同时记录尿氨麻醉大鼠膀胱和尿道压力:神经肌肉阻滞剂对尿道外括约肌活动的影响

B. Conte , C.A. Maggi , M. Parlani, G. Lopez , S. Manzini, A. Giachetti
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引用次数: 63

摘要

在尿素麻醉的大鼠中,我们将膀胱与尿道断开,同时记录膀胱和尿道外括约肌(EUS)的压力。在整个收集阶段,EUS压力高于膀胱内记录的压力。胆碱(10 μgkg静脉滴注)或d-管柯碱(100 μgkg静脉滴注)不改变静脉内压力值。当膀胱在充盈期(排出期)发生反射性收缩时,膀胱内压力超过尿道压力,在膀胱收缩的顶部,尿道记录部位记录到一系列快速的腔内压力高频振荡(ipho),这些振荡被神经肌肉阻滞剂和急性阴部神经切断后消除。在先前解剖过尿道周围肌肉(骨盆底)的大鼠中,ipho仍然存在。为了进一步了解神经肌肉阻滞剂引起的EUS功能损害的生理后果,我们使用了不间断经膀胱膀胱造影。在这些情况下,阻塞EUS不会在排尿期产生被动的尿滴,但在膀胱排出期缺乏有节奏的条纹尿道活动会使残余容量从35%(对照组)显著增加到75%。我们提出了一种原始的药理学方法,在一个物种的小尺寸产生技术问题,记录压力信号从下尿路。此外,我们已经获得了关于iipho的起源和EUS在氨基甲酸乙酯麻醉大鼠排尿周期的收集和排出阶段的作用的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simultaneous recording of vesical and urethral pressure in urethane-anesthetized rats: Effect of neuromuscular blocking agents on the activity of the external urethral sphincter

In urethane-anesthetized rats we made a disconnection of the urinary bladder from the urethra and performed a simultaneous recording of the vesical and external urethral sphincter (EUS) pressures.

Throughout the collecting phase, the EUS pressure was higher than that recorded into the bladder. Gallamine (10 mgkg i.v.) or d-tubocurarine (100 μgkg i.v.), did not alter the value of intraurethral pressure.

When a reflex bladder contraction occurred in response to filling (expulsion phase) the intravesical pressure exceeded the urethral pressure and at the top of the vesical contraction a series of rapid intraluminal pressure high frequency oscillations (IPHFO) were recorded at the urethral recording site, which were abolished by neuromuscular blocking agents as well as after acute sectioning of pudendal nerves. IPHFO was still present in rats in which the periurethral muscles (pelvic floor), have been precedently dissected.

To get further information about the physiological consequence of the EUS functional impairment induced by neuromuscular blocking agents, we used the non-stop transvesical cystometrogram.

In these conditions, blockade of the EUS did not produce passive urine dripping during the filling phase, but absence of the rhythmic striated urethral activity during the vesical expulsion phase produced a significant increase of the residual volume from 35% (control) to 75%.

We present an original pharmacological method in a species whose small dimensions create technical problems for recording pressure signals from the lower urinary tract. Moreover, we have gained information on the origin of the IPHFOs and about the role of the EUS during the collecting and the expulsion phase of the voiding cycle in urethane anesthetized rats.

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