Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Respir Physiol Neurobiol. 2010 Aug 31;173(1):101-6. doi: 10.1016/j.resp.2010.07.001. Epub 2010 Jul 8.
We hypothesized that considerable force reserve exists for the diaphragm muscle (DIAm) to generate transdiaphragmatic pressures (Pdi) necessary to sustain ventilation. In rats, we measured Pdi and DIAm EMG activity during different ventilatory (eupnea and hypoxia (10% O(2))-hypercapnia (5% CO(2))) and non-ventilatory (airway occlusion and sneezing induced by intranasal capsaicin) behaviors. Compared to maximum Pdi (Pdi(max) generated by bilateral phrenic nerve stimulation), the Pdi generated during eupnea (21+/-2%) and hypoxia-hypercapnia (28+/-4%) were significantly less (p<0.0001) than that generated during airway occlusion (63+/-4%) and sneezing (94+/-5%). The Pdi generated during spontaneous sighs was 62+/-5% of Pdi(max). Relative DIAm EMG activity (root mean square [RMS] amplitude) paralleled the changes in Pdi during different ventilatory and non-ventilatory behaviors (r(2)=0.78; p<0.0001). These results support our hypothesis of a considerable force reserve for the DIAm to accomplish ventilatory behaviors. A model for DIAm motor unit recruitment predicted that ventilatory behaviors would require activation of only fatigue resistant units.
我们假设膈(DIAm)肌肉存在相当大的力储备,以产生维持通气所需的跨膈压力(Pdi)。在大鼠中,我们在不同的通气(呼吸和缺氧(10% O(2))-高碳酸血症(5% CO(2))) 和非通气(气道阻塞和鼻内辣椒素引起的打喷嚏)行为期间测量了 Pdi 和 DIAm EMG 活动。与最大 Pdi(双侧膈神经刺激产生的 Pdi(max))相比,呼吸和缺氧高碳酸血症期间产生的 Pdi(21+/-2%)和(28+/-4%)明显低于气道阻塞期间产生的 Pdi(63+/-4%)和打喷嚏(94+/-5%)。自发叹息期间产生的 Pdi 为 Pdi(max)的 62+/-5%。相对 DIAm EMG 活动(均方根 [RMS] 幅度)与不同通气和非通气行为期间 Pdi 的变化平行(r(2)=0.78;p<0.0001)。这些结果支持我们关于 DIAm 具有相当大的力储备以完成通气行为的假设。DIAm 运动单位募集的模型预测,通气行为仅需要激活抗疲劳的单位。