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外括约肌反射控制中躯体与内脏会聚的电生理研究

An electrophysiological study of somatic and visceral convergence in the reflex control of the external sphincters.

作者信息

McMahon S B, Morrison J F, Spillane K

出版信息

J Physiol. 1982 Jul;328:379-87. doi: 10.1113/jphysiol.1982.sp014271.

Abstract
  1. Mass wave and single unit discharges have been recorded from pudendal efferents innervating the external anal and urethral sphincters in chloralose anaesthetized or decerebrate cats.2. Reflex discharges in these neurones were elicited by electrical stimulation of the contralateral pudendal nerve, the posterior cutaneous nerve of thigh, or the vesical or colonic branches of the pelvic nerve. The latencies of the evoked responses were 5.5-20 msec. The vesical branches of the pelvic nerve produced discharges less consistently than the other nerves.3. Irrespective of whether afferent stimulation produced an early evoked response there was always a prolonged period of depression of pudendal nerve excitability following the stimulus. Condition-test interactions showed that this depression began within 50 msec of the stimulus and that its duration varied between 150 and 2500 msec in single units, with a modal value of 500 msec.4. No evoked response or depression of excitability was seen when afferents in the hypogastric or lumbar colonic nerves were stimulated.5. Increasing intravesical or intracolonic pressure, within physiological limits, produced a graded reduction in the size of evoked discharges.6. Short trains of stimuli (four shocks in 20 msec) applied to the raphé nucleus, were capable of inhibiting test responses in pudendal efferents for periods of up to 800 msec.7. The possible functional roles of two groups of sphincteric reflex interneurones, with either excitatory or inhibitory receptive fields, are discussed.
摘要
  1. 在水合氯醛麻醉或去大脑的猫中,已记录到支配肛门外括约肌和尿道括约肌的阴部传出神经的群体波和单单位放电。

  2. 这些神经元的反射性放电是通过电刺激对侧阴部神经、股后皮神经或盆神经的膀胱支或结肠支引发的。诱发反应的潜伏期为5.5 - 20毫秒。盆神经的膀胱支产生的放电不如其他神经稳定。

  3. 无论传入刺激是否产生早期诱发反应,刺激后阴部神经兴奋性总会有一段长时间的抑制。条件 - 测试相互作用表明,这种抑制在刺激后50毫秒内开始,其持续时间在单单位中为150至2500毫秒不等,众数为500毫秒。

  4. 刺激腹下神经或腰结肠神经中的传入神经时,未见诱发反应或兴奋性抑制。

  5. 在生理限度内增加膀胱内或结肠内压力,会使诱发放电的大小逐渐减小。

  6. 施加于中缝核的短串刺激(20毫秒内4次电击)能够在长达800毫秒的时间内抑制阴部传出神经的测试反应。

  7. 讨论了两组具有兴奋性或抑制性感受野的括约肌反射中间神经元可能的功能作用。

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