Raimondi G, Legramante J M, Iellamo F, Frisardi G, Cassarino S, Peruzzi G
Dipartimento di Medicina Interna, Cattedra di Fisiopatologia, Medica, Università di Roma Tor Vergata, Italy.
J Appl Physiol (1985). 1996 Dec;81(6):2421-7. doi: 10.1152/jappl.1996.81.6.2421.
The main purpose of this study is to examine whether the stimulation of an exclusively pain-sensing receptive field (dental pulp) could determine cardiorespiratory effects in animals in which the cortical integration of the peripheral information is abolished by deep anesthesia. In 15 anesthetized (alpha-chloralose and urethan) rabbits, low (3-Hz)- and high-frequency (100-Hz) electrical dental pulp stimulation was performed. Because this stimulation caused dynamic and static reflex contractions of the digastric muscles leading to jaw opening jaw-opening reflex (JOR); an indirect sign of algoceptive fiber activation], experimentally induced direct dynamic and static contractions of the digastric muscle were also performed. The low- and high-frequency stimulation of the dental pulp determined cardiovascular [systolic arterial pressure (SAP): -21.7 +/- 4.6 and 10.8 +/- 4.7 mmHg, respectively] and respiratory [pulmonary ventilation (VE): 145.1 +/- 44.9 and 109.3 +/- 28.4 ml/min, respectively] reflex responses similar to those observed during experimentally induced dynamic (SAP: -17.5 +/- 4.2 mmHg; VE: 228.0 +/- 58.5 ml/min) and static (SAP: 5.8 +/- 1.5 mmHg; VE: 148.0 +/- 75.3 ml/min) muscular contractions. The elimination of digastric muscular contraction (JOR) obtained by muscular paralysis did away with the cardiovascular changes induced by dental pulp stimulation, the effectiveness of which in stimulating dental pulp receptors has been shown by recording trigeminal-evoked potentials in six additional rabbits. The main conclusion was that, in deeply anesthetized animals, an algesic stimulus is unable to determine cardiorespiratory effects, which appear to be exclusively linked to the stimulation of ergoreceptors induced by muscular contraction.
本研究的主要目的是检验对仅具有痛觉的感受野(牙髓)进行刺激,是否能在深度麻醉使外周信息的皮质整合被消除的动物中,确定其心肺效应。在15只麻醉(用α-氯醛糖和乌拉坦)的兔子身上,进行了低频(3赫兹)和高频(100赫兹)的牙髓电刺激。由于这种刺激引起了二腹肌的动态和静态反射性收缩,导致张口反射(JOR);这是伤害感受性纤维激活的一个间接标志,因此还进行了实验诱导的二腹肌直接动态和静态收缩。牙髓的低频和高频刺激分别引起了心血管[收缩动脉压(SAP):分别为-21.7±4.6和10.8±4.7毫米汞柱]和呼吸[肺通气量(VE):分别为145.1±44.9和109.3±28.4毫升/分钟]反射反应,与实验诱导的动态(SAP:-17.5±4.2毫米汞柱;VE:228.0±58.5毫升/分钟)和静态(SAP:5.8±1.5毫米汞柱;VE:148.0±75.3毫升/分钟)肌肉收缩期间观察到的反应相似。通过肌肉麻痹消除二腹肌收缩(JOR),消除了牙髓刺激引起的心血管变化,在另外6只兔子中记录三叉神经诱发电位,已证明牙髓刺激对牙髓感受器的有效性。主要结论是,在深度麻醉的动物中,痛觉刺激无法确定心肺效应,心肺效应似乎仅与肌肉收缩引起的本体感受器刺激有关。