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脑桥上部病变后布雷尔-黑林反射的变化。

Changes in the Breuer-Hering reflexes following rostral pontine lesion.

作者信息

Knox C K, King G W

出版信息

Respir Physiol. 1976 Nov;28(2):189-206. doi: 10.1016/0034-5687(76)90038-4.

Abstract

The lung stretch reflex characteristics of unanesthetized decerebrate cats were determined using servo-controlled lung volume changes before and after bilateral lesion of the dorsolateral rostral pons in the region of nucleus parabrachialis medialis (NPBM). During the inspiratory phase the time-dependent threshold curve for inspiratory inhibition by lung inflation was shifted to larger volumes after lesion with no change in the constant describing its rate of decay. During the expiratory phase the gain of the inflation reflex was found to be increased by lesion, but otherwise to remain qualitatively the same. Deflations during the expiratory phase revealed a prolonged central inhibitory state with reduced rate of decay late in expiration. It is concluded that with intact vagi structures in the region of NPBM constitute but one of at least three sources of inspiratory inhibition, feedback derived from peripheral lung stretch receptors and from caudal pontine or medullary neurons also being involved. It is also concluded that the structures in the vicinity of NPBM affect the switching mechanisms differently during the two phases of the cycle: During inspiration they contribute a tonic threshold lowering input to the inspiratory "off-switch"; whereas, during expiration they provide inspiratory-facilitatory influences late in the phase.

摘要

在脑桥臂旁内侧核(NPBM)区域双侧损伤延髓吻侧背外侧部之前和之后,通过伺服控制的肺容量变化,测定了未麻醉去大脑猫的肺牵张反射特征。在吸气期,肺充气引起吸气抑制的时间依赖性阈值曲线在损伤后移向更大的容量,而描述其衰减速率的常数没有变化。在呼气期,发现损伤会增加充气反射的增益,但在其他方面保持定性相同。呼气期的放气显示出中枢抑制状态延长,呼气后期衰减速率降低。结论是,在NPBM区域完整的迷走神经结构只是至少三种吸气抑制来源之一,外周肺牵张感受器以及脑桥尾端或延髓神经元的反馈也参与其中。还得出结论,NPBM附近的结构在呼吸周期的两个阶段对转换机制有不同的影响:在吸气期间,它们为吸气“关闭开关”提供一个降低阈值的紧张性输入;而在呼气期间,它们在该阶段后期提供吸气促进作用。

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