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下尿路、结肠和肛门的骶部内脏传入神经对机械刺激的反应。

Responses of sacral visceral afferents from the lower urinary tract, colon and anus to mechanical stimulation.

作者信息

Bahns E, Halsband U, Jänig W

机构信息

Physiologisches Institut, Christian-Albrechts-Universität, Kiel, Federal Republic of Germany.

出版信息

Pflugers Arch. 1987 Oct;410(3):296-303. doi: 10.1007/BF00580280.

Abstract

The discharge characteristics of sacral visceral afferents supplying the urinary bladder, urethra, colon and anus to mechanical stimuli were analyzed in the anaesthetized cat. The stimuli used were passive distension (urinary bladder, colon), isovolumetric contraction (urinary bladder), movements of the urethral catheter and mechanical shearing stimuli (mucosal skin of the anal canal). (1) In total 245 afferent units which projected in the pelvic nerve were isolated from the sacral dorsal roots. From one of the following organs, urinary bladder, colon, urethra and anus 117 afferent units were activated. By these stimuli from the bladder, urethra and anus 122 afferent units could not be activated, and as far as tested also not from the colon; in 6 afferent units the classification was unclear. (2) Afferent units from the urinary bladder and the colon responded consistently to passive distension of the respective organ. The units from the urinary bladder showed graded responses at intraluminal pressures of about 10-70 mmHg and responded also to isovolumetric contractions of the organ. The thresholds of the units from the bladder to passive distension and contraction varied from about 5 to 20 mmHg intravesical pressure. (3) The afferent units from the urethra and the anus did not react or showed some weak phasic and irregular responses to distension and contraction applied to the urinary bladder or to distension of the colon. They were consistently excited by low threshold mechanical stimulation of the urethra and anus, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在麻醉猫身上分析了支配膀胱、尿道、结肠和肛门的骶部内脏传入神经对机械刺激的放电特性。所用刺激包括被动扩张(膀胱、结肠)、等容收缩(膀胱)、尿道导管的移动以及机械剪切刺激(肛管黏膜皮肤)。(1)从骶部背根分离出总共245个投射到盆神经的传入单位。其中117个传入单位由膀胱、结肠、尿道和肛门这四个器官中的一个激活。由膀胱、尿道和肛门的这些刺激无法激活122个传入单位,据测试结肠的刺激也不能激活它们;6个传入单位的分类不明确。(2)膀胱和结肠的传入单位对各自器官的被动扩张有一致反应。膀胱的单位在约10 - 70 mmHg的腔内压力下表现出分级反应,并且对器官的等容收缩也有反应。膀胱单位对被动扩张和收缩的阈值在膀胱内压约5至20 mmHg之间变化。(3)尿道和肛门的传入单位对施加于膀胱的扩张和收缩或结肠的扩张没有反应或仅表现出一些微弱的相位性和不规则反应。它们分别通过对尿道和肛门的低阈值机械刺激而持续兴奋。(摘要截断于250字)

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