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人类骶神经根中触觉、痛觉、膀胱及肛管传入神经以及α和γ运动神经元的传导速度和神经纤维直径。

Conduction velocities and nerve fibre diameters of touch, pain, urinary bladder and anal canal afferents and alpha and gamma-motoneurons in human dorsal sacral roots.

作者信息

Schalow G

机构信息

Ernst-Moritz-Arndt University Greifswald, (Neurosurgery, Anesthesiology), Germany.

出版信息

Electromyogr Clin Neurophysiol. 1991 Aug;31(5):265-96.

PMID:1915037
Abstract
  1. Single action potentials were recorded extracellularly at 2 sites from human sacral dorsal nerve roots, and their conduction time measured. Conduction velocity frequency distribution histograms were constructed from afferent and efferent nerve fibres. Conduction velocity distribution peaks could be identified from afferents of mechanoreceptors of the skin, the bladder, the anal canal, of stretch and flow receptors of the urinary bladder, from spindle afferents and from the 3 alpha (extrafusal) and 3 gamma-motoneuron (intrafusal) classes. The electrophysiologically measured roots were removed and morphometrically analysed. Nerve fibre diameter frequency distribution histograms were constructed with respect to 3 myelin sheath thickness ranges. Nerve fibre diameter distribution peaks could partly be correlated to the corresponding conduction velocity distribution peaks. 2. Identified nerve fibre classes, characterized by their group peak values of conduction velocity and fibre diameter were at about 36 degrees C (age 30 years): Spindle afferents: SP1 (60 msec-1/13.2 microns) SP2 (50/12.0?); touch afferents: TO (49 msec-1/13.0 microns), T1 (44/11.2), T2 (39/10.1), T3 (31/9.1), T4 (20/8.3); pain afferents: P (13 msec-1/?); mucosa touch afferents from bladder and anal canal: M (12.5 msec-1/?); bladder afferents from stretch receptors measuring probably mural tension: S1 (42.5 msec-1/?), ST (38/?) and from flow receptors: S2 (12.5/?); alpha-motoneurons: alpha 1 (60 msec-1/13.1 microns) [FF], alpha 11 (?/12.0) [F (int)], alpha 2 (50/10.2) [FR], alpha 3 (37/8.3) [S]; gamma-motoneurons: gamma beta (27 msec-1/7.2 microns), gamma 1 (20/6.7), gamma 2 (15/6.2). 3. Because of the strong temperature dependence of the conduction velocities a calibration of the structure of the velocities, which was almost independent of temperature, is defined by the condition that the alpha 2-motoneurons have the same peak conduction velocity then the secondary spindle afferents (SP2); the T1 touch afferents have about 10% lower velocity values. 4. Touch afferents and alpha-motoneurons had a different velocity-diameter relation, which indicated differences in the myelin sheath thickness and/or membrane properties. The conduction velocities of the touch afferents were more temperature-dependent than those of the alpha-motoneurons. Within the classes of touch afferents and alpha-motoneurons the temperature dependence increased towards smaller class peak values. 5. Through the use of action potential wave form comparisons it was possible to identify action potentials from single nerve fibres in each class of touch afferents (T0 to T4). Activity patterns of single touch units could partly be analysed.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在人骶背神经根的两个部位细胞外记录单动作电位,并测量其传导时间。根据传入和传出神经纤维构建传导速度频率分布直方图。从皮肤、膀胱、肛管的机械感受器传入纤维、膀胱的牵张和流量感受器传入纤维、肌梭传入纤维以及3类α(梭外)和3类γ运动神经元(梭内)中,可以识别出传导速度分布峰值。将电生理测量的神经根取出并进行形态学分析。针对3个髓鞘厚度范围构建神经纤维直径频率分布直方图。神经纤维直径分布峰值部分与相应的传导速度分布峰值相关。2. 以传导速度和纤维直径的组峰值为特征识别出的神经纤维类别,在约36摄氏度(30岁年龄)时如下:肌梭传入纤维:SP1(60米/秒/13.2微米),SP2(50/12.0?);触觉传入纤维:TO(49米/秒/13.0微米),T1(44/11.2),T2(39/10.1),T3(31/9.1),T4(20/8.3);痛觉传入纤维:P(13米/秒/?);膀胱和肛管的黏膜触觉传入纤维:M(12.5米/秒/?);可能测量壁张力的膀胱牵张感受器传入纤维:S1(42.5米/秒/?),ST(38/?)以及流量感受器传入纤维:S2(12.5/?);α运动神经元:α1(60米/秒/13.1微米)[快疲劳型],α11(?/12.0)[慢疲劳型(中间型)],α2(50/10.2)[快反应型],α3(37/8.3)[慢反应型];γ运动神经元:γβ(27米/秒/7.2微米),γ1(20/6.7),γ2(15/6.2)。3. 由于传导速度对温度的强烈依赖性,通过α2运动神经元与次级肌梭传入纤维(SP2)具有相同的峰值传导速度,以及T1触觉传入纤维速度值约低10%这一条件,定义了几乎与温度无关的速度结构校准。4. 触觉传入纤维和α运动神经元具有不同的速度 - 直径关系,这表明髓鞘厚度和/或膜特性存在差异。触觉传入纤维的传导速度比α运动神经元更依赖温度。在触觉传入纤维和α运动神经元类别中,温度依赖性朝着较小的类别峰值增加。5. 通过使用动作电位波形比较,可以识别出每类触觉传入纤维(T0至T4)中单个神经纤维的动作电位。可以部分分析单个触觉单位的活动模式。(摘要截断于400字)

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