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平静呼吸时胸骨旁肌和肋间外肌缩短。

Parasternal and external intercostal muscle shortening during eupneic breathing.

作者信息

DiMarco A F, Romaniuk J R, Supinski G S

机构信息

Department of Medicine, Case Western Reserve University, Cleveland, Ohio 44109.

出版信息

J Appl Physiol (1985). 1990 Dec;69(6):2222-6. doi: 10.1152/jappl.1990.69.6.2222.

Abstract

The interosseous external intercostal (EI) muscles of the upper rib cage are electrically active during inspiration, but the mechanical consequence of their activation is unclear. In 16 anesthetized dogs, we simultaneously measured EI (3rd and 4th interspaces) and parasternal intercostal (PA) (3rd interspace) electromyogram and length. Muscle length was measured by sonomicrometry and expressed as a percentage of resting length (%LR). During resting breathing, each muscle was electrically active and shortened to a similar extent. Sequential EI muscle denervation (3rd and 4th interspaces) followed by PA denervation (3rd interspace) demonstrated significant reductions in the degree of inspiratory shortening for each muscle. Mean EI muscle shortening of the third and fourth interspaces decreased from -3.4 +/- 0.5 and -3.0 +/- 0.4% LR (SE) under control conditions to -0.2 +/- 0.2 and -0.8 +/- 0.3% LR, respectively, after selective denervation of each of these muscles (P less than 0.001 for each). After selective denervation of the PA muscle, its shortening decreased from -3.5 +/- 0.3 to +0.6% LR (SE) (P less than 0.001). PA muscle denervation also caused the EI muscle in the third interspace to change from inspiratory shortening of -0.2% to inspiratory lengthening of +0.2% +/- 0.2 (P less than 0.05). We conclude that during eupneic breathing 1) the EI muscles of the upper rib cage, like the PA muscles, are inspiratory agonists and actively contribute to rib cage expansion and 2) PA muscle contraction contributes to EI muscle shortening.

摘要

上胸廓的肋间外肌(EI)在吸气时具有电活动,但其激活后的机械效应尚不清楚。在16只麻醉犬中,我们同时测量了EI(第3和第4肋间)和胸骨旁肋间肌(PA)(第3肋间)的肌电图和长度。肌肉长度通过超声测量,并表示为静息长度的百分比(%LR)。在静息呼吸期间,每块肌肉都有电活动且缩短程度相似。依次对EI肌肉(第3和第4肋间)去神经支配,然后对PA肌肉(第3肋间)去神经支配,结果显示每块肌肉吸气时缩短程度均显著降低。第3和第4肋间EI肌肉的平均缩短程度在对照条件下分别为-3.4±0.5和-3.0±0.4%LR(标准误),在对这些肌肉进行选择性去神经支配后,分别降至-0.2±0.2和-0.8±0.3%LR(P均小于0.001)。对PA肌肉进行选择性去神经支配后,其缩短程度从-3.5±0.3降至+0.6%LR(标准误)(P小于0.001)。PA肌肉去神经支配还导致第3肋间的EI肌肉从吸气时缩短0.2%变为吸气时延长+0.2%±0.2(P小于0.05)。我们得出结论,在平静呼吸时:1)上胸廓的EI肌肉与PA肌肉一样,是吸气的主动肌,积极参与胸廓扩张;2)PA肌肉的收缩有助于EI肌肉缩短。

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