Bachoo M, Polosa C
J Physiol. 1986 Sep;378:375-90. doi: 10.1113/jphysiol.1986.sp016225.
The properties of sympathetic preganglionic neurone activity during expiration were studied in pentobarbitone-anaesthetized (n = 26) and in non-anaesthetized, mid-collicular decerebrate (n = 5), paralysed, artificially ventilated cats in which the electrical activity of the phrenic nerve and of the cervical sympathetic trunk was recorded. In control conditions (end-tidal PCO2 between 35 and 40 mmHg, zero end-expiratory pressure) sympathetic activity during expiration was either steady at a low level (n = 11) or showed a modest progressive increase from a low level in early expiration (n = 17). Very infrequently (n = 3), it showed a transient increase during the second half of expiration. Artificial ventilation with positive end-expiratory pressures in the range from 2.1 +/- 0.4 (mean +/- S.D.) to 6.7 +/- 0.6 cmH2O caused, in cats with intact vagus nerves, an increase in sympathetic neurone activity during the second half of expiration. Within this range of pressures, the magnitude of the increase was related to the magnitude of the positive end-expiratory pressure. This effect reversed at higher positive end-expiratory pressures. Pressures in excess of 10.2 +/- 1.8 cmH2O caused inhibition of sympathetic activity. The sympatho-excitatory effect of positive end-expiratory pressure disappeared after bilateral cervical vagotomy. With intact vagus nerves, it also disappeared at levels of systemic hypocapnia (end-tidal PCO2 less than or equal to 15 mmHg) which abolished phrenic nerve activity. In hypocapnia, artificial ventilation with peak tracheal pressures greater than 7.2 +/- 1.1 cmH2O caused inhibition of sympathetic activity, while ventilation with lower end-expiratory pressures had no effect on sympathetic activity. It may be concluded that the sympatho-excitatory effect of positive end-expiratory pressure is mediated by vagal afferents and requires a certain level of brain-stem respiratory neurone activity. Sympatho-excitation during expiration was also observed, in normocapnic conditions, during short-duration static lung inflation with tracheal pressures in the range from 2.5 +/- 0.3 to 7.0 +/- 0.8 cmH2O as well as during artificial ventilation with zero end-expiratory pressure when lung inflation occurred in expiration. These responses were abolished by bilateral cervical vagotomy and during systemic hypocapnia. Sympatho-excitation during expiration was also observed when systemic hypercapnia was produced in vagotomized cats by artificial ventilation with gas mixtures containing 5 or 10% CO2.(ABSTRACT TRUNCATED AT 400 WORDS)
在戊巴比妥麻醉的猫(n = 26)以及未麻醉、中脑水平去大脑、麻痹、人工通气的猫(n = 5)中,研究了呼气期间交感神经节前神经元活动的特性,同时记录膈神经和颈交感干的电活动。在对照条件下(呼气末PCO2在35至40 mmHg之间,呼气末压力为零),呼气期间交感神经活动要么稳定在低水平(n = 11),要么在呼气早期从低水平开始有适度的逐渐增加(n = 17)。非常罕见的情况(n = 3)下,它在呼气后半期会出现短暂增加。在迷走神经完整的猫中,呼气末正压在2.1±0.4(均值±标准差)至6.7±0.6 cmH2O范围内进行人工通气,会导致呼气后半期交感神经元活动增加。在这个压力范围内,增加的幅度与呼气末正压的大小有关。在更高的呼气末正压时这种效应会逆转。超过10.2±1.8 cmH2O的压力会导致交感神经活动受到抑制。双侧颈迷走神经切断后,呼气末正压的交感兴奋效应消失。在迷走神经完整时,在使膈神经活动消失的全身性低碳酸血症水平(呼气末PCO2小于或等于15 mmHg)下,该效应也消失。在低碳酸血症时,气管峰压大于7.2±1.1 cmH2O的人工通气会导致交感神经活动受到抑制,而呼气末压力较低的通气对交感神经活动没有影响。可以得出结论,呼气末正压的交感兴奋效应是由迷走神经传入介导的,并且需要一定水平的脑干呼吸神经元活动。在正常碳酸血症条件下,当气管压力在2.5±0.3至7.0±0.8 cmH2O范围内进行短时间静态肺充气时,以及在呼气时出现肺充气且呼气末压力为零的人工通气过程中,也观察到了呼气期间的交感兴奋。这些反应在双侧颈迷走神经切断后以及全身性低碳酸血症期间消失。当通过用含5%或10% CO2的混合气体进行人工通气在迷走神经切断的猫中产生全身性高碳酸血症时,也观察到了呼气期间的交感兴奋。(摘要截断于400字)