Gilmartin J J, Ninane V, De Troyer A
Respiratory Research Unit, Erasme University Hospital, Brussels School of Medicine, Belgium.
Respir Physiol. 1987 Nov;70(2):159-71. doi: 10.1016/0034-5687(87)90047-8.
The electromyograms of the rectus abdominis, external oblique, and transversus abdominis muscles were recorded in eight lightly anesthetized, spontaneously breathing dogs. During quiet breathing in the supine posture seven animals invariably had a phasic expiratory activity in the transversus, whereas only two animals had invariable expiratory activity in the external oblique. An intermittent expiratory activity in the rectus was recorded in only one animal. The degree of activation, expressed as a percentage of the activity detected during breathing with 25 cm H2O positive end-expiratory pressure (PEEP), was also significantly greater (P less than 0.05) for the transversus (mean +/- SEM: 29.4 +/- 8.6%) than the external oblique (5.5 +/- 2.3%). Head up tilting and progressive hypercapnia elicited substantial increases in transversus and external oblique expiratory activity in all animals, whereas head down tilting caused marked decreases in expiratory activity. In each posture and at any given end-tidal CO2, however, the amount of transversus activity was larger than the amount of external oblique activity. The rectus was usually silent in all the conditions. Bilateral cervical vagotomy suppressed external oblique activity in most supine animals, and the muscle was no longer recruited by PEEP, head up tilting, or hypercapnia. In contrast, there was residual transversus expiratory activity in all supine animals (11.1 +/- 3.1%), as well as some expiratory recruitment during PEEP, head up tilting, and hypercapnia. These results indicate that: (1) the transversus is the primary abdominal muscle of expiration in the anesthetized dog; and (2) its behavior resembles that of the triangularis sterni, although it is more dependent on vagal afferent pathways. The present findings also strengthen the important fact that spontaneous quiet expiration in the dog is an active rather than passive process.
在八只轻度麻醉、自主呼吸的狗身上记录了腹直肌、腹外斜肌和腹横肌的肌电图。在仰卧位安静呼吸时,七只动物的腹横肌始终有阶段性呼气活动,而只有两只动物的腹外斜肌有恒定的呼气活动。仅在一只动物中记录到腹直肌有间歇性呼气活动。以呼气末正压(PEEP)为25 cm H₂O呼吸时检测到的活动百分比表示的激活程度,腹横肌(平均值±标准误:29.4±8.6%)也显著高于腹外斜肌(5.5±2.3%)(P<0.05)。抬头倾斜和逐渐增加的高碳酸血症使所有动物的腹横肌和腹外斜肌呼气活动显著增加,而低头倾斜则导致呼气活动明显减少。然而,在每种姿势和任何给定的呼气末二氧化碳水平下,腹横肌的活动量都大于腹外斜肌的活动量。在所有情况下,腹直肌通常都是静止的。双侧颈迷走神经切断术抑制了大多数仰卧动物的腹外斜肌活动,该肌肉不再因PEEP、抬头倾斜或高碳酸血症而被募集。相比之下,所有仰卧动物的腹横肌仍有残余呼气活动(11.1±3.1%),并且在PEEP、抬头倾斜和高碳酸血症期间也有一些呼气募集。这些结果表明:(1)腹横肌是麻醉狗呼气的主要腹部肌肉;(2)其行为类似于胸骨三角肌,尽管它更依赖迷走神经传入通路。目前的研究结果也强化了一个重要事实,即狗的自主安静呼气是一个主动而非被动的过程。