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盆神经对猫肛门直肠运动的影响。

The influence of the pelvic nerves on anorectal motility in the cat.

作者信息

Carlstedt A, Nordgren S, Fasth S, Hulten L

机构信息

Department of Surgery, University of Göteborg, Sahlgrenska Sjukhuset, Sweden.

出版信息

Acta Physiol Scand. 1989 Jan;135(1):57-64. doi: 10.1111/j.1748-1716.1989.tb08550.x.

Abstract

The influence of the parasympathetic pelvic nerves on anorectal motility was studied in anaesthetized cats. Anal pressure and rectal motility were recorded by a manometric and a volumetric method, respectively. Severing of the pelvic nerves did not cause any pressure change in the anus, indicating that these nerves are not significantly tonically active. Efferent low intensity (0.05-0.5 ms, 8 V at 5 Hz) electrical stimulation of the pelvic nerves (PNS) elicited a contraction of the internal anal sphincter (IAS), while high intensity stimulation (greater than 1 ms, 8 V at 5 Hz) caused a sphincter relaxation. A rectal contraction was noted on both low and high intensity stimulation. After sectioning of the sympathetic nerves, PNS elicited a contraction in both the anus and the rectum irrespective of stimulation intensity. PNS inhibited the anal contraction elicited by simultaneous stimulation of the sympathetic nerves or noradrenaline infusion. The inhibitory anal responses to PNS were unaffected or augmented by atropine, unaffected by propranolol and abolished by hexamethonium. The excitatory anal effects of PNS were reduced or abolished by atropine and abolished by phentolamine. The rectal contraction induced by low intensity PNS was abolished by atropine or converted to a relaxation. In half of the experiments an atropine resistant rectal contraction was observed in response to high intensity PNS. The results are consistent with a pelvic nerve influence on IAS pressure through several mechanisms, including modulation of the activity in the sympathetic nerves and activation of inhibitory non-adrenergic, non-cholinergic neurons. The pelvic nerves convey both cholinergic and non-cholinergic excitatory, as well as non-adrenergic, non-cholinergic inhibitory fibres to the rectum.

摘要

在麻醉猫身上研究了副交感神经盆神经对肛门直肠运动的影响。分别通过测压法和容积法记录肛门压力和直肠运动。切断盆神经未引起肛门压力任何变化,表明这些神经无明显紧张性活动。对盆神经(PNS)进行传出性低强度(0.05 - 0.5毫秒,5赫兹时8伏)电刺激可引起肛门内括约肌(IAS)收缩,而高强度刺激(大于1毫秒,5赫兹时8伏)则导致括约肌松弛。低强度和高强度刺激时均观察到直肠收缩。切断交感神经后,无论刺激强度如何,PNS均可引起肛门和直肠收缩。PNS可抑制由交感神经同时刺激或去甲肾上腺素输注引起的肛门收缩。PNS对肛门的抑制性反应不受阿托品影响或增强,不受普萘洛尔影响,而被六甲铵消除。PNS对肛门的兴奋性作用被阿托品减弱或消除,并被酚妥拉明消除。低强度PNS诱导的直肠收缩被阿托品消除或转变为松弛。在一半的实验中,观察到对高强度PNS有阿托品抵抗性直肠收缩。结果表明盆神经通过多种机制影响IAS压力,包括调节交感神经活动和激活抑制性非肾上腺素能、非胆碱能神经元。盆神经向直肠传递胆碱能和非胆碱能兴奋性以及非肾上腺素能、非胆碱能抑制性纤维。

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