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内源性阿片类物质对吸气负荷期间腹肌活动的影响。

Endogenous opioid effects on abdominal muscle activity during inspiratory loading.

作者信息

Scardella A T, Petrozzino J J, Mandel M, Edelman N H, Santiago T V

机构信息

Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick 08903-0019.

出版信息

J Appl Physiol (1985). 1990 Sep;69(3):1104-9. doi: 10.1152/jappl.1990.69.3.1104.

Abstract

In a previous study in unanesthetized goats, we demonstrated that continuous naloxone (NLX) administration during inspiratory flow-resistive loading (IRL) significantly increased tidal volume (VT) but not diaphragm electromyogram (EMGdi). End-expiratory gastric pressure did increase with NLX, implying that increased abdominal muscle activity may have accounted for the NLX effect. In the current study we directly tested the hypothesis that endogenous opioid elaboration depresses the abdominal muscle response to a continuous inspiratory flow-resistive load. In seven unanesthetized goats, VT, arterial blood gases, EMGdi, and EMG activity of external oblique (EMGeo), transversus abdominis (EMGta), and external intercostal (EMGei) muscles were monitored. IRL (50 cmH2O.l-1.s) was continued for 3 h, after which NLX (0.1 mg/kg) or saline was given. Our results showed that VT decreased from 323 +/- 32 (SE) ml at baseline to 260 +/- 16 ml 5 min after the load was imposed (P less than 0.05) and further decreased to 229 +/- 18 and 217 +/- 15 ml by 120 and 180 min, respectively (180 vs. 5 min, P less than 0.05). EMGdi increased from 62 +/- 5 to 83 +/- 4% max at 5 min (P less than 0.05) but was unchanged thereafter. In contrast, for this same time period EMGeo increased from 35 +/- 5 to 58 +/- 11% max but decreased from 67 +/- 11% max at 120 min to 37 +/- 5% max at 180 min (P less than 0.05). NLX administration resulted in significant increases in EMGeo (91% above 180-min value). In contrast, EMGdi increased minimally after NLX (15% above 180-min value).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在之前一项针对未麻醉山羊的研究中,我们证明,在吸气性气流阻力负荷(IRL)期间持续给予纳洛酮(NLX)可显著增加潮气量(VT),但对膈肌肌电图(EMGdi)无影响。呼气末胃内压确实随NLX升高,这意味着腹部肌肉活动增加可能是NLX产生效应的原因。在本研究中,我们直接检验了内源性阿片类物质的释放会抑制腹部肌肉对持续吸气性气流阻力负荷的反应这一假设。对7只未麻醉山羊的VT、动脉血气、EMGdi以及腹外斜肌(EMGeo)、腹横肌(EMGta)和肋间外肌(EMGei)的肌电活动进行了监测。IRL(50 cmH₂O·l⁻¹·s)持续3小时,之后给予NLX(0.1 mg/kg)或生理盐水。我们的结果显示,VT从基线时的323±32(SE)ml在施加负荷后5分钟降至260±16 ml(P<0.05),并在120分钟和180分钟时分别进一步降至229±18和217±15 ml(180分钟与5分钟相比,P<0.05)。EMGdi在5分钟时从62±5增至83±4%最大值(P<0.05),此后保持不变。相比之下,在同一时间段内,EMGeo从35±5增至58±11%最大值,但从120分钟时的67±11%最大值降至180分钟时的37±5%最大值(P<0.05)。给予NLX后EMGeo显著增加(比180分钟时的值高91%)。相比之下,给予NLX后EMGdi仅略有增加(比180分钟时的值高15%)。(摘要截取自250词)

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