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[躯体传入对下丘脑刺激所致心肌缺血抑制作用的脊髓机制]

[Spinal mechanism of the inhibitory effect of somatic input on the cardiac ischemia induced by hypothalamus stimulation].

作者信息

Zhu W J, Zhang R B

机构信息

Department of Physiology, Zhejiang Medical University, Hangzhou.

出版信息

Sheng Li Xue Bao. 1991 Apr;43(2):141-8.

PMID:2068583
Abstract

Experiments were carried out on 58 urethane-chloralose anaesthetized, gallamine triethiodide immobilized and vagotomized rabbits under artificial ventilation. Median nerve (MN) or deep peroneal nerve(DPN) stimulation could inhibit completely or partially the deflection of ischemic ECG ST segment due to stimulation of dorsomedial hypothalamic nucleus (DMH). The inhibitory effect of MN stimulation was more marked than that of DPN stimulation. Intrathecal injection (ith) of morphine (40 micrograms) could also inhibit these ischemic ECG ST segment changes. After ith naloxone (20 micrograms), the inhibitory effect of MN stimulation on DMH stimulation-induced ischemic ECG ST segment changes was abolished. In intact rabbits, it was demonstrated that L-enkephalin (LENK) immunoreactive material was increased in the left or right intermediolateral cell column (IML) of T2-5 spinal cord after stimulation of left MN or DPN for five minutes. In the Cl transected rabbits, stimulation of MN only increased ipsilateral LENK immunoreactive material content in the thoracic IML, while stimulation of DPN produced no such an effect. These results indicate that stimulation of MN or DPN can inhibit cardiac ischemia induced by DMH stimulation and that the effect of MN stimulation is more potent. The inhibitory effects may be mediated by an increase of LENK immunoreactive material in the bilateral IML produced through some supraspinal mechanisms; whereas the effect of MN stimulation may also be mediated by an increase of ipsilateral spinal LENK immunoreactive material in the thoracic IML through segmental mechanism to inhibit the sympathetic activity.

摘要

在58只经乌拉坦 - 氯醛糖麻醉、三碘季铵酚制动并切断迷走神经的家兔上进行人工通气下的实验。刺激正中神经(MN)或腓深神经(DPN)可完全或部分抑制因刺激下丘脑背内侧核(DMH)引起的缺血性心电图ST段偏移。MN刺激的抑制作用比DPN刺激更明显。鞘内注射(ith)吗啡(40微克)也可抑制这些缺血性心电图ST段变化。鞘内注射纳洛酮(20微克)后,MN刺激对DMH刺激诱导的缺血性心电图ST段变化的抑制作用被消除。在完整家兔中,证明刺激左侧MN或DPN 5分钟后,T2 - 5脊髓左右中间外侧细胞柱(IML)中亮氨酸脑啡肽(LENK)免疫反应物质增加。在脊髓横断的家兔中,刺激MN仅增加胸段IML同侧的LENK免疫反应物质含量,而刺激DPN则无此作用。这些结果表明,刺激MN或DPN可抑制DMH刺激诱导的心脏缺血,且MN刺激的作用更强。抑制作用可能是通过某些脊髓上机制使双侧IML中LENK免疫反应物质增加介导的;而MN刺激的作用也可能是通过节段机制使胸段IML同侧脊髓LENK免疫反应物质增加来抑制交感神经活动介导的。

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