Peters H J, Parekh N, Popa G
Urol Int. 1979;34(2):137-46. doi: 10.1159/000280258.
The effects of the autonomic nervous system on ureteral functions were investigated by application of stimulating and blocking drugs. These effects were differentiated from those due to a change of urine flow by perfusing the renal pelvis with isotonic saline. Peristaltic frequency was readily increased by higher flow volume, but was rarely affected by blockage of alpha-adrenergic and cholinergic receptors. The ureteral pacemaker could be activated by alpha-stimulation and inhibited by beta-stimulation. During perfusion of renal pelvis at a pressure of 12 mm Hg, transport capacity of the ureter could be significantly increased either by alpha-blockade or beta-stimulation. Stimulation of alpha-receptors decreased transport capacity, whereas stimulation of cholinergic receptors remained ineffective. These experiments suggest that responses of sympathetic stimulators and blockers are brought about by their influence on ureter muscle tone. The therapeutic value of these drugs is discussed.
通过应用刺激和阻断药物研究了自主神经系统对输尿管功能的影响。通过用等渗盐水灌注肾盂,将这些影响与因尿流变化而产生的影响区分开来。较高的流量容易增加蠕动频率,但α-肾上腺素能和胆碱能受体的阻断很少对其产生影响。输尿管起搏器可被α-刺激激活,被β-刺激抑制。在肾盂以12毫米汞柱的压力灌注期间,α-阻断或β-刺激均可显著增加输尿管的输送能力。刺激α-受体可降低输送能力,而刺激胆碱能受体则无效。这些实验表明,交感神经刺激剂和阻断剂的反应是通过它们对输尿管肌张力的影响而产生的。讨论了这些药物的治疗价值。