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自主神经药物对犬肾盂和输尿管肌电图体内记录的影响。

Effects of autonomic drugs on in vivo recording of electromyograms of canine renal pelvis and ureter.

作者信息

Kondo S, Morita T, Saeki H, Tsuchida S

出版信息

Urol Int. 1985;40(5):260-6. doi: 10.1159/000281095.

Abstract

The effects of the autonomic drugs (noradrenaline, isoproterenol and acetylcholine) and the urine volume change on the pacemaker of ureteral peristalsis were studied by our new method of the in vivo recording of electromyograms (EMGs) of canine renal pelvis. The EMGs of the pelvicalyceal region showed a two phasic slow-rising potential of amplitude of 20 microV and discharge interval of 5 s and was different from propagated waves and therefore considered to be the pacemaker potentials. In the diuretic state the pacemaker potentials kept a constant discharge interval. On the contrary, the discharge interval of the ureter EMG became shorter and finally corresponded to the pacemaker EMG one to one. These results suggest that the urine transport in the diuretic state is controlled by the change of efficiency of the peristaltic propagation and not by the changes of the discharge of the pacemaker itself. Noradrenaline promoted the ureteral peristalsis and isoproterenol inhibited the ureteral peristalsis. These two drugs had no effects on the pacemaker potentials. Acetylcholine had a great variety of the effects on the ureter EMG and the pacemaker EMG separately. These results suggest that the pacemaker of the ureteral peristalsis is controlled under the influence of the parasympathetic system and the ureter is controlled under the influence of both the sympathetic and parasympathetic system.

摘要

采用我们新的犬肾盂肌电图(EMG)体内记录方法,研究了自主神经药物(去甲肾上腺素、异丙肾上腺素和乙酰胆碱)以及尿量变化对输尿管蠕动起搏点的影响。肾盂输尿管区域的肌电图显示出一种双相缓慢上升电位,振幅为20微伏,放电间隔为5秒,与传播波不同,因此被认为是起搏点电位。在利尿状态下,起搏点电位保持恒定的放电间隔。相反,输尿管肌电图的放电间隔变短,最终与起搏点肌电图一一对应。这些结果表明,利尿状态下的尿液输送是由蠕动传播效率的变化控制的,而不是由起搏点自身放电的变化控制的。去甲肾上腺素促进输尿管蠕动,异丙肾上腺素抑制输尿管蠕动。这两种药物对起搏点电位没有影响。乙酰胆碱分别对输尿管肌电图和起搏点肌电图有多种影响。这些结果表明,输尿管蠕动的起搏点受副交感神经系统的影响,而输尿管受交感神经和副交感神经系统的共同影响。

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