Bouvier M, Grimaud J C
J Physiol. 1984 Jan;346:461-9. doi: 10.1113/jphysiol.1984.sp015035.
The effects of stimulation of vesical afferents on the electrical activity of the internal anal sphincter were studied in anaesthetized cats. Excitation of vesical afferents, either by electrical stimulation of nerves running at the vesico-ureteral junction or by bladder distension, produced (1) an increase in the electrical activity of the internal anal sphincter which was abolished by the alpha-blocker phentolamine (1.5 mg/kg, I.V.); (2) an inhibition of the excitatory response evoked in the internal anal sphincter by stimulation of one hypogastric nerve. This effect was blocked by naloxone (2 mg/kg, I.V.). These reflexes were abolished by hexamethonium (1 mg/kg, I.V.). Both reflexes were unaffected by section of sacral spinal roots (S1-S3) or by administration of atropine (0.1 mg/kg, I.V.). This excludes any participation of the parasympathetic nervous system. The excitatory and inhibitory reflexes were only slightly affected by section of the lumbar dorsal spinal roots (L1-L7) whereas they were strongly decreased after section of the corresponding ventral roots. The reflexes were abolished after section of the remaining hypogastric nerve. These results provide evidence for crossed reflexes between urinary bladder and internal anal sphincter which are achieved partly in the lumbar spinal cord and partly within the inferior mesenteric ganglion. Some of the vesical afferent nerve fibres responsible for these interactions presumably reach the spinal cord via the lumbar ventral spinal roots.
在麻醉猫身上研究了刺激膀胱传入神经对肛门内括约肌电活动的影响。通过电刺激膀胱输尿管交界处的神经或膀胱扩张来兴奋膀胱传入神经,可产生以下效应:(1)肛门内括约肌电活动增加,α受体阻滞剂酚妥拉明(1.5mg/kg,静脉注射)可消除这种增加;(2)抑制由刺激一条腹下神经在肛门内括约肌诱发的兴奋反应。这种效应可被纳洛酮(2mg/kg,静脉注射)阻断。这些反射可被六甲铵(1mg/kg,静脉注射)消除。这两种反射不受骶神经根(S1-S3)切断或阿托品(0.1mg/kg,静脉注射)给药的影响。这排除了副交感神经系统的任何参与。兴奋和抑制反射仅受腰背部脊髓神经根(L1-L7)切断的轻微影响,而在相应的腹侧神经根切断后则明显减弱。在切断剩余的腹下神经后,反射消失。这些结果为膀胱与肛门内括约肌之间的交叉反射提供了证据,这些反射部分在腰脊髓中实现,部分在肠系膜下神经节内实现。一些负责这些相互作用的膀胱传入神经纤维可能通过腰腹侧脊髓神经根到达脊髓。