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胸膜内压对膈神经活动的影响。

Effects of intrapleural pressure on phrenic nerve activity.

作者信息

Lee B P, Chiang S T, Hwang J C

出版信息

Chin J Physiol. 1986;29(2):79-90.

PMID:3581980
Abstract

In order to evaluate the effect of changing respiratory mechanics on the relation between respiratory mechanical output and phrenic activity, we simultaneously measured ventilatory output from the trace of pneumotachograph and changes in phrenic nerve activity before and after pneumothorax in alpha-chloralose anesthetized dogs. After pneumothorax, the dynamic lung compliance, inspiratory duration and tidal volume were decreased significantly, whereas the integrated peak amplitude and the rate of rise of phrenic neural output were increased substantially. The difference between respiratory mechanical output and phrenic activity was also significant (p less than 0.05). As shown from the results, the increase of phrenic response to pneumothorax may be mediated through intrapulmonary receptors along the vagal afferent rather than through the changes in chemical drive.

摘要

为了评估呼吸力学变化对呼吸机械输出与膈神经活动之间关系的影响,我们在α-氯醛糖麻醉的犬身上,同时测量了气胸前后呼吸流速仪记录的通气输出以及膈神经活动的变化。气胸后,动态肺顺应性、吸气持续时间和潮气量显著降低,而膈神经输出的积分峰值幅度和上升速率则大幅增加。呼吸机械输出与膈神经活动之间的差异也很显著(p小于0.05)。结果表明,膈神经对气胸反应的增强可能是通过迷走神经传入的肺内感受器介导的,而不是通过化学驱动的变化。

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