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[咽肌的呼吸功能]

[Respiratory function of pharyngeal muscles].

作者信息

Aleksandrova N P

出版信息

Usp Fiziol Nauk. 2006 Jul-Sep;37(3):11-24.

Abstract

This article reviews experimental studies of pharyngeal muscles with emphasis on m. genioglossus as a major muscle dilating pharynx and discusses neuromuscular mechanisms that maintains patency of upper airway. Mechanisms of inspiratory activation of genioglossus muscle in comparative with diaphragm are also discussed. Experimental data suggesting that upper airway muscles have a significant role in compensation of added inspiratory load are presented. It allows to regard pharyngeal dilating muscles as accessory muscles of respiration. Activation of m. genioglossus (together with others muscles dilating the pharynx) decreases airway resistance and thereby facilitates the load compensation function of "pumping" muscles. Similar to diaphragm involvement of the pharynx dilating muscles in the load compensatory response is resulted from a complex integration of several influences originating from mechano- and chemoreceptors.

摘要

本文回顾了咽部肌肉的实验研究,重点关注颏舌肌作为扩张咽部的主要肌肉,并讨论了维持上呼吸道通畅的神经肌肉机制。还讨论了与膈肌相比,颏舌肌吸气激活的机制。文中给出了实验数据,表明上呼吸道肌肉在补偿额外吸气负荷方面具有重要作用。这使得咽部扩张肌可被视为呼吸辅助肌。颏舌肌(与其他扩张咽部的肌肉一起)的激活可降低气道阻力,从而促进“泵吸”肌的负荷补偿功能。与膈肌类似,咽部扩张肌参与负荷补偿反应是由机械感受器和化学感受器产生的多种影响的复杂整合所致。

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