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麻醉兔机械性气管刺激时的呼吸通气反应。

Within breath ventilatory responses to mechanical tracheal stimulation in anaesthetised rabbits.

机构信息

Laboratoire de Physiologie, EA 3450 Faculté de Médecine, Université Henri Poincaré, Vandoeuvre les Nancy, France.

出版信息

Pulm Pharmacol Ther. 2010 Oct;23(5):397-402. doi: 10.1016/j.pupt.2010.05.008. Epub 2010 Jun 9.

Abstract

Ventilatory responses to airway mechanical stimulation usually consist in mixed cough (CR) and expiration (ER) reflexes. The stimulus characteristics that would favour either reflex may vary with breathing, but the issue cannot be addressed with the usual long lasting stimulus. The aim of the study was to describe respiratory responses evoked by a punctuate tracheal stimulus and their relationship to inspiration and expiration. Experiments were repeated after bronchoconstriction. Eight anesthetized tracheotomized rabbits were stimulated in the trachea by 150 ms probing before and after methacholine inhalation (248 tests). CR and ER were evaluated from tidal volume and expiratory flow. The overall incidence of responses was larger in inspiration than expiration (p < 0.0001). A majority of responses were single CR or ER, also strongly related to breathing: 93% CR occurred with the stimulus in inspiration and 78% ER with the stimulus in expiration (p = 0.001). Bronchoconstriction did not change the incidence of single efforts, increased that of mixed responses and decreased the amplitude of preparatory and expulsive phases of CR. The study demonstrates the strong dependence of CR and ER on the phase of breathing and adds to the current evidence that regulating mechanisms clearly differ for each reflex.

摘要

气道机械刺激的通气反应通常包括混合性咳嗽 (CR) 和呼气 (ER) 反射。有利于任一反射的刺激特征可能随呼吸而变化,但通常的长时间刺激无法解决这个问题。本研究旨在描述由点状气管刺激引起的呼吸反应及其与吸气和呼气的关系。在乙酰甲胆碱吸入后重复进行支气管收缩实验。在气管内用 150ms 的探针刺激 8 只麻醉气管切开的兔子(248 次测试)。从潮气量和呼气流量评估 CR 和 ER。与呼气相比,通气时的反应发生率更大(p<0.0001)。大多数反应是单一的 CR 或 ER,也与呼吸密切相关:93%的 CR 发生在刺激吸气时,78%的 ER 发生在刺激呼气时(p=0.001)。支气管收缩并未改变单一反应的发生率,增加了混合反应的发生率,并降低了 CR 的预备和排出阶段的幅度。本研究表明 CR 和 ER 强烈依赖于呼吸阶段,并增加了当前的证据,即调节机制显然因每种反射而异。

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