Shoji Ichiro, Kemuriyama Takehito, Tandai-Hiruma Megumi, Maruyama Satoshi, Tashiro Akimasa, Yokoe Hidetaka, Nishida Yasuhiro
Department of Physiology, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 3598513, Japan.
Department of Oral and Maxillofacial Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.
J Physiol Sci. 2018 Jan;68(1):89-100. doi: 10.1007/s12576-016-0513-9. Epub 2016 Dec 29.
Although "teeth clenching" induces pressor response, the reflex tracts of the response are unknown. In this study, dantrolene administration inhibited teeth clenching generated by electrical stimulation of the masseter muscles and completely abolished the pressor response. In addition, trigeminal ganglion block or hexamethonium administration completely abolished the pressor response. Local anesthesia of molar regions significantly reduced the pressor response to 27 ± 10%. Gadolinium (mechanoreceptor blocker of group III muscle afferents) entrapment in masticatory muscles also significantly reduced the pressor response to 62 ± 7%. Although atropine methyl nitrate administration did not change the pressor response, a significant dose-dependent augmentation of heart rate was observed. These results indicate that both periodontal membrane and mechanoreceptors in masticatory muscles are the receptors for the pressor response, and that the afferent and efferent pathways of the pressor response pass through the trigeminal afferent nerves and sympathetic nerves, respectively.
尽管“紧咬牙关”会引发升压反应,但该反应的反射通路尚不清楚。在本研究中,给予丹曲林可抑制咬肌电刺激所产生的紧咬牙关,并完全消除升压反应。此外,三叉神经节阻滞或给予六甲铵可完全消除升压反应。磨牙区局部麻醉可使升压反应显著降低至27±10%。咀嚼肌中钆(III组肌肉传入纤维的机械感受器阻滞剂)的包埋也可使升压反应显著降低至62±7%。尽管给予硝酸甲基阿托品并未改变升压反应,但观察到心率出现显著的剂量依赖性增加。这些结果表明,牙周膜和咀嚼肌中的机械感受器均为升压反应的感受器,且升压反应的传入和传出通路分别通过三叉神经传入神经和交感神经。