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阿片类药物对麻醉和去大脑家兔胸段运动神经元呼吸活动的影响。

The effects of opiates on the respiratory activity of thoracic motoneurones in the anaesthetized and decerebrate rabbit.

作者信息

Howard R S, Sears T A

机构信息

Sobell Department of Neurophysiology, Institute of Neurology, London.

出版信息

J Physiol. 1991 Jun;437:181-99. doi: 10.1113/jphysiol.1991.sp018590.

Abstract
  1. Efferent discharges were recorded from inspiratory and expiratory intercostal nerve filaments (T2-T10) in artificially ventilated, anaesthetized or decerebrate rabbits with or without vagotomy. 2. Hypocapnic apnoea was used to study the fractional end-tidal CO2 (FET,CO2)-dependent tonic discharges of the expiratory motoneurones, the FET,CO2 threshold for rhythm generation and the FET,CO2 response curve of both inspiratory and expiratory burst activity. 3. Incremental doses of morphine (e.g. 1 mg kg-1 I.V.) produced slowing of the respiratory rhythm due to prolongation of the expiratory duration and an elevation of the FET,CO2 threshold for rhythm generation. Eventually apnoea supervened with associated tonic firing of the expiratory motoneurones. At the elevated levels of FET,CO2 bursts of inspiratory activity, with concomitant phasic inhibition of the tonic expiratory activity, could occur either spontaneously or following sensory stimulation. The peak integrated activities of these bursts were closely similar to the values obtained for corresponding levels of FET,CO2 before the administration of morphine. 4. Tonic expiratory activity responded to increased levels of FET,CO2, as it had during hypocapnic apnoea prior to morphine, by an increased discharge frequency of single units or recruitment of new units. 5. All of these effects of morphine were immediately reversed by naloxone (100 micrograms kg-1). 6. Naloxone (greater than 100 micrograms kg-1), without pre-treatment with morphine, led to an increase in respiratory frequency due to a shortening of the expiratory duration and a dose-dependent reduction in the FET,CO2 threshold for rhythm generation. There was little alteration either in the inspiratory response to FET,CO2 during rhythm or in the FET,CO2 response of the expiratory output whether expressed as tonic activity during hypocapnic apnoea or phasic activity following the onset of rhythm. 7. Thus opiates act upon the mechanisms of rhythm generation without depressing the FET,CO2 drive as expressed either as phasic or tonic activation of the motoneurones.
摘要
  1. 在人工通气、麻醉或去大脑的家兔中,记录有或无迷走神经切断的吸气和呼气肋间神经纤维(T2 - T10)的传出放电。2. 低碳酸血症性呼吸暂停用于研究呼气运动神经元的潮末二氧化碳分数(FET,CO2)依赖性紧张性放电、节律产生的FET,CO2阈值以及吸气和呼气爆发活动的FET,CO2反应曲线。3. 递增剂量的吗啡(例如1 mg kg-1静脉注射)由于呼气持续时间延长导致呼吸节律减慢,以及节律产生的FET,CO2阈值升高。最终出现呼吸暂停,并伴有呼气运动神经元的相关紧张性放电。在升高的FET,CO2水平时,吸气活动爆发,同时伴有紧张性呼气活动的相性抑制,可自发出现或在感觉刺激后出现。这些爆发的峰值积分活动与吗啡给药前相应FET,CO2水平获得的值非常相似。4. 紧张性呼气活动对FET,CO2水平升高的反应,与吗啡给药前低碳酸血症性呼吸暂停期间一样,通过单个单位放电频率增加或新单位的募集。5. 吗啡的所有这些作用均被纳洛酮(100微克 kg-1)立即逆转。6. 未用吗啡预处理的纳洛酮(大于100微克 kg-1),由于呼气持续时间缩短和节律产生的FET,CO2阈值剂量依赖性降低,导致呼吸频率增加。在节律期间对FET,CO2的吸气反应或呼气输出的FET,CO2反应(无论是表示为低碳酸血症性呼吸暂停期间的紧张性活动还是节律开始后的相性活动)几乎没有改变。7. 因此,阿片类药物作用于节律产生机制,而不抑制以运动神经元的相性或紧张性激活表示的FET,CO2驱动。

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