Watchko J F, Klesh K W, O'Day T L, Guthrie R D
Department of Pediatrics, University of Pittsburgh School of Medicine, Magee-Womens Hospital, Pennsylvania.
Pediatr Pulmonol. 1988;5(4):215-9. doi: 10.1002/ppul.1950050407.
Little is known about the respiratory behavior of the intercostal muscles within a neonatal and developmental context. We, therefore, examined intercostal muscle electromyographic (EMG) activity in kittens (1 month old, n = 8; 2 months old, n = 7) during eupnea and heightened respiratory drive induced by hypercapnia. The kittens were anesthetized with halothane (1.25-1.50%) at comparable minimum alveolar concentrations and were studied in the prone position during an acute exposure to hyperoxic hypercapnia (8% CO2, 50% O2, balance N2) for 7 min. We recorded EMG activities from bipolar electrodes embedded in the intercostal (dorsolateral thorax, 4th-5th interspace) (EMGic) and costal diaphragm (EMGdi) muscles. Peak moving time average EMG measurements served as our index of muscle activity. Phasic inspiratory EMGic activity was present during eupnea in all animals. EMGic and EMGdi increased significantly above baseline levels during hypercapnic exposure with the increase in EMGic (133 +/- 27%) being comparable to that observed in EMGdi (141 +/- 28%) (P = 0.40). No differences in EMGic (P = 0.64) or EMGdi (P = 0.88) recruitment were noted between age groups. These data indicate that hypercapnia augments intercostal muscle EMG activity in kittens and suggest that such activity parallels costal diaphragmatic EMG recruitment. We conclude that EMGic recruitment is a frequent respiratory phenomenon associated with hypercapnically stimulated diaphragmatic muscle activity in kittens. We speculate that intercostal muscle recruitment stabilizes the compliant chest wall of the newborn and helps sustain inspiratory force generation during stimulated breathing.
在新生儿及发育背景下,人们对肋间肌的呼吸行为知之甚少。因此,我们研究了小猫(1月龄,n = 8;2月龄,n = 7)在平静呼吸以及高碳酸血症诱导的呼吸驱动增强时肋间肌的肌电图(EMG)活动。小猫在可比的最低肺泡浓度下用氟烷(1.25 - 1.50%)麻醉,并在急性暴露于高氧高碳酸血症(8% CO₂,50% O₂,其余为N₂)7分钟期间处于俯卧位进行研究。我们从埋置于肋间肌(胸背外侧,第4 - 5肋间)(EMGic)和肋膈肌(EMGdi)的双极电极记录EMG活动。峰值移动时间平均EMG测量值作为我们的肌肉活动指标。所有动物在平静呼吸时均出现阶段性吸气EMGic活动。在高碳酸血症暴露期间,EMGic和EMGdi显著高于基线水平,EMGic的增加(133 ± 27%)与EMGdi观察到的增加(141 ± 28%)相当(P = 0.40)。各年龄组之间在EMGic(P = 0.64)或EMGdi(P = 0.88)募集方面未发现差异。这些数据表明高碳酸血症增强了小猫肋间肌的EMG活动,并表明这种活动与肋膈肌EMG募集相似。我们得出结论,EMGic募集是小猫中与高碳酸血症刺激的膈肌活动相关的常见呼吸现象。我们推测肋间肌募集可稳定新生儿顺应性胸壁,并有助于在刺激呼吸期间维持吸气力量的产生。