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对长时间肺膨胀反射效应的适应。

Adaptation to reflex effects of prolonged lung inflation.

作者信息

Grippi M A, Pack A I, Davies R O, Fishman A P

出版信息

J Appl Physiol (1985). 1985 Apr;58(4):1360-71. doi: 10.1152/jappl.1985.58.4.1360.

DOI:10.1152/jappl.1985.58.4.1360
PMID:3921519
Abstract

Adaptation to the reflex effects of sustained changes in lung volume on inspiratory duration (TI), expiratory duration (TE), and the phrenic neurogram was examined. Test inflations in gallamine-paralyzed dogs anesthetized with pentobarbital sodium were made during a 6-min trial while the animal was not ventilated: 2 min at functional residual capacity (FRC), 2 min at elevated airway pressure, and 2 min back at FRC. The dogs were hyperoxygenated and arterial PCO2 was kept constant by an infusion of tris (hydroxymethyl) aminomethane. The maintained inflations produced minimal changes in TI. On return to FRC, TI was prolonged in proportion to the magnitude of the prior inflation. In contrast, inflation produced marked prolongation of TE, which then adapted back toward preinflation values. On return to FRC, TE shortened initially to values below control. This shortening increased with greater prior lung inflations. The times to reestablish steady-state values upon return to FRC differed for TI (14.8 +/- 4.6 s) and TE (33.8 +/- 12.7 s). The magnitude of the phrenic neurogram at a fixed time from onset of inspiration and its slope were unchanged with inflation. These results indicate that respiratory phase durations are influenced not only by pulmonary afferent input within each respiratory cycle but also by prior vagal afferent activity that engages central processes with long, although different, time constants. Afferent input to the slow central process controlling TI is not gated to only one phase of the respiratory cycle.

摘要

研究了对肺容积持续变化对吸气持续时间(TI)、呼气持续时间(TE)和膈神经图的反射效应的适应性。在用戊巴比妥钠麻醉的加拉明麻痹犬中,在6分钟的试验期间进行测试充气,此时动物不进行通气:在功能残气量(FRC)下2分钟,在气道压力升高时2分钟,然后回到FRC下2分钟。犬被过度氧合,通过输注三(羟甲基)氨基甲烷使动脉PCO2保持恒定。维持充气对TI产生的变化最小。回到FRC时,TI会根据先前充气的幅度成比例延长。相比之下,充气会使TE显著延长,然后又恢复到充气前的值。回到FRC时,TE最初会缩短至低于对照值。这种缩短随着先前更大的肺充气而增加。回到FRC后重新建立稳态值的时间,TI(14.8±4.6秒)和TE(33.8±12.7秒)有所不同。在吸气开始后的固定时间,膈神经图的幅度及其斜率在充气时没有变化。这些结果表明,呼吸相持续时间不仅受每个呼吸周期内肺传入输入的影响,还受先前迷走神经传入活动的影响,后者通过长但不同的时间常数参与中枢过程。控制TI的缓慢中枢过程的传入输入并非仅在呼吸周期的一个阶段被门控。

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