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迷走神经切断术后猫膈神经和喉返神经活动对严重缺氧的反应。

Responses to severe hypoxia of phrenic and recurrent laryngeal nerve activity in vagotomized cats.

作者信息

Nishino T, Mizuguchi T, Honda Y

机构信息

Department of Anesthesiology, National Cancer Center Hospital, Tokyo.

出版信息

Tohoku J Exp Med. 1988 Dec;156 Suppl:57-64. doi: 10.1620/tjem.156.suppl_57.

Abstract

We investigated changes in activities of phrenic nerve (PN) and the recurrent laryngeal nerve (RLN) during progressive hypoxia produced by administration of a mixture of 5% O2 in N2 and a mixture of 5% O2 in N2O in 8 vagotomized, paralyzed, and artificially ventilated cats anesthetized with halothane. During progressive hypoxia produced by administration of 5% O2 in N2, both PN and RLN activities initially increased and then decreased at approximately the same rate. The relationship between PN and RLN activities during the respiratory stimulation and the relationship between PN and RLN activities during the depression due to hypoxia were both linear and were represented by the same linear regression line. The responses of PN and RLN activities to progressive hypoxia produced by administration of 5% O2 in N2O were basically similar to those observed during administration of 5% O2 in N2 although a concomitant increase in depth of anesthesia with N2O enhanced the occurrence of hypoxic respiratory depression. These results suggest that the respiratory modulation of recurrent laryngeal motoneuron activity is closely related to that of phrenic motoneuron activity and that both motoneurons share similar control mechanisms. Neither severe hypoxia nor addition of N2O to a halothane-anesthetized cat seems to affect the close linear relationship between PN and RLN activities.

摘要

我们在8只经迷走神经切断、麻痹并进行人工通气、用氟烷麻醉的猫中,研究了吸入含5%氧气的氮气混合气以及含5%氧气的一氧化二氮混合气导致的渐进性缺氧过程中膈神经(PN)和喉返神经(RLN)的活动变化。在吸入含5%氧气的氮气混合气导致的渐进性缺氧过程中,PN和RLN的活动最初均增加,然后以大致相同的速率下降。呼吸刺激期间PN和RLN活动之间的关系以及缺氧导致的抑制期间PN和RLN活动之间的关系均呈线性,且由同一条线性回归线表示。吸入含5%氧气的一氧化二氮混合气导致的渐进性缺氧过程中,PN和RLN活动的反应与吸入含5%氧气的氮气混合气时观察到的基本相似,尽管一氧化二氮使麻醉深度同时增加,增强了缺氧性呼吸抑制的发生。这些结果表明,喉返运动神经元活动的呼吸调节与膈运动神经元活动的呼吸调节密切相关,且这两种运动神经元具有相似的控制机制。无论是严重缺氧还是在氟烷麻醉的猫中添加一氧化二氮,似乎都不会影响PN和RLN活动之间紧密的线性关系。

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