Sato A, Sato Y, Suzuki A, Uchida S
Department of the Autonomic Nervous System, Tokyo Metropolitan Institute of Gerontology, Japan.
Jpn J Physiol. 1996 Oct;46(5):411-21. doi: 10.2170/jjphysiol.46.411.
The effects of acupuncture-like stimulation of the abdomen and a hindlimb on the secretion rates of adrenal medullary catecholamine hormones (adrenaline and noradrenaline) and adrenal sympathetic efferent nerve activity were studied using urethane-anesthetized rats. Acupuncture needles (diameter of 340 microns) were inserted into the skin and underlying muscles of either the abdomen or a hindlimb to a depth of 10 mm and then twisted at a frequency of about 1 Hz for 90 s. The stimuli induced three types of response in both catecholamine secretion and adrenal sympathetic nerve activity (i.e., decrease, increase, and no change). These different responses corresponded with three similar types of response in mean arterial pressure. In spinalized animals, the stimuli produced only increases in both catecholamine secretion and nerve activity, and abdominal stimulation elicited a larger response than hindlimb stimulation. The responses of adrenal nerve activity were eliminated after surgically severing the afferent nerves innervating the abdomen and hindlimb. These findings indicate that the secretion of adrenal medullary hormones is controlled reflexively by acupuncture-like stimulation via excitation of somatic afferent nerves and also via the reflex responses of adrenal sympathetic efferent nerves. Both the spinal cord and supraspinal structures act as reflex centers. The excitatory reflex properties at the propriospinal and segmental levels are modified into a generalized, either excitatory or inhibitory, response by supraspinal structures.
利用乌拉坦麻醉的大鼠,研究了腹部和后肢类似针刺刺激对肾上腺髓质儿茶酚胺激素(肾上腺素和去甲肾上腺素)分泌率及肾上腺交感传出神经活动的影响。将直径为340微米的针灸针插入腹部或后肢的皮肤及深层肌肉,深度达10毫米,然后以约1赫兹的频率捻转90秒。该刺激在儿茶酚胺分泌和肾上腺交感神经活动方面均诱发了三种类型的反应(即减少、增加和无变化)。这些不同的反应与平均动脉压的三种类似类型的反应相对应。在脊髓横断的动物中,该刺激仅使儿茶酚胺分泌和神经活动增加,且腹部刺激引发的反应比后肢刺激更大。在手术切断支配腹部和后肢的传入神经后,肾上腺神经活动的反应消失。这些发现表明,肾上腺髓质激素的分泌通过躯体传入神经的兴奋以及肾上腺交感传出神经的反射反应,由类似针刺的刺激进行反射性控制。脊髓和脊髓上结构均作为反射中枢。脊髓固有和节段水平的兴奋性反射特性被脊髓上结构改变为一种全身性的、兴奋性或抑制性的反应。