Muzzin S, Trippenbach T, Baconnier P, Benchetrit G
Laboratoire de Physiologie, Faculté de Médecine de Grenoble, La Tronche, France.
Respir Physiol. 1989 Feb;75(2):157-72. doi: 10.1016/0034-5687(89)90060-1.
The aim of this study was to determine whether pulmonary receptors other than slowly adapting stretch receptors are capable of entraining the respiratory rhythm when periodically stimulated during artificial ventilation. Experiments were performed on anaesthetised (urethane, 1.5 g/kg) and paralysed (pancuronium bromide, 0.1 mg/kg) rabbits. Vagi were cooled in order to block conduction in the myelinated fibres innervating slowly adapting receptors. The effectiveness of this cooling was assimilated to the absence of the Hering-Breuer inflation reflex and the presence of the deflation reflex. Our results indicate that under such conditions: (1) harmonic entrainment (one phrenic burst for one pump period) can be observed, (2) the range of harmonic entrainment is more limited when the vagi are cooled, and (3) during harmonic entrainment the inspiratory duration and phrenic activity are similar to what is observed at the same period with intact vagi, whereas vagal cooling modifies the phase difference between the phrenic burst and the pump. We have concluded that periodic input from rapidly adapting receptors and/or vagal C-fibres can entrain the respiratory rhythm as does input from slowly adapting receptors but with different patterns as evidenced by phase relationship.
本研究的目的是确定在人工通气期间定期刺激时,除慢适应性牵张感受器之外的肺感受器是否能够调节呼吸节律。实验在麻醉(乌拉坦,1.5 g/kg)和麻痹(泮库溴铵,0.1 mg/kg)的家兔身上进行。冷却迷走神经以阻断支配慢适应性感受器的有髓纤维中的传导。这种冷却的效果等同于不存在黑林-布雷尔充气反射和存在放气反射。我们的结果表明,在这种情况下:(1)可以观察到谐波调节(一个泵周期对应一个膈神经冲动爆发),(2)冷却迷走神经时谐波调节的范围更有限,并且(3)在谐波调节期间,吸气持续时间和膈神经活动与迷走神经完整时同一时期观察到的情况相似,而迷走神经冷却会改变膈神经冲动爆发与泵之间的相位差。我们得出结论,快速适应性感受器和/或迷走神经C纤维的周期性输入能够像慢适应性感受器的输入一样调节呼吸节律,但相位关系表明其模式不同。