Andrews P L, Lawes I N
J Physiol. 1984 Jun;351:473-90. doi: 10.1113/jphysiol.1984.sp015257.
To determine whether splanchnic nerves relax the stomach by direct or indirect mechanisms, ramp inflations of the stomach, section and electrical stimulation of the vagus and greater splanchnic nerves, and step inflations of the duodenum were used. A high threshold, sustained inhibition of the gastric pressure response to ramp inflation was mediated by the vagus. Prior splanchnectomy increased vagal inhibition. The greater splanchnic nerves had no effect on gastric responses to inflation, although after vagotomy they were shown to be mediators of a low threshold, powerful but transient inhibition of the stomach. This was not dependent on intrinsic neurones with nicotinic receptors. Electrical stimulation of the greater splanchnic nerves produced a relaxation of the stomach, the magnitude of which was determined by resting pressure. Splanchnically mediated relaxation was not abolished by atropine, nor was it reduced by concurrent vagal stimulation. At submaximal levels of vagal stimulation the two nerves had a partially additive effective on relaxation. Duodenal inflation had an effect on intracorpus pressure similar to that of electrical stimulation of the greater splanchnic nerves on intragastric pressure. Reflex relaxation of the corpus evoked by duodenal distension was decreased by atropine but greatly increased by atropine coupled with vagotomy. These changes were caused by variations in resting pressure. It was concluded that the principal effect of splanchnic nerves on mean gastric pressure is direct and does not depend on inhibition of cholinergic neurones either centrally or peripherally. Evidence is presented for central interactions between the vagus and the greater splanchnic nerves in the anaesthetized ferret.
为了确定内脏神经是通过直接还是间接机制使胃松弛,采用了胃的斜坡式充气、迷走神经和内脏大神经的切断及电刺激,以及十二指肠的阶梯式充气。迷走神经介导了对斜坡式充气的胃压力反应的高阈值、持续性抑制。预先进行内脏神经切除术可增强迷走神经的抑制作用。内脏大神经对胃充气反应无影响,尽管在迷走神经切断术后,它们被证明是胃的低阈值、强大但短暂抑制的介质。这并不依赖于具有烟碱受体的内在神经元。电刺激内脏大神经可使胃松弛,其程度由静息压力决定。内脏神经介导的松弛不受阿托品的消除,同时迷走神经刺激也不会使其减弱。在次最大迷走神经刺激水平时,这两条神经对松弛有部分相加作用。十二指肠充气对胃体部压力的影响类似于电刺激内脏大神经对胃内压力的影响。十二指肠扩张引起的胃体部反射性松弛可被阿托品减弱,但在阿托品联合迷走神经切断术后则大大增强。这些变化是由静息压力的改变引起的。得出的结论是,内脏神经对平均胃压力的主要作用是直接的,且不依赖于中枢或外周胆碱能神经元的抑制。本文提供了麻醉雪貂中迷走神经和内脏大神经之间中枢相互作用的证据。