Abstract

目的 研究低频长脉冲肛门电刺激(AES)括约肌对狗直肠顺应性、张力和直肠肛门抑制反射(RAIF)的影响.方法 9只健康狗参加3次实验研究.肛门括约肌压力(ASP)以每秒收缩曲线下面积来表达.直肠张力是在压力控制模型下测定.直肠的顺应性在以压力渐增的相性气囊扩张模型下测定.AES是通过安装在测压管上的一对环状电极进行.结果 AES期间的RAIF最低阈容量[(27.5±0.9) ml]显著高于无AES的对照期[(22.5±1.9) ml](P<0.05).用45 ml气体扩张气球时,AES期和对照期的ASP下降百分比在两者间差异无统计学意义.与基础对照相比,AES显著降低P1/2值[(11.1±1.5)比(16.7±1.1), P<0.05] 和κ值 [(11.6±2.5)比 (20.5±2.6) mm Hg, P=0.0095],表示AES增高了直肠的顺应性,但对直肠张力无明显改变.结论 肛门内应用低频长脉冲电刺激可使健康狗的ASP增加.AES能增加直肠的顺应性,但不改变直肠的张力,且RAIF仍完全保留。

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