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支气管收缩迷走神经张力的肺源性评估。

Assessment of the pulmonary origin of bronchoconstrictor vagal tone.

作者信息

Jammes Y, Mei N

出版信息

J Physiol. 1979 Jun;291:305-16. doi: 10.1113/jphysiol.1979.sp012814.

Abstract
  1. In anaesthetized spontaneously breathing cats, the sensory component of the vagal nerves was sectioned at the level of nodose ganglion, using a method described previously (Mei, 1966; Mei & Dussardier, 1966).2. The strength of the Hering-Breuer reflex (inhibitory ratio, i.e. T(1)/T(0)) provided a test for effectiveness of section of vagal afferents, particularly respiratory afferents. On the other hand, by studying the cardiac and bronchomotor effects induced by electrical stimulation of the supranodose portion of the vagal nerve, it was possible to test the integrity of the efferent vagal component.3. Unilateral right sensory vagotomy was followed by a 29% reduction in total pulmonary resistance.4. Section of the contralateral sensory vagal component (sensory bivagotomy), produced a weak supplementary effect (total decrease of total pulmonary resistance: 31%).5. No additive bronchomotor effect could be observed after the bilateral section of efferent vagal fibres (total bivagotomy).6. In intact cats, blockade of the two vagal nerves by procaine induced a decrease in pulmonary resistance similar to those produced by the sensory bivagotomy (23%). This bronchodilatator effect was concomitant with a complete disappearance of the C wave of the compound vagal potential.7. Intravenous injection of phenyl diguanide, immediately after the blockade of the C vagal fibres by procaine did not modify bronchomotor tone. This result confirms that the C pulmonary afferents, which are activated by phenyl diguanide, are mainly involved in this mechanism.8. The pulmonary irritant receptors seem to play a minor role. In fact, the I.V. administration of histamine under the same conditions, provides evidence that the corresponding neurones (small sized myelinated fibres) are potent during the procaine application.9. From these results, it appears that bronchoconstrictor vagal tone has an exclusive peripheral origin and that pulmonary endings, in particular those connected with non-medullated fibres, are probably involved in this mechanism.
摘要
  1. 在麻醉状态下自主呼吸的猫身上,采用先前描述的方法(梅,1966年;梅和迪萨尔迪耶,1966年),在结状神经节水平切断迷走神经的感觉成分。

  2. 黑林-布雷尔反射的强度(抑制率,即T(1)/T(0))为迷走神经传入纤维切断的有效性提供了一项测试,尤其是呼吸传入纤维。另一方面,通过研究电刺激迷走神经结上部分所诱发的心脏和支气管运动效应,能够测试迷走神经传出成分的完整性。

  3. 单侧右感觉迷走神经切断术后,总肺阻力降低了29%。

  4. 切断对侧感觉迷走神经成分(感觉双侧迷走神经切断术)产生了微弱的附加效应(总肺阻力总降低:31%)。

  5. 双侧切断传出迷走神经纤维(完全双侧迷走神经切断术)后未观察到附加的支气管运动效应。

  6. 在完整的猫中,用普鲁卡因阻断两条迷走神经会导致肺阻力降低,与感觉双侧迷走神经切断术所产生的降低相似(23%)。这种支气管扩张效应伴随着复合迷走神经电位C波的完全消失。

  7. 在普鲁卡因阻断迷走神经纤维后立即静脉注射苯二甲胍,并未改变支气管运动张力。这一结果证实,被苯二甲胍激活的C类肺传入纤维主要参与了这一机制。

  8. 肺刺激感受器似乎起的作用较小。事实上,在相同条件下静脉注射组胺表明,相应的神经元(小直径有髓纤维)在应用普鲁卡因期间作用显著。

  9. 从这些结果来看,似乎迷走神经的支气管收缩张力完全起源于外周,并且肺末梢,尤其是那些与无髓纤维相连的末梢,可能参与了这一机制。

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Reflex effects of lung inflation on tracheal volume.肺膨胀对气管容积的反射效应。
J Appl Physiol. 1963 Jul;18:681-6. doi: 10.1152/jappl.1963.18.4.681.
6
Mechanics of respiration in unanesthetized guinea pigs.未麻醉豚鼠的呼吸力学
Am J Physiol. 1958 Feb;192(2):364-8. doi: 10.1152/ajplegacy.1958.192.2.364.
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Stability of airways during reflex bronchoconstriction.反射性支气管收缩期间气道的稳定性
J Appl Physiol. 1967 Jul;23(1):23-6. doi: 10.1152/jappl.1967.23.1.23.

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