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家兔慢性长期间歇性低压缺氧引起的呼吸改变:外周化学感受器的重要性。

Respiratory alterations due to chronic long-term intermittent hypobaric hypoxia in rabbits: importance of peripheral chemoreceptors.

作者信息

Guner Ibrahim, Yelmen Nermin, Sahin Gulderen, Oruc Tulin, Sipahi Sevtap, Yaman M Onur

机构信息

Department of Physiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

Arch Med Res. 2007 Oct;38(7):739-45. doi: 10.1016/j.arcmed.2007.04.010. Epub 2007 Jul 12.

Abstract

BACKGROUND

None of the studies carried out so far investigated the effect of denervation of peripheral chemoreceptors on basal ventilation and respiratory responses to acute hypoxia in subjects exposed to chronic long-term intermittent hypobaric hypoxia (CLTIHH). We aimed to research (i) the effect of CLTIHH (430 mmHg, 5 h/day, 5 days/week, 5 weeks) on basal ventilation and respiratory responses to hypoxia and (ii) the effects of CLTIHH on central respiratory mechanisms after peripheral chemodenervation.

METHODS

Sixteen adult albino rabbits were divided into two groups: CLTIHH (n = 8) and control (n = 8). The tidal volume (V(T)) and respiratory frequency (f/min) were initially recorded in both groups and respiratory minute volume (V(E)) was calculated. PaO(2), PaCO(2), and pHa values were determined.

RESULTS

The initial values of f/min and V(E) in CLTIHH group were significantly higher than that of control group. After exposure to hypoxic gas mixture (8% O(2)-92% N(2)), the elevations in f/min, V(T), and V(E) in CLTIHH group were significantly higher than those of control group. After denervation of peripheral chemoreceptors, the decrease in V(E) in CLTIHH group was found to be significantly less than that of control group. When the animals in control group were allowed to breathe hypoxic gas mixture, f/min, V(T,) and V(E) decreased significantly and hypoxic depression was obtained. In contrast, hypoxic depression did not occur in the CLTIHH group.

CONCLUSIONS

Our results suggested that CLTIHH increases the basal ventilation and hypoxic respiratory responses and that enhanced ventilatory responses were due not only to the augmentation of peripheral chemoreceptor activity but also to the augmentation of central respiratory activity.

摘要

背景

迄今为止,尚无研究探讨在暴露于慢性长期间歇性低压缺氧(CLTIHH)的受试者中,外周化学感受器去神经支配对基础通气及急性缺氧时呼吸反应的影响。我们旨在研究:(i)CLTIHH(430 mmHg,每天5小时,每周5天,共5周)对基础通气及缺氧时呼吸反应的影响;(ii)CLTIHH对外周化学感受器去神经支配后中枢呼吸机制的影响。

方法

将16只成年白化兔分为两组:CLTIHH组(n = 8)和对照组(n = 8)。两组均先记录潮气量(V(T))和呼吸频率(次/分钟),并计算每分通气量(V(E))。测定动脉血氧分压(PaO(2))、动脉血二氧化碳分压(PaCO(2))及动脉血pH值(pHa)。

结果

CLTIHH组的初始呼吸频率(次/分钟)和每分通气量显著高于对照组。暴露于低氧混合气体(8% O(2)-92% N(2))后,CLTIHH组的呼吸频率、潮气量和每分通气量升高幅度显著高于对照组。外周化学感受器去神经支配后,发现CLTIHH组每分通气量的下降幅度显著小于对照组。当对照组动物吸入低氧混合气体时,呼吸频率、潮气量和每分通气量显著下降,出现低氧抑制。相比之下,CLTIHH组未出现低氧抑制。

结论

我们的结果表明,CLTIHH可增加基础通气及缺氧时的呼吸反应,增强的通气反应不仅归因于外周化学感受器活性的增强,还归因于中枢呼吸活性的增强。

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