Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine, Brussels, Belgium.
J Appl Physiol (1985). 2012 Feb;112(4):529-34. doi: 10.1152/japplphysiol.01067.2011. Epub 2011 Dec 1.
The diaphragm acting alone causes a cranial displacement of the lower ribs and a caudal displacement of the upper ribs. The respiratory effect of the lower rib displacement, however, is uncertain. In the present study, two sets of experiments were performed in dogs to assess this effect. In the first, all the inspiratory intercostal muscles were severed, so that the diaphragm was the only muscle active during inspiration, and the normal inspiratory cranial displacement of the lower ribs was suppressed at regular intervals. In the second experiment, the animals were given a muscle relaxant to abolish respiratory muscle activity, and external, cranially oriented forces were applied to the lower rib pairs to simulate the action of the diaphragm on these ribs. The data showed that 1) holding the lower ribs stationary during spontaneous, isolated diaphragm contraction had no effect on the change in lung volume during unimpeded inspiration and no effect on the fall in pleural pressure (Ppl) during occluded breaths; 2) the procedure, however, caused an increase in the caudal displacement of the upper ribs; and 3) pulling the lower rib pairs cranially induced a cranial displacement of the upper ribs and a small fall in Ppl. These observations indicate that the force applied on the lower ribs by the diaphragm during spontaneous contraction, acting through the interdependence of the ribs, is transmitted to the upper ribs and has an inspiratory effect on the lung. However, this effect is very small compared to that of the descent of the dome.
单独的膈肌运动会导致下部肋骨向前颅侧位移和上部肋骨向后尾侧位移。然而,下部肋骨位移的呼吸效应尚不确定。在本研究中,我们在犬中进行了两组实验来评估这种效应。在第一组实验中,所有吸气性肋间肌都被切断,使得膈肌成为吸气时唯一活跃的肌肉,并且正常的吸气性下部肋骨向前颅侧位移被周期性地抑制。在第二组实验中,我们给动物使用肌松剂以消除呼吸肌的活动,并对下部肋骨施加向外、向前的力,以模拟膈肌对这些肋骨的作用。数据表明:1)在自发的、孤立的膈肌收缩时固定下部肋骨,对无障碍吸气过程中肺容积的变化没有影响,也对闭塞呼吸时的胸膜压(Ppl)下降没有影响;2)然而,该操作会导致上部肋骨向后尾侧位移增加;3)将下部肋骨对向前颅侧牵拉会引起上部肋骨向前颅侧位移和小的胸膜压下降。这些观察结果表明,膈肌在自发收缩时作用于下部肋骨的力,通过肋骨的相互依存关系传递到上部肋骨,并对肺产生吸气效应。然而,与横膈膜下降相比,这种效应非常小。