J G, Crespin F

出版信息

Dig Dis Sci. 1980 Feb;25(2):117-22. doi: 10.1007/BF01308309.

DOI:10.1007/BF01308309
PMID:7353458
Abstract

Gastric acid secretion was stimulated by the preparation and anticipation of a self-selected meal in five healthy male subjects. The purpose of the investigation was to determine whether intravenous (IV) or intraduodenally (ID) administered glucose solution given during the test hour of meal preparation and anticipation altered psychically stimulated acid secretion. Each subject had seven self-selected meals and received in a randomized, blinded manner the following IV or ID solutions during the test hour: IV normal saline (200 ml/hr and 1000 ml/hr; N = 2); IV glucose, 10 g (200 ml/hr, 5% D/W; N = 1); IV glucose, 25 g (250 ml/hr, 10% D/W; N = 1); IV glucose, 100 g (1000 ml/hr 10% D/W: N = 1); ID normal saline (1000 ml/hr; N = 1) and ID glucose, 30-100 g (600-2000 ml/hr, 5% D/W; N = 1). Analysis of results revealed that only ID glucose significantly inhibited psychically stimulated acid secretion at doses and resultant plasma glucose concentrations considered physiological.

摘要

在五名健康男性受试者中,自行选择的餐食的准备和预期会刺激胃酸分泌。本研究的目的是确定在餐食准备和预期的测试时间内静脉注射(IV)或十二指肠内(ID)给予葡萄糖溶液是否会改变精神刺激引起的胃酸分泌。每位受试者有七次自行选择的餐食,并在测试时间内以随机、盲法的方式接受以下静脉或十二指肠内溶液:静脉注射生理盐水(200毫升/小时和1000毫升/小时;N = 2);静脉注射葡萄糖10克(200毫升/小时,5%葡萄糖水溶液;N = 1);静脉注射葡萄糖25克(250毫升/小时,10%葡萄糖水溶液;N = 1);静脉注射葡萄糖100克(1000毫升/小时,10%葡萄糖水溶液:N = 1);十二指肠内注射生理盐水(1000毫升/小时;N = 1)和十二指肠内注射葡萄糖30 - 100克(600 - 2000毫升/小时,5%葡萄糖水溶液;N = 1)。结果分析显示,仅十二指肠内注射葡萄糖在被认为是生理剂量和由此产生的血浆葡萄糖浓度下能显著抑制精神刺激引起的胃酸分泌。

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Influence of glucose on cephalic-vagal-stimulated gastric acid secretion in man.葡萄糖对人体头迷走神经刺激胃酸分泌的影响。
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引用本文的文献

1
Inhibitory effect of intragastric glucose on gastric acid secretion and gastric emptying of liquids in man. Role of endogenous somatostatin, gastrin, and insulin.胃内葡萄糖对人体胃酸分泌及液体胃排空的抑制作用。内源性生长抑素、胃泌素和胰岛素的作用。
Dig Dis Sci. 1983 Jun;28(6):502-6. doi: 10.1007/BF01308151.
2
Gastric secretion in massive obesity. Evidence for abnormal response to vagal stimulation.重度肥胖患者的胃分泌。对迷走神经刺激反应异常的证据。
Dig Dis Sci. 1987 Sep;32(9):968-72. doi: 10.1007/BF01297185.

本文引用的文献

1
Undissociated acidity of human gastric juice. Measurement and relationship to protein buffers.人胃液的未解离酸度。测量及其与蛋白质缓冲剂的关系。
Gastroenterology. 1970 Mar;58(3):345-51.
2
Psychic control of gastric acid: response to anticipated feeding and biofeedback training in a man.胃酸的心理控制:一名男性对预期进食和生物反馈训练的反应
Gastroenterology. 1974 May;66(5):954-9.
3
Gastric acid suppression by intravenous glucose solutions.静脉输注葡萄糖溶液对胃酸的抑制作用。
Gastroenterology. 1973 Jun;64(6):1106-10.
4
The neuroendocrine design of the gut. The play of chemicals in a chemical playground.肠道的神经内分泌结构。化学物质在化学天地里的相互作用。
Gastroenterology. 1974 Jul;67(1):159-84.
5
Inhibition of histamine-, pentagastrin-, and insulin-stimulated canine gastric secretion by pure "gastric inhibitory polypeptide".纯“胃抑制多肽”对组胺、五肽胃泌素和胰岛素刺激的犬胃分泌的抑制作用。
Gastroenterology. 1972 Mar;62(3):393-400.
6
The effect of acute hyperglycemia on meal-stimulated gastric, biliary, and pancreatic secretion, and serum gastrin.急性高血糖对进餐刺激的胃、胆汁和胰腺分泌以及血清胃泌素的影响。
Gastroenterology. 1976 Feb;70(2):197-202.
7
The effect of intravenous glucose on pentagastrin-induced gastric acid secretion in man.静脉注射葡萄糖对人五肽胃泌素诱导胃酸分泌的影响。
Acta Chir Scand. 1975;141(4):289-91.
8
Studies on the mechanisms of food-stimulated gastric acid secretion in normal human subjects.关于正常人体受试者食物刺激胃酸分泌机制的研究。
J Clin Invest. 1976 Sep;58(3):623-31. doi: 10.1172/JCI108509.
9
Studies on the role of cephalic-vagal stimulation in the acid secretory response to eating in normal human subjects.关于头迷走神经刺激在正常人体进食时胃酸分泌反应中作用的研究。
J Clin Invest. 1977 Aug;60(2):435-41. doi: 10.1172/JCI108793.
10
Gastric secretory and humoral responses to anticipated feeding in five men.五名男性对预期进食的胃分泌和体液反应。
Gastroenterology. 1979 Jan;76(1):71-5.