Shafik A
Department of Surgery and Experimental Research, Faculty of Medicine, Cairo University, Egypt.
Eur Surg Res. 1998;30(4):268-72. doi: 10.1159/000008586.
Magnetic stimulation (MS) produces its effect, according to Faraday's law, by creating an electric field which can stimulate the neuromuscular tissues. The current study investigates, to our knowledge for the first time, the effect of MS on rectal pressure and evacuation with a view on its possible application in emptying the inertic or neuropathic rectum.
The rectal, rectal neck and vesical pressures as well as the EMG activity of the two rectus abdominis muscles were recorded during sacral MS with a magnetic coil while the rectum was empty and while filled. Stimulation parameters were set at 70% intensity, 20 Hz frequency and 1- to 5-second burst length.
Sacral MS of both the filled and empty rectum effected a significant increase in rectal (p<0.01) and vesical (p<0.01) pressures and a decrease in rectal neck pressure (p<0.01). Rectal evacuation of the filled rectum using intermittent stimulation was achieved in all animals.
Sacral MS resulted in a rectal evacuation. It is a simple, easy and noninvasive method that might prove applicable in the treatment of inertic constipation and neuropathic rectum.
根据法拉第定律,磁刺激(MS)通过产生能够刺激神经肌肉组织的电场来发挥作用。据我们所知,本研究首次探讨了磁刺激对直肠压力和排空的影响,旨在研究其在治疗惰性或神经性直肠排空障碍方面的潜在应用。
在直肠空虚和充盈状态下,使用磁线圈进行骶神经磁刺激时,记录直肠、直肠颈部和膀胱压力以及双侧腹直肌的肌电图活动。刺激参数设置为强度70%、频率20Hz、脉冲长度1至5秒。
直肠充盈和空虚状态下的骶神经磁刺激均使直肠压力(p<0.01)和膀胱压力(p<0.01)显著升高,直肠颈部压力降低(p<0.01)。所有动物通过间歇性刺激均实现了直肠充盈状态下的直肠排空。
骶神经磁刺激可实现直肠排空。这是一种简单、易行且无创的方法,可能在治疗惰性便秘和神经性直肠方面具有应用价值。