电刺激对胃肠道运动的影响

T. Kumagai
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引用次数: 0

摘要

采用肌电图和电影荧光摄影技术研究了人体胃肠道对10、100或1000 c/s方波的静脉、腔内或经皮电刺激反应。得到了以下结果:5伏5秒的内源性刺激引起了充分的局部兴奋,但兴奋并没有扩展到整个肠道。2 .在刺激过程中,受刺激部分肠呈现痉挛状态,随后呈现无原子状态,并持续5 ~ 10分钟。3 .腔内刺激激活了整个胃肠道的运动,受刺激部分的原子状态持续1分钟。有效的经皮刺激条件需要至少20伏特和15倍以上的频率才能充分刺激。刺激后约10分钟出现最大激发,10 ~ 100 c/s比1000 c/s更有效。对剖腹手术患者进行100 c/s、20伏、10秒的腔内刺激。实验结果表明,该方法对术后肠麻痹的治疗是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
INFLUENCE OF ELECTRIC STIMULATION FOR THE MOVEMENT OF GASTROINTESTINAL TRACT
Response of the human gastrointestinal tract for the electric stimulation which was given intramurally, intraluminally or percutaneously using square waves of 10, 100 or 1, 000 c/s was studied by electromyography and cinefluorography.The following results were obtained.1. The stimuli of 5 volts for 5 seconds given intramurally caused sufficient local excitation, though the excitation did not extend to the entire intestinal tract.2. The stimulated part of the intestine showed a spastic state during the stimulation, and an atonic state followed it and continued for 5 to 10 minutes under cinefluorography.3. The intraluminal stimulation activated the movement of the entire gastrointestinal tract and the atonic state of the stimulated part lasted for one minute.4. The condition of the effective percutaneous stimulation required at least 20 volts and more than 15 times in frequency for sufficient excitation.5. Maximum excitation was observed about 10 minutes after the stimulation and it was obtained more effectively under the condition of 10 to 100 c/s than 1, 000 c/s.6. The intraluminal stimulation of 100 c/s, 20 volts and 10 seconds was performed on the laparotomized patients. From this experiment, it was revealed that this procedure was effective in the treatment of the postoperative intestinal paralysis.
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