Khayutin V M, Lukoshkova E V, Gailans J B
J Auton Nerv Syst. 1986 May;16(1):35-60. doi: 10.1016/0165-1838(86)90050-0.
In chloralose-urethane anesthetized cats and unanesthetized decerebrate cats graded electrical stimulation of the tibial nerve A-afferents was performed and the resulting changes in the tibial nerve compound action potentials, heart rate and systemic arterial pressure were recorded. Three subgroups of the tibial nerve A delta-afferents were distinguished and their excitability, conduction velocity and relation to the circulatory reflexes were characterized. Stimulation of the same A-afferents evoked only tachycardic reflexes in high-mesencephalic unanesthetized cats while both tachy- and bradycardic reflexes developed in anesthetized brain-intact cats. The volleys of A beta-afferents elicited depressor reflexes in 50% of anesthetized cats but were ineffective in the other anesthetized brain-intact cats and in all the unanesthetized decerebrate cats. In anesthetized cats, the volleys of two low-threshold subgroups of A delta-afferents evoked only depressor reflexes and volleys of high-threshold A delta-afferents evoked both depressor and pressor reflexes in dependence on the deepness of anesthesia. In unanesthetized cats, effects of A delta-stimulation depended on the level of decerebration, being exclusively pressor when the most high-threshold A delta-fibers were stimulated in high-mesencephalic cats, both pressor and depressor when only low-threshold subgroups of A delta-fibers were stimulated in these cats, and exclusively depressor in prebulbar cats. The dependence of the direction of reflex blood pressure changes on the level of decerebration and anesthesia is incompatible with the classical concept of the so-called somatic depressor afferents. Moreover, general anesthesia is shown to suppress and invert not only excitatory effects of spinal A-afferents' volleys on sympathetic vasoconstrictor and cardioaccelerator neurones but the inhibitory effects of these afferents' signals on the vagal cardioinhibitory neurones, too. Contrary to this concept, we regard the 'somatic depressor reflexes' and accompanying bradycardia not as a result of 'specific' afferents excitation, but as an epiphenomenon of general anesthesia and certain decerebrations. This hypothesis is founded: (1) on the results of electrophysiological investigations of somato-sympathetic and somato-vagal reflexes indicating the existence of parallel excitatory and inhibitory interneuronal pathways between the spinal afferents and sympathetic and vagal neurones; and (2) on the assumption of unequal sensitivity of these pathways to certain anesthetics.(ABSTRACT TRUNCATED AT 400 WORDS)
在水合氯醛-乌拉坦麻醉的猫和未麻醉的去大脑猫中,对胫神经A类传入纤维进行分级电刺激,并记录胫神经复合动作电位、心率和体动脉压的变化。区分出胫神经Aδ传入纤维的三个亚组,并对其兴奋性、传导速度以及与循环反射的关系进行了表征。在中脑高位未麻醉的猫中,刺激相同的A类传入纤维仅诱发心动过速反射,而在麻醉的完整大脑猫中则同时出现心动过速和心动过缓反射。Aβ传入纤维的冲动在50%的麻醉猫中诱发降压反射,但在其他麻醉的完整大脑猫和所有未麻醉的去大脑猫中均无效。在麻醉猫中,Aδ传入纤维的两个低阈值亚组的冲动仅诱发降压反射,而高阈值Aδ传入纤维的冲动则根据麻醉深度诱发降压和升压反射。在未麻醉的猫中,Aδ刺激的效应取决于去大脑的程度,在中脑高位猫中刺激最高阈值的Aδ纤维时仅出现升压效应,刺激这些猫中仅低阈值的Aδ纤维亚组时出现升压和降压效应,而在延髓前猫中仅出现降压效应。反射性血压变化方向对去大脑程度和麻醉的依赖性与所谓躯体降压传入纤维的经典概念不相符。此外,全身麻醉不仅被证明会抑制和反转脊髓A类传入纤维冲动对交感缩血管和心加速神经元的兴奋作用,还会抑制这些传入纤维信号对迷走性心抑制神经元的抑制作用。与这一概念相反,我们认为“躯体降压反射”和伴随的心动过缓不是“特异性”传入纤维兴奋的结果,而是全身麻醉和某些去大脑状态的一种附带现象。这一假设基于:(1)躯体交感和躯体迷走反射的电生理研究结果,表明脊髓传入纤维与交感和迷走神经元之间存在平行的兴奋和抑制性中间神经元通路;(2)假设这些通路对某些麻醉剂的敏感性不同。(摘要截短至400字)