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麻醉猫的肺C纤维受体激活与防御反射

Lung C-fibre receptor activation and defensive reflexes in anaesthetized cats.

作者信息

Tatar M, Webber S E, Widdicombe J G

机构信息

Department of Physiology, St George's Hospital Medical School, London.

出版信息

J Physiol. 1988 Aug;402:411-20. doi: 10.1113/jphysiol.1988.sp017212.

Abstract
  1. With pentobarbitone-anaesthetized cats we have elicited cough reflexes from the tracheobronchial tree and the larynx, and the aspiration and sneeze reflexes from the nasopharynx and the nose respectively. The reflexes were induced by mechanical stimulation of the mucosa, before and during activation of pulmonary C-fibre receptors by intravenous injections of capsaicin or phenylbiguanide. 2. During the 20-30 s apnoea due to C-fibre stimulation, the cough reflex from both sites and the sneeze reflex were completely abolished, whereas the aspiration reflex response was approximately halved. Reflex contractions of genioglossus muscle still occurred at this time, but were far weaker than in the control state. 3. During the rapid shallow breathing that immediately followed apnoea due to C-fibre receptor stimulation, the defensive reflexes recovered: the aspiration and sneeze reflexes fully and the cough reflexes to about half of the control response. 4. Acute hypotension due to haemorrhage, of a size considerably greater than that due to stimulation of the pulmonary C-fibre receptors, caused no significant inhibition of the cough reflex from the tracheobronchial tree. 5. We conclude that the pulmonary C-fibre reflex powerfully inhibits airway defensive reflexes, and that its activation is unlikely to contribute positively to coughing induced by aerosols of capsaicin and similar agents.
摘要
  1. 对于戊巴比妥麻醉的猫,我们分别从气管支气管树和喉部诱发了咳嗽反射,从鼻咽部和鼻部诱发了吸入反射和喷嚏反射。在静脉注射辣椒素或苯双胍激活肺C纤维受体之前及期间,通过机械刺激黏膜来诱发这些反射。2. 在因C纤维刺激导致的20 - 30秒呼吸暂停期间,来自两个部位的咳嗽反射和喷嚏反射完全消失,而吸入反射反应大约减半。此时颏舌肌的反射性收缩仍会发生,但比对照状态时弱得多。3. 在因C纤维受体刺激导致呼吸暂停后紧接着出现的快速浅呼吸期间,防御性反射恢复:吸入反射和喷嚏反射完全恢复,咳嗽反射恢复到对照反应的大约一半。4. 因出血导致的急性低血压,其程度远大于因刺激肺C纤维受体导致的低血压,并未对气管支气管树的咳嗽反射产生显著抑制。5. 我们得出结论,肺C纤维反射强烈抑制气道防御反射,并且其激活不太可能对由辣椒素气雾剂及类似药物诱发的咳嗽产生积极作用。

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本文引用的文献

1
Chemoreflexes from the heart and lungs.来自心脏和肺部的化学反射。
Physiol Rev. 1954 Apr;34(2):167-201. doi: 10.1152/physrev.1954.34.2.167.
2
Bradykinin stimulates afferent vagal C-fibers in intrapulmonary airways of dogs.缓激肽刺激犬肺内气道的传入迷走神经C纤维。
J Appl Physiol Respir Environ Exerc Physiol. 1980 Mar;48(3):511-7. doi: 10.1152/jappl.1980.48.3.511.
4
Reflex tracheal contraction induced by stimulation of bronchial C-fibers in dogs.犬支气管C纤维刺激诱发的反射性气管收缩
J Appl Physiol Respir Environ Exerc Physiol. 1981 Aug;51(2):485-93. doi: 10.1152/jappl.1981.51.2.485.
7
Airway receptors in cough.咳嗽中的气道感受器。
Bull Eur Physiopathol Respir. 1984 Jan-Feb;20(1):43-7.

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