Heitkemper M M, Bond E F
Department of Physiological Nursing, University of Washington, Seattle.
West J Nurs Res. 1995 Feb;17(1):9-19; discussion 101-11. doi: 10.1177/019394599501700102.
Gastrointestinal (GI) symptoms suggestive of altered motility vary with menstrual cycle phase and menopause, but the effects of ovarian hormones on gastric motility have not been described. Basal and stimulated gastric motility were studied in male and female rats that were ovariectomized and implanted with continuous-release progesterone and/or estrogen pellets. Following 26 days of hormone treatment, rats were implanted with a gastric tension transducer. Contractile activity was recorded, then thyrotropin-releasing hormone (TRH) or saline was injected intracisternally and motility was monitored. An index was calculated based on frequency and amplitude; response to TRH was expressed as percentage of the basal index. Basal contraction frequency was highest in the estrogen and estrogen+progesterone groups. Hormone treatment significantly affected the TRH-stimulated motility index; TRH induced increased motility in all groups, with larger, more sustained responses in vehicle, progesterone, and male groups. Results demonstrate the ovarian hormone modulation of basal and stimulated gastric motility. Such modulation may contribute to changes in GI symptoms with altering ovarian hormone state.
提示运动功能改变的胃肠道(GI)症状会随月经周期阶段和绝经状态而变化,但卵巢激素对胃动力的影响尚未见描述。对切除卵巢并植入持续释放孕酮和/或雌激素微丸的雄性和雌性大鼠的基础和刺激胃动力进行了研究。在激素治疗26天后,给大鼠植入胃张力换能器。记录收缩活动,然后经脑池内注射促甲状腺激素释放激素(TRH)或生理盐水,并监测胃动力。根据频率和振幅计算出一个指数;对TRH的反应以基础指数的百分比表示。基础收缩频率在雌激素组和雌激素+孕酮组中最高。激素治疗显著影响TRH刺激的动力指数;TRH在所有组中均诱导胃动力增加,在溶剂对照组、孕酮组和雄性组中反应更大、更持久。结果表明卵巢激素对基础和刺激胃动力有调节作用。这种调节可能导致胃肠道症状随卵巢激素状态改变而变化。