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麻醉大鼠对呼吸过程缺氧抑制的差异敏感性。

Differential sensitivity to hypoxic inhibition of respiratory processes in the anesthetized rat.

作者信息

Maruyama R, Yoshida A, Fukuda Y

机构信息

Department of Physiology II, School of Medicine, Chiba University, Japan.

出版信息

Jpn J Physiol. 1989;39(6):857-71. doi: 10.2170/jjphysiol.39.857.

Abstract

To estimate the sensitivity to hypoxic inhibition of various regulatory processes for respiration, changes in breathing pattern during hypoxic ventilatory depression (HVD) were analyzed in the halothane-anesthetized spontaneously breathing rat using a "progressive isocapnic hypoxia test." In the carotid sinus nerve (CSN) intact rats, ventilatory augmentation was followed by depression due to reduction in respiratory frequency (f) at end-tidal PO2 (PETO2) levels below 50-60 mmHg despite increased afferent activities from the carotid chemoreceptors. After CSN section, ventilation was progressively depressed at PETO2 lower than normoxic level with simultaneous decreases of f and tidal volume. An increase in CO2 stimulus or the prevention of arterial hypotension during hypoxia by infusing a vasoconstrictor agent (phenylephrine) inhibited the occurrence of ventilatory depression in both the CSN intact and denervated animals. In all cases studied, the reduction in f resulted mainly from the prolongation of expiratory time (TE). The results suggest that in the anesthetized rat the effect of respiratory stimulation from carotid chemoreceptor afferents becomes inadequate to offset the prolongation of TE due to the central hypoxia at lower PETO2, and that the neural process for regulating TE is the major site of deterioration during central hypoxic inhibition. Roles of CO2 stimulus and systemic circulatory conditions in the generation of HVD were also discussed.

摘要

为评估呼吸各种调节过程对低氧抑制的敏感性,在氟烷麻醉下自主呼吸的大鼠中,采用“渐进性等碳酸低氧试验”分析低氧通气抑制(HVD)期间呼吸模式的变化。在完整颈动脉窦神经(CSN)的大鼠中,尽管颈动脉化学感受器的传入活动增加,但在呼气末PO2(PETO2)水平低于50 - 60 mmHg时,呼吸频率(f)降低导致通气增强后出现抑制。切断CSN后,在PETO2低于常氧水平时通气逐渐受到抑制,同时f和潮气量均降低。增加CO2刺激或在低氧期间通过输注血管收缩剂(去氧肾上腺素)预防动脉低血压,可抑制CSN完整和去神经支配动物出现通气抑制。在所有研究案例中,f降低主要源于呼气时间(TE)延长。结果表明,在麻醉大鼠中,在较低的PETO2时,颈动脉化学感受器传入神经的呼吸刺激作用不足以抵消由于中枢性低氧导致的TE延长,并且调节TE的神经过程是中枢性低氧抑制期间功能恶化的主要部位。还讨论了CO2刺激和全身循环状况在HVD发生中的作用。

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