迷走神经切开术前后胃电活动的起搏

M. Kuramoto, T. Kuwashima, T. Fukuda, K. Morishita, R. Konegawa, M. Kawauchi, N. Komi
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引用次数: 0

摘要

对6只正常犬和3只处于意识状态的胃迷走神经切除犬进行了胃电活动的起搏。以1 ~ 30V振幅、5 ~ 100毫秒的单次矩形电流刺激胃壁。持续时间。在基本电节律的一个周期的最佳时段,通过刺激电极给予电刺激,可以诱发过早的电活动。以最佳频率重复刺激可建立起搏。诱发电活动向外和向内传播。诱发的活动在刺激后立即向外传播,而向外传播则需要一定的延迟时间。正常禁食犬的最大驱动频率(MDF)为6.8-9.5 cycles/min。每只狗的MDF不同。空腹时MDF值高于进食后,胃窦刺激产生的MDF高于胃体刺激。胃电活动频率越高,其相位滞后越大。迷走神经切开术后,胃电活动的牵引方式与前迷走神经切开术不同。主要是在禁食时,观察到一种现象,尽管停止了刺激,电诱发的活动在几分钟内保持在相同的频率,就好像刺激一直在继续一样。迷走神经切断术后,空腹状态下由窦区刺激获得的MDF明显高于断路前。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PACING OF THE GASTRIC ELECTRICAL ACTIVITIES BFEORE AND AFTER VAGOTOMY
Pacing of the gastric electrical activities was carried out in six normal dogs and three gastric vagotomized dogs in the conscious state . The gastric wall was stimulated by a single rectangular current of 1 to 30V amplitude with 5 to 100 msec. duration. A premature electrical activity could be evoked by giving the electrical stimulation through a stimulating electrode in an optimal period of one cycle in the basic electrical rhythm. Pacing could be established by repeating the stimulation with the optimal frequencies. The evoked electrical activities propagated both aborad and orad directions. The evoked activities were propagated aboradly immediatly after stimulation, while the orad propagation occured following a certain period of delay . Maximum driven frequencies (MDF) obtained from antral stimulation in the normal fasting dogs were 6.8-9.5 cycles/min. MDF were varied in each dog. The values of MDF in the fasting state were higher than those after feeding, and gastric antral stimulation generated higher MDF than gastric corpus stimulation . When the gastric electrical activities were paced in higher frequencies, the phase lag among them were increased. After vagotomy, the manner of entrainment of the gastric electrical activities was different from that of prevagotomy. Chiefly in fasting, a phenomena was observed , in which despite of ceasing the stimulation, the electrically evoked activities were remained in the same frequencies for a few minutes as if the stimulation was kept on. The MDF obtained from antral stimulation in the fasting state after vagotomy were higher than those before vagotomy.
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