Buntzen S, Nordgren S, Delbro D, Hultén L
Department of Surgery, University of Göteborg, Sahlgrenska sjukhuset, Sweden.
J Auton Nerv Syst. 1994 Nov;49(3):261-8. doi: 10.1016/0165-1838(94)90172-4.
The neural pathways and possible transmission mechanisms of the integrated autonomic nervous control of the urinary bladder and anorectum, were investigated in chloralose anaesthetized cats. Bladder distension and spontaneous detrusor contractions increased internal anal sphincter-tone, a response which was blocked by an alpha-adrenoceptor antagonist. Moreover, a nicotinic transmission step was present. Both the afferent and efferent limbs of the reflex were conveyed in the postganglionic hypogastric nerves and the preganglionic lumbar splanchnic nerves. Intact connection with the central nervous system was therefore essential. Contrasting to the specific reflex response in the internal anal sphincter, bladder distension also elicited a nociceptive vaso-pressor response. Rectal motility appeared to be unaffected by bladder distension.
在水合氯醛麻醉的猫身上,研究了膀胱和直肠自主神经综合控制的神经通路及可能的传导机制。膀胱扩张和逼尿肌自发收缩会增加肛门内括约肌张力,这种反应可被α-肾上腺素能受体拮抗剂阻断。此外,还存在烟碱传递步骤。反射的传入和传出支均通过节后腹下神经和节前腰内脏神经传导。因此,与中枢神经系统的完整连接至关重要。与肛门内括约肌的特定反射反应不同,膀胱扩张还会引发伤害性血管升压反应。直肠蠕动似乎不受膀胱扩张的影响。