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自主神经再平衡与心力衰竭 被引量:5
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作者 胡慧慧 何勃 +1 位作者 李元红 江洪 《海南医学》 CAS 2019年第8期1050-1057,共8页
心力衰竭(简称心衰)是许多心脏疾病发展的最终、最严重的临床表现,神经激素激活和自主神经失衡(交感神经兴奋性增强、迷走神经张力降低)是其重要的病理生理特征。通过对自主神经系统的干预实现自主神经再平衡有望改变心衰的历史进程,有... 心力衰竭(简称心衰)是许多心脏疾病发展的最终、最严重的临床表现,神经激素激活和自主神经失衡(交感神经兴奋性增强、迷走神经张力降低)是其重要的病理生理特征。通过对自主神经系统的干预实现自主神经再平衡有望改变心衰的历史进程,有可能成为治疗心衰的新途径。 展开更多
关键词 交感神经 迷走神经 刺激 心力衰竭 自主神经再平衡
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Modulation of spontaneous activities in chronically compressed dorsal root ganglion neurons in rats by sympathetic efferent activation 被引量:1
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作者 杨红军 胡三觉 徐晖 《Journal of Medical Colleges of PLA(China)》 CAS 2000年第4期254-257,共4页
Objective: To study sympathetic-sensory coupling in chronically compressed dorsal root ganglion (DRG) neurons in rats. Methods: In chronically compressed DRG model, the spontaneous activity of single fiber from the in... Objective: To study sympathetic-sensory coupling in chronically compressed dorsal root ganglion (DRG) neurons in rats. Methods: In chronically compressed DRG model, the spontaneous activity of single fiber from the injured DRG neuron was recorded, and lumbar sympathetic trunk was electrical stimulated to study the sympathetic modulation of spontaneous activities in injured DRG neurons. Results: Fifty-seven percent of spontaneous active neurons of injured DRG responded to sympathetic stimulation. The responses included simple excitation, excitation followed by inhibition and simple inhibition. The responses enhanced with the increase of sympathetic stimulation time. The responses to sympathetic stimula- tion could be blocked by intravenously injection of phentolamine, a-adrenorecepor antagonist. Fifty-three percent of injured DRG responded to norepinephrine (NE). The responses to NE were similar to those induced by sympathetic stimulation. Conclusion: Sympathetic-sensory coupling is virtually present in chronic compressed DRG neurons. NE released from sympathetic nerve terminals acts on a-adrenorecepor to influence spontaneous activities of injured DRG neurons. 展开更多
关键词 DORSAL root GANGLION SPONTANEOUS activity sympathetic stimulation sympathetic-sensory coupling
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Lower limb pain in sympathetic-sensory coupling
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作者 Hongjun Yang Kairun Peng +1 位作者 Sanjue Hu Li Xuan 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第2期125-130,共6页
Previous studies have shown that sympathetic nerves are related to certain types of pain, and this phenomenon is referred to as sympathetic-sensory coupling. Chronic pain resulting from nerve injury can be exacerbated... Previous studies have shown that sympathetic nerves are related to certain types of pain, and this phenomenon is referred to as sympathetic-sensory coupling. Chronic pain resulting from nerve injury can be exacerbated by sympathetic stimulation or relieved by sympathetic inhibition. In the present study, the correlation between pain and sympathetic nerves was analyzed in patients with severe pain in lower limbs, as we^l as in a chronically compressed dorsa~ root ganglion ~CCD) rat model (model of low back pain and sciatica). Patients with severe pain in the lower limbs underwent chemical lumbar sympathectomy (CLS), and the analgesic effects of CLS were compared with painkillers. Results demonstrated significantly relieved lower limb pain following CLS, and the analgesic effects of CLS were superior to those seen with painkillers. In the CCD rat model, dorsal root ganglion neuronal activity significantly increased as a result of electrical stimulation to the sympathetic nerves. These results suggest that sympathetic nerves are closely associated with pain and sympathetic-sensory coupling is likely in lower limb pain in both patients and rat models of CCD. 展开更多
关键词 dorsal root ganglion spontaneous activity neuropathic pain sympathetic stimulation chemical lumbar sympathectomy sympathetic-sensory coupling
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Modulation of hypothalamic arcuate nucleus on gastric motility in rats 被引量:1
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作者 XU Guang Yao 1, MA Rong 1, CAO Qi 1 and SU Bao Tian 2 《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第5期63-66,共4页
AIM To investigate whether the arcuate nucleus (ARC) could modulate gastric motility, and if so, what are the mechanisms or pathways.METHODS Wistar rats, anaesthetized with urethan, parameters of stimulation and elect... AIM To investigate whether the arcuate nucleus (ARC) could modulate gastric motility, and if so, what are the mechanisms or pathways.METHODS Wistar rats, anaesthetized with urethan, parameters of stimulation and electrolytic lesion sites were determined according to the Paxinos and Watson 'ATLAS of rat brain in steriotaxic coordinate'. Intragastric pressure (IGP) and gastric motility were measured by Reybould′s method.RESULTS Electrical stimulation of ARC could obviously decrease the IGP by 42.2%±5.4%, n=15, P<0.01, and the phasic gastric contractions disappeared. The analysis showed that the locus coeruleus (LC) and dorsal raphe (DR) nuclei may be involved in central, but without the invovement of β-endorphinergic neurons rich in the ARC, while in periphery, the peripheral neural pathways are both vagus and sympathetic nerves. The fibers in vagus may be non-cholinergic. Humoral factors may also be involved. At the receptor level, Tonic action of adrenergic nerve in the stomach is mainly inhibitory; β-receptors, which may be present on the stomach wall and mediate inhibition; and α-receptors, which come into play through vagus, mediate inhibition, but those present on the smooth muscle mediate sympathetic excitation. Microinjection of TRH into ARC could significantly increase the IGP by 183.02% (0.53kPa±0.08kPa vs 1.5kPa±0.6kPa, n=10, P<0.001), the rate and amplitude of phasic gastric contraction were also increased (3cpm vs 6cpm-8cpm). The peripheral pathway of such excitatory effects were transmitted with cholinergic vagus nerve mediated by M-receptor.CONCLUSION ARC could modulate gastric motility biphasically, inhibitory and excitatory, depending on the nature of stimuli. 展开更多
关键词 GASTRIC MOTILITY ARCUATE NUCLEUS neural pathways VAGUS NERVE sympathetic NERVE electrical stimulation
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河豚毒素对电刺激诱发的兔隐动脉双相血管收缩反应的作用 被引量:3
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作者 师晨霞 任雷鸣 李军霞 《中国药理学通报》 CAS CSCD 北大核心 2005年第9期1123-1127,共5页
目的采用兔离体隐动脉环标本,建立了双相血管收缩反应模型,并分析TTX(1~100 nmol·L-1)对两种收缩成分的影响.方法兔离体隐动脉血管环张力记录法及电场刺激诱发血管收缩法.结果本实验条件下的电场刺激(电压15 V、波宽1 ms、刺激频... 目的采用兔离体隐动脉环标本,建立了双相血管收缩反应模型,并分析TTX(1~100 nmol·L-1)对两种收缩成分的影响.方法兔离体隐动脉血管环张力记录法及电场刺激诱发血管收缩法.结果本实验条件下的电场刺激(电压15 V、波宽1 ms、刺激频率2~16 Hz,连续刺激时程32 s)可诱发兔离体隐动脉产生双相收缩反应,且具有频率(2~16Hz)依赖性.钠通道选择性阻滞剂TTX 3 nmol·L-1 对第一相收缩反应无影响,但是明显抑制第二相收缩反应,抑制率达44%~67%;TTX的浓度增加至10 nmol·L-1时,其对4~16 Hz电刺激诱发的第一相反应的抑制率为40%~57% ,而对第二相反应的抑制率达90%以上.TTX (0.1 μmol·L-1)对NA(0.01~30 μmol·L-1)的累积量效曲线无任何影响,但是完全抑制了电刺激诱发的动脉环双相收缩反应.胍乙啶(10 μmol·L-1)完全抑制电刺激诱发的双相收缩反应,但是不抑制外源性NA的收缩反应.结论建立了电场刺激诱发兔离体隐动脉环双相收缩反应模型,该双相收缩与交感神经兴奋及其递质的释放有关. 展开更多
关键词 共递质 交感神经 电场刺激 河豚毒素 双相血管收 兔隐动脉
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The sensitivity of neurons with non-periodic activity to sympathetic stimulation in rat injured dorsal root ganglion 被引量:1
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作者 Hong-Jun YANG San-Jue HU +1 位作者 Pu-Lin GONG Jian-Hong DUAN 《Neuroscience Bulletin》 SCIE CAS CSCD 2006年第1期14-20,共7页
Objective The relationship between compressed dorsal root ganglion (DRG) neurons and firing pattern and sensitivity of neurons was studied in chronically the Hindmarsh-Rose (HR) neuronal model. Methods Spontane- o... Objective The relationship between compressed dorsal root ganglion (DRG) neurons and firing pattern and sensitivity of neurons was studied in chronically the Hindmarsh-Rose (HR) neuronal model. Methods Spontane- ous activities from single fibers of chronically compressed DRG neurons in rats were recorded, and divided into periodic and non-periodic firing patterns. The sensitivity of the two kinds of firing pattern neuron to sympathetic stimulation (SS) was compared. Result It was found that 27.3% of periodic firing neurons and 93.2% of non-periodic firing neurons responded to SS respectively ( periodic vs non-periodic, P 〈 0.01 ). The responses to SS with different stimulation time were greater non-periodic firing neurons than periodic firing neurons (P 〈 0.01 ). The non-periodic firing neurons obviously responded to SS. After the firing pattern of these neurons transformed to periodic firing pattern, their responses to SS disappeared or decreased obviously. The HR neuronal model exhibited a significantly greater response to perturbation in non-periodic (chaotic) firing pattern than in periodic firing pattern. Conelusion The non-periodic firing neurons with deterministic chaos are more sensitive to external stimuli than the periodic firing neurons. 展开更多
关键词 dorsal root ganglion Hindmarsh-Rose neuronal model spontaneous activity sympathetic stimulation sensitivity CHAOS
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脑啡肽对动脉收缩的抑制作用 被引量:1
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作者 林树新 范谨之 +1 位作者 翁志诚 王复周 《第四军医大学学报》 1989年第1期16-19,共4页
在离体兔耳动脉条的实验中发现,用药物,手术等方法去除动脉壁去甲肾上腺素能神经作用后,Ⅰ类电场刺激(强度80v,波宽0.5ms,串长5s,频率分别为2、4、8Hz)不引起动脉条的收缩。但Ⅱ类电场刺激(强度80v,波宽10ms,串长5s,频率2、4、8Hz)则仍... 在离体兔耳动脉条的实验中发现,用药物,手术等方法去除动脉壁去甲肾上腺素能神经作用后,Ⅰ类电场刺激(强度80v,波宽0.5ms,串长5s,频率分别为2、4、8Hz)不引起动脉条的收缩。但Ⅱ类电场刺激(强度80v,波宽10ms,串长5s,频率2、4、8Hz)则仍有效。脑啡肽(11×10^(-6)mol/L)对Ⅰ类电场刺激引起的收缩具有抑制效应,但对Ⅱ类电场刺激引起者则无影响。表明脑啡肽对动脉条收缩的抑制作用,是因抑制交感神经末梢释放NE前产生的,对血管平滑肌可能并无直接抑制效应。实验还证明,吗啡对动脉条的收缩无抑制作用。从而表明在兔耳动脉上以δ亚型阿片受体为主,而无μ亚型阿片受体。 展开更多
关键词 脑啡肽 动脉 交感神经
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Cardiac arrhythmias
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《China Medical Abstracts(Internal Medicine)》 2008年第3期151-154,共4页
2008407 Effects of sympathetic nerve stimulation on connexin43 and ventricular arrhythmias during acute myocardial ischemia: experiment with rats. HU Xiaorong(胡笑容), et al. Dept Cardiol, Renmin Hosp, Wuhan Univ, Wuh... 2008407 Effects of sympathetic nerve stimulation on connexin43 and ventricular arrhythmias during acute myocardial ischemia: experiment with rats. HU Xiaorong(胡笑容), et al. Dept Cardiol, Renmin Hosp, Wuhan Univ, Wuhan 430060. Natl Med J China 2008;88(24):1707-1710. Objective To investigate the effects of sympathetic nerve stimulation (SNS) on connexin43 (Cx43) and ventricular arrhythmias during acute myocardial ischemia (MI). 展开更多
关键词 sympathetic CONNEXIN stimulation Wuhan fibrillation TACHYCARDIA SINUS PAROXYSMAL ligation DESCENDING
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ROLE OF THE MONOAMINE-CONTAINING NEURONS OF THE BRAIN STEM IN THE REGULATION OF AUTONOMIC OUTFLOW
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作者 谢益宽 杨桦 《Chinese Science Bulletin》 SCIE EI CAS 1986年第18期1278-1284,共7页
It is well known that main viscera generally receive dual innervation from sympathetic and parasympathetic nerves and their roles modulating activities of viscora show antagonism in physiological nature, but there is ... It is well known that main viscera generally receive dual innervation from sympathetic and parasympathetic nerves and their roles modulating activities of viscora show antagonism in physiological nature, but there is little information about where 展开更多
关键词 modulating sympathetic physiological NERVES stimulation nuclei REFLEX distr 伽陀 毛岭
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Excessive parasympathetic responses to sympathetic challenges: a treatable, hidden, dynamic autonomic imbalance
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作者 David L.Bellin Nicholas L.DePace +2 位作者 Robert J.Bulgarelli Peng Li Joe Colombo 《Journal of Traditional Chinese Medical Sciences》 2015年第1期52-59,共8页
Background:A common assumption with autonomic assessment is that one branch opposes the other.With independent measures of parasympathetic (P) and sympathetic (S) ac tivity,based on concurrent time-frequency analysis ... Background:A common assumption with autonomic assessment is that one branch opposes the other.With independent measures of parasympathetic (P) and sympathetic (S) ac tivity,based on concurrent time-frequency analysis of respiratory activity and heart rate variability,this assumption has been challenged.Clinical observations of unprovoked P-excess during S-stimulation have been associated with treatable,abnormal responses.Method:Serial autonomic profiling of 12,967 patients was performed using the P&S method (ANX-3.0 Autonomic Monitor by ANSAR Medical Technologies,Inc.,Philadelphia,PA) over a five-year period.Treatment protocols are very low-dose and depend on patient history.For cardiovascular disease patients,Carvedilol was prescribed.For non-CVD patients,Nortriptyline was prescribed.In some cases where end-organ effects were not yet presented or relieved,patients were weaned of therapy once PE was relieved.Alternative therapies included Specific Chiropractic Adjustment,better known in the literature as Chiropractic Manipulative Therapy and intensive zero-impact,cardiovascular exercise.Results:PE patients present with normal HR and BP and no other apparent symptoms at rest.However,they reported symptoms of:sleep difficulties,palpitations,poor peripheral circulation,general malaise,depression (often with anxiety or ADD-like symptoms),frequent headache or migraines,menopause difficulties in women,hypothyroidism,cognitive difficulties,gastrointestinal upset,persistent weight-gain,and dizziness after standing.Conclusion:Normalizing PE,regardless of method,stabilizes the patient,relieves symptoms,improves quality of life,and improves patient outcomes. 展开更多
关键词 Parasympathetic excess sympathetic stimulation Diagnosis Therapy
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INFLUENCES OF MONOAMINERGIC NEURONS IN THE CAUDAL BRAIN STEM ON THE OUTFLOWS OF THE SYMPATHETIC AND VAGAL NERVES
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作者 谢益宽 杨桦 《Chinese Science Bulletin》 SCIE EI CAS 1986年第4期278-284,共7页
Recent studies on neuroanatomy have demonstrated that the sympathetic pregan-glionie neurons in the intermediolateral cell column of the spinal cord and parasympa-thetic preganglionic neurons in the medulla are main s... Recent studies on neuroanatomy have demonstrated that the sympathetic pregan-glionie neurons in the intermediolateral cell column of the spinal cord and parasympa-thetic preganglionic neurons in the medulla are main sites of the termination of monoamine-containing neurons, especially noradrenergie neurons (NA-neuron) and seroto-nergic neurons (5-HT-neuron), of which the cell bodies are situated in the caudal brainstem. Dense monoaminergic terminations in the primary autonomic centers suggested that they might play some important physiological actions. In this study, anattempt is made to study the influence of the monoaminergic neurons in the caudal brain stem on the outflows of sympathetic and parasympathetic neurons. 展开更多
关键词 sympathetic BRAINSTEM CAUDAL termination situated AUTONOMIC physiological stimulation EVOKED ventr
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CENTRIFUGAL INHIBITORY EFFECT OF SYMPATHETIC NERVES ON PERIPHERAL NOCICEPTORS
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作者 胡三觉 胡家俊 《Chinese Science Bulletin》 SCIE EI CAS 1983年第2期273-279,共7页
The centrifugal control of exteroceptors, particularly the efferent influence of sympathetic nerves on receptors has been well documented. Loewenstein and Chernetski observed that the activity of tactile receptors of ... The centrifugal control of exteroceptors, particularly the efferent influence of sympathetic nerves on receptors has been well documented. Loewenstein and Chernetski observed that the activity of tactile receptors of the skin could be facilitated by sympathetic nerves. Santini et al. recently confirmed that the sympathetic nerves were distributed to the vicinity of sensory nerve endings, and the afferent 展开更多
关键词 sympathetic NERVES CENTRIFUGAL sensory stimulation EVOKED NOREPINEPHRINE trunk inhibited markedly
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电刺激诱发兔隐动脉双相血管收缩反应的药理学分析
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作者 师晨霞 任雷鸣 王新宇 《中国药学杂志》 CAS CSCD 北大核心 2006年第10期754-758,共5页
目的建立兔离体隐动脉环双相血管收缩反应模型,利用哌唑嗪和α,β-亚甲基ATP(α,β-meATP)对双相收缩成分的特性进行药理学分析。方法兔离体隐动脉血管环张力记录法及电场刺激诱发血管收缩法。结果本实验条件下的电场刺激(电压15V、波宽... 目的建立兔离体隐动脉环双相血管收缩反应模型,利用哌唑嗪和α,β-亚甲基ATP(α,β-meATP)对双相收缩成分的特性进行药理学分析。方法兔离体隐动脉血管环张力记录法及电场刺激诱发血管收缩法。结果本实验条件下的电场刺激(电压15V、波宽1 ms、刺激频率2~16 Hz、连续刺激时程32 s)可诱发兔离体隐动脉产生双相收缩反应,且具有频率(2~16 Hz)依赖性。电刺激隐动脉收缩反应的第1相不被α_1受体阻断剂哌唑嗪(0.1~10μmol·L^(-1))所阻断,P2X_1受体激动剂α,β-meATP脱敏P2X_1受体后完全抑制该相反应。0.1~10μmol·L^(-1)哌唑嗪显著抑制8,16 Hz的第2相反应,P2X_1受体脱敏剂α,β-meATP不影响8,16 Hz的第2相反应。联合应用α,β-meATP(3μmol·L^(-1))和哌唑嗪(1μmol·L^(-1))则完全阻断电刺激诱发的血管收缩反应。哌唑嗪10μmol·L^(-1)显著抑制去甲肾上腺素(NA,0.01~30μmol·L^(-1))诱发的血管收缩反应,而哌唑嗪1μmol·L^(-1)对α,β- meATP诱发的血管收缩反应无显著性作用。α,β-meATP3μmol·L^(-1)对NA(0.01~30μmol·L^(-1))诱发的血管收缩反应无显著性影响。结论建立电场刺激诱发兔离体隐动脉环双相收缩反应模型,该双相反应的第一相仅与交感神经嘌呤能递质ATP的突触后效应有关,第2相反应由肾上腺素能成分和少量嘌呤能成分组成。 展开更多
关键词 共递质 交感神经 电场刺激 双相血管收缩 受体 哌唑嗪 免隐动脉
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交感神经兴奋与1型长QT综合征(LQT1)
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作者 宋苓苓 董超 +2 位作者 翟晓晨 高洁 吴捷 《心脏杂志》 CAS 2018年第6期728-731,735,共5页
遗传性长QT综合征(LQTS)是一种严重危害人类健康的心律失常,其中1型长QT综合症(long QT syndrome type 1,LQT1)是由KCNQ1基因突变所致。KCNQ1基因编码心脏缓慢激活延迟性整流钾电流(IKs),离子通道(Kv7. 1)的α亚基。KCNQ1基因发生突变,... 遗传性长QT综合征(LQTS)是一种严重危害人类健康的心律失常,其中1型长QT综合症(long QT syndrome type 1,LQT1)是由KCNQ1基因突变所致。KCNQ1基因编码心脏缓慢激活延迟性整流钾电流(IKs),离子通道(Kv7. 1)的α亚基。KCNQ1基因发生突变,可以造成心脏复极主要外向电流之一的IKs通道功能受损,结果导致心肌细胞动作电位时程(APD)和心电图QT间隔延长。研究结果表明,LQT1患者发生的心脏意外事件通常与交感神经兴奋有关(例如运动或情绪激动),特别是游泳和潜水。本文就交感神经兴奋与LQT1的关系进行阐述,并对相关的预防、诊断与治疗措施进行总结。 展开更多
关键词 1型长QT综合症 KCNQ1 缓慢激活延迟性整流钾电流 交感神经兴奋
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麻醉大鼠冰水灌耳交感神经响应在心血管调节中的作用
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作者 王林杰 董卫军 +3 位作者 张丹 赵琦 仝飞舟 曹毅 《航天医学与医学工程》 CAS CSCD 北大核心 2006年第6期403-407,共5页
目的研究冰水灌耳刺激引起的交感神经响应、心率以及血压调节之间的内在联系,探讨前庭刺激在心血管调节中的作用。方法记录正常麻醉(CON)大鼠(n=5)、压力反射去除(SAD)大鼠(n=5)和迷路毁损(VD)大鼠(n=5)在冰水灌耳时内脏大神经传出放电... 目的研究冰水灌耳刺激引起的交感神经响应、心率以及血压调节之间的内在联系,探讨前庭刺激在心血管调节中的作用。方法记录正常麻醉(CON)大鼠(n=5)、压力反射去除(SAD)大鼠(n=5)和迷路毁损(VD)大鼠(n=5)在冰水灌耳时内脏大神经传出放电及血压和心率的变化。结果正常麻醉大鼠灌耳后,血压、心率降低,内脏大神经反应由增强到减弱。压力反射去除大鼠灌耳后内脏大神经活动显著高于迷路毁损大鼠,且两组动物血压呈相反方向变化。内脏大神经放电与呼吸的耦合形式受到灌耳刺激的影响。结论半规管输入至少参与了血压的短时调节机制,其作用途径可能涉及呼吸运动的调节机制,在血压调节中压力反射和前庭输入两者作用不同,在某些生理调节过程中可能有协同作用。 展开更多
关键词 交感神经响应 心血管调节 灌耳刺激 血压调节 心率
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提高犬交感神经相关房颤模型建模成功率的新方法
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作者 黄梦颖 范新荣 +3 位作者 李妙玲 马开龙 陈琳琳 曾晓荣 《中国比较医学杂志》 CAS 北大核心 2016年第12期59-65,共7页
目的对传统实验过程中犬的星状神经节暴露的方法进行改良,建立一种新的暴露犬星状神经节方法,提高交感神经相关房颤模型建模的成功率。方法成年犬28只,随机分为传统组和改良组,每组14只,分别使用传统和改良后的方法分离暴露星状神经节... 目的对传统实验过程中犬的星状神经节暴露的方法进行改良,建立一种新的暴露犬星状神经节方法,提高交感神经相关房颤模型建模的成功率。方法成年犬28只,随机分为传统组和改良组,每组14只,分别使用传统和改良后的方法分离暴露星状神经节。28只犬均建立交感神经相关房颤模型。术中记录犬生命体征变化和术中生存率,记录刺激星状神经节所需电压,记录刺激前、后心脏电生理的变化。免疫组化检测神经递质释放情况。结果改良组术中存活率较传统组术中存活率显著升高,P<0.05。改良组手术时间较传统组明显缩短,P<0.05。刺激改良组神经达到阈值所需电压较传统组更小,P<0.05。结论改良后的手术方法能够有效的降低犬在手术过程中的死亡率,明显缩短手术时间,减少术中出血量,星状神经节结构更完整,持续刺激过程中所需电压更稳定,更适合用于建立交感神经相关房颤模型。 展开更多
关键词 交感神经 房颤模型 星状神经节 刺激方法
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刺激椎神经对椎动脉血流量影响的实验研究 被引量:29
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作者 张清 佟大伟 孙树椿 《中国骨伤》 CAS 2001年第10期599-600,共2页
目的 探讨颈交感神经对椎动脉血流量影响。方法 以健康猫 3 2只 ,暴露颈交感神经及椎动脉 ,应用电刺激给予不同的刺激电压刺激颈交感神经 ,测定椎动脉血流量的改变情况 ,并记录刺激不同时间段血流量的改变。结果 电刺激强度增加 ,椎... 目的 探讨颈交感神经对椎动脉血流量影响。方法 以健康猫 3 2只 ,暴露颈交感神经及椎动脉 ,应用电刺激给予不同的刺激电压刺激颈交感神经 ,测定椎动脉血流量的改变情况 ,并记录刺激不同时间段血流量的改变。结果 电刺激强度增加 ,椎动脉血流量呈下降趋势 ,刺激时间延长血流量下降趋势明显 ,停止刺激血流量恢复。结论 颈交感神经受刺激对椎动脉有缩血管作用 ,颈交感神经受刺激是椎动脉型颈椎病的发病原因之一 ,为临床提供治疗依据。 展开更多
关键词 椎动脉 交感神经系统 电刺激 颈椎病
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刺激颈部交感神经节对椎动脉血流影响的实验研究 被引量:24
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作者 夏玉军 于腾波 《中国临床解剖学杂志》 CSCD 北大核心 2002年第5期380-382,共3页
目的 :探讨颈部交感神经因素在造成椎 -基底动脉系统缺血过程中的作用。方法 :健康家兔3 0只 ,手术暴露颈部交感神经节及基底动脉 ,不同方式刺激颈部交感神经节 ,记录、分析基底动脉血流的变化。结果 :刺激前测得基底动脉基线血流为 (5 ... 目的 :探讨颈部交感神经因素在造成椎 -基底动脉系统缺血过程中的作用。方法 :健康家兔3 0只 ,手术暴露颈部交感神经节及基底动脉 ,不同方式刺激颈部交感神经节 ,记录、分析基底动脉血流的变化。结果 :刺激前测得基底动脉基线血流为 (5 48± 2 7)PU :分别刺激颈上、中、下交感神经节后测得基底动脉血流为 (5 2 9± 16)PU、(4 74± 16)PU和 (3 70± 3 6)PU。与基线血流相比分别下降了 3 .4%、13 .5 %和 3 2 .5 %。颈部交感神经节阻滞并不能使正常状态下的基底动脉血流增加 ,但可以阻断交感神经缩血管作用。结论 :颈部交感神经受到刺激 ,可造成椎 -基底动脉系统供血不足。 展开更多
关键词 交感神经节 刺激 基底动脉 血流
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颈性眩晕病因及其治疗的临床研究进展 被引量:25
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作者 常刚 韩建龙 +1 位作者 邱思强 左金良 《医学综述》 2016年第20期4036-4039,共4页
颈性眩晕是临床上的一种常见疾病,多发生于中老年人。近年来,由于人们生活节奏的加快与计算机在日常工作和学习中的普及,其发病率有所上升并出现发病年轻化的趋势,因而引起了广泛关注。临床上,颈性眩晕虽然较常见,但其诊断较为笼统。且... 颈性眩晕是临床上的一种常见疾病,多发生于中老年人。近年来,由于人们生活节奏的加快与计算机在日常工作和学习中的普及,其发病率有所上升并出现发病年轻化的趋势,因而引起了广泛关注。临床上,颈性眩晕虽然较常见,但其诊断较为笼统。且其发病机制尚未完全阐述清楚也没有确切的诊断标准,故给临床治疗带来一定的困难。因此,有必要对颈性眩晕进行研究与分析,从而加强对其病因和治疗的认识。 展开更多
关键词 颈性眩晕 病因 交感神经刺激学说 神经节阻滞术
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83例正常人交感神经皮肤反应分析 被引量:14
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作者 王建军 李乐加 《临床脑电学杂志》 1997年第4期201-203,共3页
目的正常人的交感神经皮肤反应(SSR)进行研究。方法对83例正常人用声、电刺激,双侧手掌、脚掌记录。对刺激方式、部位、年龄、性别、皮肤温度和身高诸因素进行分析,观察SSR的变化特征和影响因素。结果①SSR双侧对称,四... 目的正常人的交感神经皮肤反应(SSR)进行研究。方法对83例正常人用声、电刺激,双侧手掌、脚掌记录。对刺激方式、部位、年龄、性别、皮肤温度和身高诸因素进行分析,观察SSR的变化特征和影响因素。结果①SSR双侧对称,四肢同时发生;②潜伏期稳定,但波幅变异较大,重复刺激易产生习惯性;③几乎不受刺激方式和部位的影响;④皮肤温度31℃时,波幅显著降低(P<001),32—34℃时,波幅有随温度增高的趋势,但两者无相关性(P>005);⑤年龄、性别对SSR无显著影响(P>005),身高变化与SSR结果无相关性(P>005)。结论SSR是定量提供交感神经系统客观信息的一种有价值的试验,可用于评估疾病状态下自主神经功能。 展开更多
关键词 交感神经 皮肤反应 正常人 神经病
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