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妊娠晚期和分娩期间胎羊的阶段性呼吸活动。

Phasic respiratory activity in the fetal lamb during late gestation and labour.

作者信息

Berger P J, Walker A M, Horne R, Brodecky V, Wilkinson M H, Wilson F, Maloney J E

出版信息

Respir Physiol. 1986 Jul;65(1):55-68. doi: 10.1016/0034-5687(86)90006-x.

Abstract

We quantified the respiratory activity of 9 fetal lambs using computer-analysis of the diaphragmatic electromyogram (EMG) obtained during 2 h recording sessions interspersed over the last 13 days of gestation. The fetuses delivered unassisted at an average gestational age of 145 days (term = 147 days). During the last 2 h of labour the number of phasic EMG bursts (breaths) averaged 3% of the peak recorded earlier in the study. This decline in breathing began at least 2 days before labour and resulted predominantly from the fetus spending an increasing proportion of time in apnoea. Respiratory rate within epochs of breathing also fell significantly 1 day before labour, and the proportion of time spent in the low voltage electrocortical state declined once labour commenced. No significant change occurred in arterial PO2, PCO2 or pH over the study period. We conclude that fetal respiratory activity falls well before the onset of labour, largely as a result of increased apnoea, and that the decline does not result from the development of a progressive hypoxaemia associated with labour.

摘要

我们通过对妊娠最后13天期间穿插进行的2小时膈肌肌电图(EMG)记录进行计算机分析,对9只胎羊的呼吸活动进行了量化。这些胎儿在平均孕龄145天(足月为147天)时自然分娩。在分娩的最后2小时内,肌电图的阶段性爆发(呼吸)次数平均为研究早期记录峰值的3%。这种呼吸活动的下降至少在分娩前2天就开始了,主要是由于胎儿出现呼吸暂停的时间比例增加。在分娩前1天,呼吸时段内的呼吸频率也显著下降,并且一旦分娩开始,处于低电压皮质电状态的时间比例就会下降。在研究期间,动脉血氧分压、二氧化碳分压或pH值没有显著变化。我们得出结论,胎儿的呼吸活动在分娩开始前就大幅下降,主要是由于呼吸暂停增加所致,并且这种下降并非由与分娩相关的进行性低氧血症的发展所导致。

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