沙丁胺醇和心得安对狗胃泌素、组胺和餐后刺激酸和胃蛋白酶分泌的影响。

Acta hepato-gastroenterologica Pub Date : 1979-10-01
R F McCloy, V A Dawson, J H Baron
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引用次数: 0

摘要

将β 2肾上腺素能激动剂沙丁胺醇以0.05、0.1和0.2微克/公斤-分钟的剂量静脉滴注于意识清醒的胃瘘犬。沙丁胺醇抑制餐后刺激酸(用胃内滴定法测定)高达82%。沙丁胺醇对pentagastrin(高达88%)和组胺(高达52%)刺激的酸产生剂量相关的抑制作用。对组胺反应的胃蛋白酶分泌(而不是戊胃泌素)也被沙丁胺醇抑制。沙丁胺醇输注引起明显的心动过速,脉压升高,轻度高钾血症和高血糖。肾上腺素能拮抗剂普萘洛尔增强了戊胃泌素刺激的酸,抑制了餐后刺激的分泌。心得安可消除沙丁胺醇引起的心动过速,阻断沙丁胺醇对五宫泌酸的抑制作用。沙丁胺醇对狗体内酸的抑制作用进一步支持了胃中存在β 2-肾上腺素能受体的假设。
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The effect of salbutamol and propranolol on pentagastrin, histamine and meal-stimulated acid and pepsin secretion in the dog.

The beta 2 adrenergic agonist Salbutamol was infused intravenously in doses of 0.05, 0.1 and 0.2 microgram/kg-min in conscious dogs with gastric fistulae. Salbutamol inhibited meal-stimulated acid (measured with intragastric titration) by up to 82%. Salbutamol produced dose-related inhibition of acid stimulated by pentagastrin (up to 88%) and by histamine (up to 52%). Pepsin secretion in response to histamine (but not pentagastrin) was also inhibited by salbutamol. The salbutamol infusion caused a marked tachycardia, an increase in pulse pressure, slight hyperkalaemia and hyperglycaemia. The beta-adrenergic antagonist propranolol augmented pentagastrin-stimulated acid and inhibited meal-stimulated secretion. Propranolol abolished salbutamol - induced tachycardia, and blocked the inhibition by salbutamol of pentagastrin-stimulated acid. Salbutamol inhibition of acid in the dog provides further support for the hypothesis that there are beta 2-adrenergic receptors in the stomach.

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