Mitchell G S
Respir Physiol. 1987 Feb;67(2):183-95. doi: 10.1016/0034-5687(87)90040-5.
To study interactions between hypoxemia and lung stretch in modulating ventilatory activity, an experimental preparation was used that allows independent control of static airway pressure (Paw) and arterial PO2 in anesthetized dogs. Phrenic burst frequency (f) and integrated amplitude (Phr) were monitored while Paw was varied between 2 and 12 cm H2O at levels of PaO2 between 30 and 200 mm Hg. Experiments were repeated in intact (n = 8) and carotid denervated dogs (CBX; n = 7). In intact dogs, f decreased with increasing Paw through an effect on the expiratory duration (TE). Hypoxia increased f by decreasing both the inspiratory duration (TI) and TE. Hypoxia had no effect on the slope of the f vs Paw relationship, but attenuated the effect of Paw on TE. Phr was increased by hypoxia, but Paw had little effect. After CBX, f was still inhibited by Paw, but PaO2 had no consistent effect on f, TI or TE at any level of Paw. Phr was inhibited by hypoxia after CBX, but Paw had no effect. The results indicate that Paw and PaO2 exert additive effects on f in anesthetized dogs. Hypoxia attenuates the effect of Paw on TE, which alone would attenuate the slope of the f vs Paw relationship. However, the effect of hypoxia on TI enhances the slope of the f vs Paw relationship, restoring a parallel shift. These effects are abolished by carotid denervation.
为研究低氧血症与肺扩张在调节通气活动中的相互作用,采用了一种实验制备方法,该方法可在麻醉犬中独立控制静态气道压力(Paw)和动脉血氧分压(PO2)。在PaO2为30至200 mmHg的水平下,将Paw在2至12 cm H2O之间变化时,监测膈神经爆发频率(f)和积分幅度(Phr)。在完整犬(n = 8)和颈动脉去神经犬(CBX;n = 7)中重复进行实验。在完整犬中,f随着Paw的增加而降低,这是通过对呼气持续时间(TE)的影响实现的。低氧血症通过缩短吸气持续时间(TI)和TE来增加f。低氧血症对f与Paw关系的斜率没有影响,但减弱了Paw对TE的影响。低氧血症使Phr增加,但Paw影响不大。在CBX后,f仍受Paw抑制,但在任何Paw水平下,PaO2对f、TI或TE均无一致影响。CBX后,低氧血症使Phr受到抑制,但Paw无影响。结果表明,Paw和PaO2对麻醉犬的f发挥相加作用。低氧血症减弱了Paw对TE的影响,这单独就会减弱f与Paw关系的斜率。然而,低氧血症对TI的影响增强了f与Paw关系的斜率,恢复了平行移位。这些作用通过颈动脉去神经而消除。