Uetake M
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Mar;34(3):351-9.
The change of the contractility of rat's uterine muscle was studied in connection with the process of pregnancy and the following results were obtained. 1) Single sucrose gap method study revealed that the spike potentials were dominant in longitudinal muscles, while slow potentials were dominant in circular muscles, but in the terminal stage of pregnancy, the electrical activity in circular muscles became similar to that in longitudinal muscles. 2) In the middle stage of pregnancy, the intrauterine pressure is affected by the longitudinal muscles, while contraction of circular muscle is reflected on the small frequent change of the intrauterine pressure. 3) As the labor approaches, the coordination of contractions improves and the propagation of contractions from tubal site to the cervical end becomes smoothened. 4) The in vitro observation of delivery revealed that the fetal expulsion took place in the absence of cervical resistance, while the fetuses could not be expelled when the cervical resistance was present. This phenomenon confirmed the important role of cervix in labor. When the cervical resistance was absent, the delivery in the terminal stage of pregnancy could be more easily completed than in the middle stage, suggesting the contractility is more effective in the terminal. 5) In conclusion, the uterine contractility improves in the terminal stage of pregnancy, but the mechanism of labor can not be explained on the sole ground of uterine contractility, and other factors, such as cervical conditions, should also be taken into consideration.
结合妊娠过程,对大鼠子宫肌收缩性的变化进行了研究,获得了以下结果。1)单蔗糖间隙法研究表明,锋电位在纵肌中占主导地位,而慢电位在环肌中占主导地位,但在妊娠末期,环肌中的电活动变得与纵肌中的相似。2)在妊娠中期,子宫内压受纵肌影响,而环肌收缩反映在子宫内压的小而频繁的变化上。3)随着分娩临近,宫缩协调性改善,宫缩从输卵管部位向宫颈端的传播变得更加顺畅。4)分娩的体外观察表明,在没有宫颈阻力的情况下发生胎儿娩出,而当存在宫颈阻力时胎儿无法娩出。这一现象证实了宫颈在分娩中的重要作用。当没有宫颈阻力时,妊娠末期的分娩比中期更容易完成,这表明末期的收缩性更有效。5)总之,子宫收缩性在妊娠末期有所改善,但分娩机制不能仅基于子宫收缩性来解释,还应考虑其他因素,如宫颈状况。