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喉返神经喉内支的呼吸活动

Respiratory activities of intralaryngeal branches of the recurrent laryngeal nerve.

作者信息

Zhou D, Huang Q, St John W M, Bartlett D

机构信息

Department of Physiology, Dartmouth Medical School, Hanover, New Hampshire 03756.

出版信息

J Appl Physiol (1985). 1989 Sep;67(3):1171-8. doi: 10.1152/jappl.1989.67.3.1171.

Abstract

To distinguish experimentally between motor nerve activity destined for vocal cord abductor muscles and that bound for muscles that adduct the cords, we recorded efferent activities of intralaryngeal branches of the recurrent laryngeal nerve (RLN) in decerebrate, vagotomized, paralyzed, ventilated cats. Activities of the whole RLN and phrenic nerve were also recorded. Nerve activities were assessed at several steady-state end-tidal O2 and CO2 concentrations. The nerve to the thyroarytenoid (TA) muscle, a vocal cord adductor, was only slightly active under base-line (normocapnic, hyperoxic) conditions but in most cats developed strong activity during expiration in hypocapnia or hypoxia. In severe hypocapnia, phasic expiratory TA activity persisted even during phrenic apnea, indicating continuing activity of the respiratory rhythm generator. The nerve to the posterior cricoarytenoid (PCA) muscle, the vocal cord abductor, was always active in inspiration but often showed expiratory activity as well. This expiratory activity was usually enhanced by hypercapnia and often inhibited by hypoxia. The results are consistent with previous electromyographic findings and emphasize the importance of distinguishing abductor from adductor activity in studies of laryngeal control.

摘要

为了通过实验区分支配声带外展肌的运动神经活动和支配声带内收肌的运动神经活动,我们在去大脑、切断迷走神经、麻痹、通气的猫身上记录了喉返神经(RLN)喉内分支的传出活动。还记录了整个RLN和膈神经的活动。在几种稳定状态的呼气末O2和CO2浓度下评估神经活动。支配声带内收肌甲杓肌(TA)的神经在基线(正常碳酸血症、高氧)条件下仅略有活动,但在大多数猫中,在低碳酸血症或低氧血症时呼气期间会产生强烈活动。在严重低碳酸血症时,即使在膈神经呼吸暂停期间,阶段性呼气TA活动仍持续存在,表明呼吸节律发生器持续活动。支配声带外展肌环杓后肌(PCA)的神经在吸气时总是活跃的,但也经常表现出呼气活动。这种呼气活动通常因高碳酸血症而增强,常因低氧血症而受到抑制。这些结果与先前的肌电图研究结果一致,并强调在喉控制研究中区分外展肌和内收肌活动的重要性。

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