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本文引用的文献

1
THE SLOW POTENTIALS OF THORACIC RESPIRATORY MOTONEURONES AND THEIR RELATION TO BREATHING.胸段呼吸运动神经元的慢电位及其与呼吸的关系
J Physiol. 1964 Dec;175(3):404-24. doi: 10.1113/jphysiol.1964.sp007524.
2
EXCITATORY AND INHIBITORY ACTIONS ON PHRENIC MOTONEURONES.对膈运动神经元的兴奋和抑制作用
J Physiol. 1963 Sep;168(2):274-89. doi: 10.1113/jphysiol.1963.sp007192.
3
The contribution of the intercostal muscles to the effort of respiration in man.肋间肌在人类呼吸活动中的作用。
J Physiol. 1960 May;151(2):390-402. doi: 10.1113/jphysiol.1960.sp006446.
4
The role of abdominal pressure in relieving the pressure on the lumbar intervertebral discs.腹压在减轻腰椎间盘压力方面的作用。
J Bone Joint Surg Br. 1957 Nov;39-B(4):718-25. doi: 10.1302/0301-620X.39B4.718.
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In vivo measurement of the effect of intra-abdominal pressure on the human spine.腹内压对人体脊柱影响的体内测量。
J Biomech. 2001 Mar;34(3):347-53. doi: 10.1016/s0021-9290(00)00206-2.
6
Definition of neuronal circuitry controlling the activity of phrenic and abdominal motoneurons in the ferret using recombinant strains of pseudorabies virus.利用伪狂犬病病毒重组毒株对雪貂膈神经和腹部运动神经元活动的神经回路进行定义。
J Neurosci. 2000 Oct 1;20(19):7446-54. doi: 10.1523/JNEUROSCI.20-19-07446.2000.
7
Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm.人体膈肌在姿势和呼吸激活过程中腹内压的变化。
J Appl Physiol (1985). 2000 Sep;89(3):967-76. doi: 10.1152/jappl.2000.89.3.967.
8
Pitfalls of intramuscular electromyographic recordings from the human costal diaphragm.人体肋膈肌肌内肌电图记录的陷阱
Clin Neurophysiol. 2000 Aug;111(8):1420-4. doi: 10.1016/s1388-2457(00)00341-2.
9
Activation of the human diaphragm during a repetitive postural task.重复姿势任务期间人体膈肌的激活。
J Physiol. 2000 Jan 1;522 Pt 1(Pt 1):165-75. doi: 10.1111/j.1469-7793.2000.t01-1-00165.xm.
10
Effects of increased ventilatory drive on motor unit firing rates in human inspiratory muscles.通气驱动增加对人体吸气肌运动单位放电频率的影响。
Am J Respir Crit Care Med. 1999 Nov;160(5 Pt 1):1598-603. doi: 10.1164/ajrccm.160.5.9904023.

当呼吸需求增加时,人类膈肌的姿势活动会减少。

Postural activity of the diaphragm is reduced in humans when respiratory demand increases.

作者信息

Hodges P W, Heijnen I, Gandevia S C

机构信息

Department of Physiology, Prince of Wales Medical Research Institute and University of New South Wales, Sydney, Australia.

出版信息

J Physiol. 2001 Dec 15;537(Pt 3):999-1008. doi: 10.1111/j.1469-7793.2001.00999.x.

DOI:10.1111/j.1469-7793.2001.00999.x
PMID:11744772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2278995/
Abstract
  1. Respiratory activity of the diaphragm and other respiratory muscles is normally co-ordinated with their other functions, such as for postural control of the trunk when the limbs move. The integration may occur by summation of two inputs at the respiratory motoneurons. The present study investigated whether postural activity of the diaphragm changed when respiratory drive increased with hypercapnoea. 2. Electromyographic (EMG) recordings of the diaphragm and other trunk muscles were made with intramuscular electrodes in 13 healthy volunteers. Under control conditions and while breathing through increased dead-space, subjects made rapid repetitive arm movements to disturb the stability of the spine for four periods each lasting 10 s, separated by 50 s. 3. End-tidal CO(2) and ventilation increased for the first 60-120 s of the trial then reached a plateau. During rapid arm movement at the start of dead-space breathing, diaphragm EMG became tonic with superimposed modulation at the frequencies of respiration and arm movement. However, when the arm was moved after 60 s of hypercapnoea, the tonic diaphragm EMG during expiration and the phasic activity with arm movement were reduced or absent. Similar changes occurred for the expiratory muscle transversus abdominis, but not for the erector spinae. The mean amplitude of intra-abdominal pressure and the phasic changes with arm movement were reduced after 60 s of hypercapnoea. 4. The present data suggest that increased central respiratory drive may attenuate the postural commands reaching motoneurons. This attenuation can affect the key inspiratory and expiratory muscles and is likely to be co-ordinated at a pre-motoneuronal site.
摘要
  1. 膈肌和其他呼吸肌的呼吸活动通常与其其他功能相协调,例如在四肢运动时对躯干进行姿势控制。这种整合可能通过呼吸运动神经元处两种输入的总和而发生。本研究调查了随着高碳酸血症导致呼吸驱动增加时,膈肌的姿势活动是否发生变化。2. 用肌内电极对13名健康志愿者的膈肌和其他躯干肌肉进行肌电图(EMG)记录。在对照条件下以及通过增加无效腔进行呼吸时,受试者进行快速重复的手臂运动以干扰脊柱的稳定性,共进行四个时间段,每个时间段持续10秒,中间间隔50秒。3. 在试验的前60 - 120秒内,呼气末二氧化碳和通气量增加,然后达到平稳状态。在无效腔呼吸开始时进行快速手臂运动期间,膈肌肌电图在呼吸频率和手臂运动频率上出现叠加调制的紧张性活动。然而,在高碳酸血症60秒后移动手臂时,呼气时的膈肌紧张性肌电图以及与手臂运动相关的相位活动减少或消失。呼气肌腹横肌也出现类似变化,但竖脊肌未出现。高碳酸血症60秒后,腹内压的平均幅度以及与手臂运动相关的相位变化减小。4. 目前的数据表明,增加的中枢呼吸驱动可能会减弱到达运动神经元的姿势指令。这种减弱会影响关键的吸气和呼气肌肉,并且可能在运动神经元前部位进行协调。