Smith C A, Ainsworth D M, Henderson K S, Dempsey J A
John Rankin Laboratory of Pulmonary Medicine, Department of Preventive Medicine, University of Wisconsin School of Medicine, Madison 53705.
J Appl Physiol (1985). 1989 Jan;66(1):392-9. doi: 10.1152/jappl.1989.66.1.392.
We assessed changes in respiratory muscle timing in response to hyperpnea and shortened inspiratory and expiratory times caused by chemoreceptor stimuli in six awake dogs. Durations of postinspiratory inspiratory activity of costal and crural diaphragm (PIIA), the delay in diaphragm electromyogram (EMG) after the initiation of inspiratory airflow, postexpiratory expiratory activity of the transversus abdominis (PEEA), and the delay of abdominal expiratory muscle activity after the initiation of expiratory airflow were measured. In control, four out of six dogs showed PIIA [8-10% of expiratory time (TE)]; all showed delay of diaphragm [19% of inspiratory time (TI)], delay of abdominal muscle activation (21% of TE), and PEEA (24% of TI). Hypercapnia decreased PIIA (4-9% of TE), maintained diaphragm delay at near control values (23% of TI), increased PEEA (36% of TI), eliminated delay of abdominal muscle activation (4% of TE), and decreased end-expiratory lung volume (EELV). Hypocapnic hypoxia increased PIIA (24-25% of TE), eliminated diaphragm delay (3% of TI), eliminated PEEA (3% of TI), reduced delay of abdominal muscle activation (14% of TE), and increased EELV. Most of these effects of hypoxic hypocapnia vs. hypercapnia on the within-breath EMG timing parameters corresponded to differences in the magnitude of expiratory muscle activation. These changes exerted significant influences on flow rates and EELV.
我们评估了六只清醒犬在化学感受器刺激引起的通气过度以及吸气和呼气时间缩短时呼吸肌定时的变化。测量了肋膈和膈脚的吸气后吸气活动(PIIA)的持续时间、吸气气流开始后膈肌肌电图(EMG)的延迟、腹横肌的呼气后呼气活动(PEEA)以及呼气气流开始后腹部呼气肌活动的延迟。在对照状态下,六只犬中有四只表现出PIIA[呼气时间(TE)的8 - 10%];所有犬均表现出膈肌延迟[吸气时间(TI)的19%]、腹肌激活延迟(TE的21%)和PEEA(TI的24%)。高碳酸血症使PIIA降低(TE的4 - 9%),将膈肌延迟维持在接近对照值(TI的23%),增加PEEA(TI的36%),消除腹肌激活延迟(TE的4%),并降低呼气末肺容积(EELV)。低碳酸血症性低氧血症使PIIA增加(TE的24 - 25%),消除膈肌延迟(TI的3%),消除PEEA(TI的3%),减少腹肌激活延迟(TE的14%),并增加EELV。与高碳酸血症相比,低氧血症性低碳酸血症对呼吸内EMG定时参数的这些影响大多与呼气肌激活幅度的差异相对应。这些变化对流速和EELV产生了显著影响。