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[牙髓刺激对家兔胃肠运动的影响]

[Effect of stimulation of the tooth pulp on gastrointestinal motility in rabbits].

作者信息

Nando R

出版信息

Nihon Heikatsukin Gakkai Zasshi. 1983 Apr;19(2):87-96.

PMID:6663937
Abstract

Effects of electrical stimulation of the inciser tooth pulp on the gastrointestinal motility were investigated in the rabbit anesthetized with urethane and chloralose. Pulpal Stimulation caused an excitatory or an inhibitory effect in the gastric body and antrum and the ducodenum. After bilateral splanchnicotomy the excitatory response to the pulpal stimulation was reinforced or the inhibitory response converted to the excitatory response. An additional cervical vagotomy abolished the excitatory and inhibitory response. Atropine diminished the spontaneous efferent discharges of vagal gastric branch (VGB) and abolished the excitatory and inhibitory response to stimulation of the pulp and the inferior alveolar nerve. This agent also blocked the potentials of the VGB evoked by afferent stimulation of the inferior aveolar nerve. Hexamethonium bromide abolished the excitatory and inhibitory responses to the pulpal stimulation but did not affect spontaneous discharges and increased discharges of the VGB to pulpal stimulation. Morphine produced decreased rate of the spontaneous discharge of the VGB and abolished increased rate of discharges of the VGB as well as the gastrointestinal responses to pulpal stimulation. It is concluded from these results that the afferent impulses caused by pulpal stimulation and the inferior alveolar nerve 'reflex'ly activate the vagal motor nuclei in the medulla oblongata and the sympathetic splanchnic nuclei in the thoracic segments through the trigeminal nerve: The vagus nerves produced the excitatory response in the gastrointestinal motility, while the splanchnic nerves caused the inhibitory response. It was supposed that sites of action of atropine and morphine is not in peripheral site, but in the central nerves site.

摘要

在氨基甲酸乙酯和水合氯醛麻醉的家兔中,研究了切牙髓电刺激对胃肠运动的影响。牙髓刺激在胃体、胃窦和十二指肠引起兴奋或抑制作用。双侧内脏神经切断术后,对牙髓刺激的兴奋反应增强,或抑制反应转变为兴奋反应。额外的颈迷走神经切断术消除了兴奋和抑制反应。阿托品减少了迷走神经胃支(VGB)的自发传出放电,并消除了对牙髓和下牙槽神经刺激的兴奋和抑制反应。该药物还阻断了下牙槽神经传入刺激诱发的VGB电位。溴化六甲铵消除了对牙髓刺激的兴奋和抑制反应,但不影响VGB的自发放电和对牙髓刺激的放电增加。吗啡使VGB的自发放电速率降低,并消除了VGB放电速率的增加以及胃肠道对牙髓刺激的反应。从这些结果得出结论,牙髓刺激和下牙槽神经引起的传入冲动通过三叉神经“反射性”激活延髓中的迷走运动核和胸段中的交感内脏核:迷走神经在胃肠运动中产生兴奋反应,而内脏神经引起抑制反应。推测阿托品和吗啡的作用部位不在外周部位,而在中枢神经部位。

相似文献

1
[Effect of stimulation of the tooth pulp on gastrointestinal motility in rabbits].[牙髓刺激对家兔胃肠运动的影响]
Nihon Heikatsukin Gakkai Zasshi. 1983 Apr;19(2):87-96.
2
Sympathetic control of lower esophageal sphincter function in the cat. Action of direct cervical and splanchnic nerve stimulation.猫下食管括约肌功能的交感神经控制。颈神经和内脏神经直接刺激的作用。
J Clin Invest. 1979 Apr;63(4):562-70. doi: 10.1172/JCI109337.
3
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4
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Acta Physiol Scand Suppl. 1986;555:1-39.
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