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中华消化病与影像杂志(电子版) ›› 2020, Vol. 10 ›› Issue (05) : 214 -219. doi: 10.3877/cma.j.issn.2095-2015.2020.05.006

所属专题: 文献

综述

低温环境对胃肠功能的影响及改善措施
刘同亭1,(), 吕倩2, 韩玮3, 袁静4, 魏巍3, 许林3   
  1. 1. 250031 济南,联勤保障部队第九六〇医院
    2. 250014 济南,山东中医药大学第一临床医学院
    3. 250031 济南,联勤保障部队第九六〇医院卫勤部
    4. 250031 济南,联勤保障部队第九六〇医院信息科
  • 收稿日期:2020-08-03 出版日期:2020-10-01
  • 通信作者: 刘同亭
  • 基金资助:
    联勤保障部队军事理论科研项目(19LBJ10068)

Influence of low temperature on gastrointestinal function and improvement measures

Tongting Liu1,(), Qian Lyu2, Wei Han3, Jing Yuan4, Wei Wei3, Lin Xu3   

  1. 1. Chinese People's Liberation Army Joint Support Force the 960th Hospital, Jinan 250031, China
    2. First School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China
    3. Department of Health Services, Chinese People's Liberation Army Joint Support Force the 960th Hospital, Jinan 250031, China
    4. Department of Information, Chinese People's Liberation Army Joint Support Force the 960th Hospital, Jinan 250031, China
  • Received:2020-08-03 Published:2020-10-01
  • Corresponding author: Tongting Liu
  • About author:
    Corresponding author: Liu Tongting, Email:
引用本文:

刘同亭, 吕倩, 韩玮, 袁静, 魏巍, 许林. 低温环境对胃肠功能的影响及改善措施[J]. 中华消化病与影像杂志(电子版), 2020, 10(05): 214-219.

Tongting Liu, Qian Lyu, Wei Han, Jing Yuan, Wei Wei, Lin Xu. Influence of low temperature on gastrointestinal function and improvement measures[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2020, 10(05): 214-219.

温区部队急进高寒地区边境作战期间,低温环境可对胃肠黏膜屏障、脑-肠轴、胃肠动力与胃肠电活动产生明显影响。本文主要对其作用机制进行综述,并提出非药物、药物及中医药等方面的改善措施,以期能够确保军人在高寒环境下作战效能。

During the period of the troops in warm area rush into the border of alpine area, the low temperature environment can have obvious influence on the gastrointestinal mucosal barrier, brain gut axis, gastrointestinal motility and gastrointestinal electric activity. This paper mainly discusses the mechanism of action, and puts forward the improvement measures of non-drugs, drugs and traditional Chinese medicine, so as to ensure the combat effectiveness of soldiers in the alpine environment.

1
曹伟,向导,罗贝贝.军事应激对官兵消化系统疾病影响的研究进展[J].中华航海医学与高气压医学杂志, 2019, 26(2): 163-167.
2
Blikslager AT, Moeser AJ, Gookin JL, et al. Restoration of barrier function in injured intestinal mucosa [J]. Physiol Rev, 2007, 87(2): 545-564.
3
Martens E, Neumann M, Desai M. Interactions of commensal and pathogenic microorganisms with the intestinal mucosal barrier [J]. Nat Rev Microbiol, 2018, 16(8): 457-470.
4
欧珠美朵,马洪升.冷束缚应激状态下大鼠内源性糖皮质激素与肠屏障功能损害的关系[J].胃肠病学和肝病学志, 2010, 19(3): 261-264.
5
郑仕清,洪旭东,陈甜胜,等.半胱氨酸天冬氨酸蛋白酶1抑制剂VX765对冷束缚诱导小鼠急性胃溃疡的作用[J].中华烧伤杂志, 2017, 33(11): 688-693.
6
Pimentel M, Lembo A. Microbiome and its role in irritable bowel syndrome [J]. Dig Dis Sci, 2020, 65(3): 829-839.
7
Lee HS, Kim DK, Kim YB, et al. Effect of acute stress on immune cell counts and the expression of tight junction proteins in the duodenal mucosa of rats [J]. Gut Liver, 2013, 7(2): 190-196.
8
郭椿,贺平.脑肠轴及其研究进展[J].世界最新医学信息文摘, 2017, 17(95): 89-91.
9
Butler MI, Cryan JF, Dinan TJ. Man and the microbiome: a new theory of everything? [J]. Annu Rev Clin Psychol, 2019, 15(1): 371-398.
10
Erin N, Ercan F, Yegen BC, et al. Role of capsaicin-sensitive nerves in gastric and hepatic injury induced by cold-restraint stress [J]. Dig Dis Sci, 2000, 45(9): 1889-1899.
11
Ren J, Gao J, Ojeas H, et al. Involvement of capsaicin-sensitive sensory neurons in stress-induced gastroduodenal mucosal injury in rats [J]. Dig Dis Sci, 2000, 45(4): 830-836.
12
Fan F, Li L, Liu W, et al. Astrocytes and neurons in locus coeruleus mediate restraint water immersion stress-induced gastric mucosal damage through the ERK1/2 signaling pathway [J]. Neurosci Lett, 2018, 675: 95-102.
13
Zhao DQ, Gong SN, Ma YJ, et al. Medial prefrontal cortex exacerbates gastric dysfunction of rats upon restraint water-immersion stress [J]. Mol Med Rep, 2019, 20(3): 2303-2315.
14
Sun H, Zhao P, Liu W, et al. Ventromedial hypothalamic nucleus in regulation of stress-induced gastric mucosal injury in rats [J]. Sci Rep, 2018, 8(1): 10170.
15
Albert-Bayo M, Paracuellos I, González-Castro AM, et al. Intestinal mucosal mast cells: key modulators of barrier function and homeostasis [J]. Cells, 2019, 8(2): 135.
16
杨垂勋,屠伟峰,安裕文.舒芬太尼预处理对冷水束缚应激大鼠血浆促肾上腺皮质激素释放因子的影响[J].实用医学杂志, 2010, 26(18): 3299-3301.
17
Nakade Y, Fukuda H, Iwa M, et al. Restraint stress stimulates colonic motility via central corticotropin-releasing factor and peripheral 5-HT3 receptors in conscious rats [J]. Am J Physiol Gastrointest Liver Physiol, 2007, 292(4): G1037-G1044.
18
Shen GM, Zhou MQ, Xu GS, et al. Role of vasoactive intestinal peptide and nitric oxide in the modulation of electroacupucture on gastric motility in stressed rats [J]. World J Gastroenterol, 2006, 12(38): 6156-6160.
19
蔡莹,刘柏炎,蔺晓源,等.寒冷-束缚应激法对小鼠胃肠功能影响的实验研究[J].中国中西医结合消化杂志, 2011, 19(1): 26-28.
20
Xu Y, Jia J, Xie C, et al. Transient receptor potential ankyrin 1 and substance P mediate the development of gastric mucosal lesions in a water immersion restraint stress rat model [J]. Digestion, 2018, 97(3): 228-239.
21
薛静,马林儒,李文荣,等.冷浴刺激对胃电图影响的观察[J].临床消化病杂志, 2000, 12(3): 114-115.
22
王俊新,李伟.寒区军队医院建设发展挑战[J].解放军医院管理杂志, 2019, 26(10): 979-980.
23
Ma G, Hu P, Zhang B, et al. Transcutaneous electrical acustimulation synchronized with inspiration improves gastric accommodation impaired by cold stress in healthy subjects [J]. Neurogastroenterol Motil, 2019, 31(2): e13491.
24
Cantorna MT, Snyder L, Arora J. Vitamin A and vitamin D regulate the microbial complexity, barrier function, and the mucosal immune responses to ensure intestinal homeostasis [J]. Crit Rev Biochem Mol Biol, 2019, 54(2): 184-192.
25
An JM, Kang EA, Han YM, et al. Dietary threonine prevented stress-related mucosal diseases in rats [J]. J Physiol Pharmacol, 2019, 70(3): 467-478.
26
Xie W, Huang X, Chen R, et al. Esomeprazole alleviates the damage to stress ulcer in rats through not only its antisecretory effect but its antioxidant effect by inactivating the p38 MAPK and NF-κB signaling pathways [J]. Drug Des Devel Ther, 2019, 13: 2969-2984.
27
Ercan S, Ozer C, Murat T, et al. Effects of leptin on stress-induced changes of caspases in rat gastric mucosa [J]. J Gastroenterol, 2007, 42(6): 461-468.
28
Yu C, Mei XT, Zheng YP, et al. Taurine zinc solid dispersions protect against cold-restraint stress-induced gastric ulceration by upregulating HSP70 and exerting an anxiolytic effect [J]. Eur J Pharmacol, 2015, 762: 63-71.
29
Morsy MA, Heeba GH, Abdelwahab SA, et al. Protective effects of nebivolol against cold restraint stress-induced gastric ulcer in rats: role of NO, HO-1, and COX-1, 2 [J]. Nitric Oxide, 2012, 27(2): 117-122.
30
Elsaed WM, Alahmadi AM, Al-Ahmadi BT, et al. Gastroprotective and antioxidant effects of fluvoxamine on stress-induced peptic ulcer in rats [J]. J Taibah Univ Med Sci, 2018, 13(5): 422-431.
31
Chen CY, Kuo TL, Sheu SY, et al. Preventive effects of Chinese herb chai-hu-gui-zhi-tang extract on water immersion restraint stress-induced acute gastric ulceration in rats [J]. J Vet Med Sci, 2010, 72(6): 679-685.
32
Zhang N, Song G, Chen J, et al. Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves [J]. J Gastroenterol Hepatol, 2015, 30(11): 1574-1581.
33
李婧婷,关翰宇,马佳佳,等.艾灸对应激性胃溃疡大鼠血清及脑中促肾上腺皮质激素释放激素及促肾上腺皮质激素含量的影响[J].针刺研究, 2019, 44(5): 347-351.
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