唾液腺的神經支配

Innervation of the Salivary Glands

婁培人(Pei-Jen Lou) ； 陳文彬(Wen-Pin Chen) ； 李憲彥(Shiann-Yann Lee) ； 徐茂銘(Mow-Ming Hsu)

《中華民國耳鼻喉科醫學會雜誌》 32卷3期 (1997/06) Pp. 297-303

https://doi.org/10.6286/1997.32.3.297

摘要

在哺乳動物的視經系統中，交感與副交感視經往往此處於互相拮抗的角色，以維持體內狀況的恆定，而唾液卻是少數的例外之一。刺激交感視經會促使唾液腺分泌富含蛋白質的粘性唾液，而副交感視經的興奮則導致唾腺分泌大量富含電解質的水性唾液。在視經傳導物質方面，除了傳統的腎上腺素(adrenaline)與乙醯膽鹼(acetylcholine)之外，神經胜肽(neuropeptide)在唾液腺的分泌上，亦扮演著十分重要的角色。本文主要乃是回顧文獻上關於唾液腺神經支配的報導，以助吾儕耳鼻喉科醫師對於唾液腺的生理現象有更進一步的認識。

關鍵字

唾液腺 ； 神經支配 ； 神經胜肽

並列摘要

For maintaining the homeostasis of living mammals, the sympathetic and parasympathetic nervous systems are usually antagonized to each other. However, the inervation of the salivary gland is one of the rare exceptions. Stimulation of the sympathetic nerve induces secretion of proteinaceous fluid, while parasympathetic nerve stimulation causes copious secretion of electrolytes-rich fluid. As to the neurotransmitters, both the conventional transmitters (such as adrenalines and acetylcholine) and neuropeptides play an important role in saliva secretion. The main concern of this article is to review from the literature about the innervation of the salivaroy glands, for the hope that this will help us otolaryngologists to learn more about the physiology of the salivary glands.

並列關鍵字

salivary gland ； innervation ； neuropeptide