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肠易激综合征发病机制研究新进展 被引量:20
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作者 黄文伟 周福生 《广州中医药大学学报》 CAS 2006年第1期85-88,共4页
综述了肠易激综合征(irritable bowel syndrome,IBS)的流行病学情况和近年来对其病因和发病机制的认识,指出目前研究IBS的前提假设是该病起于胃肠动力学的改变和以内脏传入神经传递变化为主导的心理异常,但近年来研究显示IBS 的发病与... 综述了肠易激综合征(irritable bowel syndrome,IBS)的流行病学情况和近年来对其病因和发病机制的认识,指出目前研究IBS的前提假设是该病起于胃肠动力学的改变和以内脏传入神经传递变化为主导的心理异常,但近年来研究显示IBS 的发病与内脏高敏性异常有关,并从脑一肠轴方面进行了一些研究。至今该病的病因和发病机理尚未明确,传统西药的治疗仅旨在缓解排便习惯改变出现的症状,效果不很理想。近年来,许多学者的研究发现中医学的整体观更有利于对IBS病因和发病机制的认识,中药在改善IBS症状方面有一定的优势,值得进一步研究。 展开更多
关键词 结肠 功能性/流行病学 结肠 功能性/病因学 结肠疾痛 功能性/中医疗法 综述 指导性
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Establishment of model of visceral pain due to colorectal distension and its behavioral assessment in rats 被引量:7
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作者 Jian-Ping Yang Ming Yao +1 位作者 Xing-Hong Jiang Li-Na Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第17期2781-2784,共4页
AIM: To establish a visceral pain model via colorectal distension (CRD) and to evaluate the efficiency of behavioral responses of CRD by measuring the score of abdominal withdrawal reflex (AWR) in rats. METHODS:... AIM: To establish a visceral pain model via colorectal distension (CRD) and to evaluate the efficiency of behavioral responses of CRD by measuring the score of abdominal withdrawal reflex (AWR) in rats. METHODS: Thirty-eight male SD rats weighing 180-240g were used to establish the visceral pain model. The rat was inserted intra-anally with a 7 cm long flexible latex balloon under ether anesthesia, and colorectal distensions by inflating the balloon with air were made 30 min after recovering from the anesthesia. Five AWR scores (AWR0 to AWR4) were used to assess the intensity of noxious visceral stimuli. It was regarded as the threshold of the minimal pressure (kPa). For abdominal flatting was induced by colorectal distension. RESULTS: A vigorous AWR to distension of the descending colon and rectum was found in 100% of the awake rats tested. The higher the pressure of distension, the higher the score of AWR. The distension pressures of 0, 2.00, 3.33, 5.33 and 8.00 kPa produced different AWR scores (P〈0.05). The pain threshold of AWR was constant for up to 80 min after the initial windup (first 1-3 distensions), the mean threshold was 3.69±0.35 kPa. Systemic administration of morphine sulfate elevated the threshold of visceral pain in a dosedependent and naloxone reversible manner. CONCLUSION: Scoring the AWR during colorectal distensions can assess the intensity of noxious visceral stimulus. Flatting of abdomen (AWR 3) to CRD as the visceral pain threshold is clear, constant and reliable. This pain model and its behavioral assessment are good for research on visceral pain and analgesics. 展开更多
关键词 Visceral pain Colorectal distension Rat behavior
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