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猫尿道外括约肌和肛门括约肌的节段性及下行性控制

Segmental and descending control of the external urethral and anal sphincters in the cat.

作者信息

Mackel R

出版信息

J Physiol. 1979 Sep;294:105-22. doi: 10.1113/jphysiol.1979.sp012918.

Abstract
  1. The present work concerns the contribution of the somatic central nervous system to two viscero-somatic reflexes, micturition and defecation. Descending and segmental actions and properties of the motoneurones innervating the striated external urethral and external anal sphincters were studied with intracellular recording in male cats, under chloralose anaesthesia. 2. Motoneurones innervating the external urethral and external anal sphincters were intermingled and most strongly concentrated in the lateral part of the ventral horn in the S2 segment of the spinal cord. 3. Stimulation of the S1 to S3 ipsilateral dorsal roots or of the homonymous pudendal nerve branches showed that less than half of the sphincter motoneurons receive monosynaptic excitatory connexions from low threshold afferents. 4. The after-hyperpolarization recorded in the external urethral and external anal sphincter motoneurones was relatively short lasting, not long lasting as would have been expected for motoneurones innervating slow-twitch, tonic type muscles. 5. There was no evidence for recurrent inhibition in pudendal motoneurones innervating the external urethral and external anal sphincters. 6. Descending excitation and inhibition to the sphincter motoneurones originated in the nucleus reticularis gigantocellularis of the medullary reticular formation. The descending reticulospinal actions are comparable to those observed in hind limb motoneurones. 7. It is suggested that the segmental reflex connexions play a role in controlling bladder and rectal continence. The descending actions studied also modulate the segmental reflex actions and may provide voluntary control of the sphincter muscles.
摘要
  1. 本研究关注躯体中枢神经系统对两种内脏-躯体反射,即排尿和排便的作用。在氯醛糖麻醉下,通过细胞内记录法,对雄性猫支配尿道外括约肌和肛门外括约肌的运动神经元的下行和节段性作用及特性进行了研究。2. 支配尿道外括约肌和肛门外括约肌的运动神经元相互交织,且最集中于脊髓S2节段腹角的外侧部分。3. 刺激同侧S1至S3背根或同名阴部神经分支表明,不到一半的括约肌运动神经元接受来自低阈值传入纤维的单突触兴奋性联系。4. 在尿道外括约肌和肛门外括约肌运动神经元中记录到的后超极化持续时间相对较短,并不像支配慢肌、紧张性类型肌肉的运动神经元所预期的那样持久。5. 没有证据表明支配尿道外括约肌和肛门外括约肌的阴部运动神经元存在回返性抑制。6. 对括约肌运动神经元的下行兴奋和抑制起源于延髓网状结构的巨细胞网状核。下行网状脊髓作用与在后肢运动神经元中观察到的作用相当。7. 有人提出,节段性反射联系在控制膀胱和直肠的节制方面发挥作用。所研究的下行作用也调节节段性反射作用,并可能提供对括约肌的随意控制。

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本文引用的文献

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NERVOUS CONTROL OF MICTURITION.排尿的神经控制
Physiol Rev. 1965 Jul;45:425-94. doi: 10.1152/physrev.1965.45.3.425.
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AFFERENT IMPULSES IN THE PUDENDAL NERVES OF THE CAT.猫阴部神经中的传入冲动
Q J Exp Physiol Cogn Med Sci. 1964 Jul;49:258-67. doi: 10.1113/expphysiol.1964.sp001730.
9
PROPERTIES OF PHRENIC MOTONEURONES.膈运动神经元的特性
J Physiol. 1963 Sep;168(2):258-73. doi: 10.1113/jphysiol.1963.sp007191.
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Distribution of recurrent inhibition among motoneurones.运动神经元间回返抑制的分布
J Physiol. 1961 Dec;159(3):479-99. doi: 10.1113/jphysiol.1961.sp006822.

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