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磁刺激对直肠机电活动的影响:一项实验研究。

Effect of magnetic stimulation on the electromechanical activity of the rectum: an experimental study.

作者信息

Shafik A

机构信息

Department of Surgery and Experimental Research, Faculty of Medicine, Cairo University, Egypt.

出版信息

J Invest Surg. 2000 Mar-Apr;13(2):103-10. doi: 10.1080/089419300272140.

Abstract

We recently studied the effect of sacral magnetic stimulation (MS) on the rectal mechanical activity. The current communication investigates its effect on the rectal electric activity. Twelve mongrel dogs (weight 15.2 +/- 3.2 kg, 7 male, 5 female) were anesthetized, the abdomen was opened, and three electrodes were sutured to the rectal serosa. The rectal pressure was recorded by a manometric catheter. The effect of sacral MS on the rectal electric activity and pressure was recorded before and after anesthetization of the sacral skin. Stimulation parameters were set at 70% intensity, 20 Hz frequency, and 1 to 5 s burst activity. Sacral MS of the empty and full rectum effected a significant increase of the rectal electric activity and pressure as well as a decrease of the rectal neck (anal canal) pressure. MS of the anesthetized sacral skin produced no significant changes in the rectal electromechanical activity or the anal canal pressure. MS of the saline-injected sacral skin produced rectal and anal changes similar to those without saline injection. In conclusion, MS presumably produces its effect on the rectum by increasing the rectal electric activity. It might provide a more convenient method for rectal evacuation than electrostimulation through implanted electrodes. The procedure is simple, easy, and noninvasive.

摘要

我们最近研究了骶神经磁刺激(MS)对直肠机械活动的影响。本通讯研究其对直肠电活动的影响。12只杂种犬(体重15.2±3.2千克,7只雄性,5只雌性)麻醉后打开腹腔,将三个电极缝合到直肠浆膜上。用测压导管记录直肠压力。在骶部皮肤麻醉前后记录骶神经磁刺激对直肠电活动和压力的影响。刺激参数设置为强度70%、频率20赫兹、爆发活动1至5秒。对空直肠和充盈直肠进行骶神经磁刺激均使直肠电活动和压力显著增加,同时直肠颈部(肛管)压力降低。对麻醉的骶部皮肤进行磁刺激未使直肠机电活动或肛管压力发生显著变化。对注入生理盐水的骶部皮肤进行磁刺激产生的直肠和肛门变化与未注入生理盐水时相似。总之,骶神经磁刺激可能通过增加直肠电活动对直肠产生作用。与通过植入电极进行电刺激相比,它可能为直肠排空提供一种更便捷的方法。该操作简单、易行且无创。

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