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肋间肌和腹肌传入神经对延髓背侧呼吸组神经元的影响。

Intercostal and abdominal muscle afferent influence on medullary dorsal respiratory group neurons.

作者信息

Shannon R

出版信息

Respir Physiol. 1980 Jan;39(1):73-94. doi: 10.1016/0034-5687(80)90015-8.

Abstract

Studies were performed on anesthetized, paralyzed, artificially ventilated cats. Phrenic (C5) efferent activity, dorsal respiratory group (DRG) neuron activity in the vicinity of the medullary solitary tract complex, and thoracic dorsal root compound action potentials were recorded during electrical stimulation of intercostal and lumbar nerves. DRG neurons were identified by their firing pattern and response to lung inflation. Phrenic activity (PA) was inhibited by stimulating external intercostal nerves T3-T10, internal intercostal nerves T3-T12, lateral branch of the main intercostal nerves T6-T12, or lumbar nerves 1-2. Stimulation of lower (T9-T11) intercostal or lumbar nerves produced a short duration (10-20 msec) facilitation of PA prior to the inhibition. Facilitation and inhibition of PA were correlated with recruitment of afferent fibers from muscle proprioceptors. Inspiratory neurons (I alpha and I beta) in the DRG were inhibited simultaneously with PA regardless of the nerves stimulated. DRG neurons which fired in phase with lung inflation (P cells) were unaffected by nerve stimulation even though PA was inhibited. Lower intercostal nerve (T9-T11) stimulation produced a brief facilitation of medullary neuron activity simultaneous with facilitation of PA. It is concluded that intercostal and abdominal muscle proprioceptor afferents, and perhaps cutaneous afferents, reflexly alter the activity of DRG inspiratory neurons (I alpha, I beta) which drive the phrenic motoneurons. The inhibitory effect is not via P cells but may be via other interneurons in close proximity to the I cells.

摘要

实验在麻醉、麻痹并进行人工通气的猫身上进行。在电刺激肋间神经和腰神经期间,记录膈神经(C5)传出活动、延髓孤束复合体附近的背侧呼吸组(DRG)神经元活动以及胸段背根复合动作电位。通过放电模式和对肺充气的反应来识别DRG神经元。刺激第3至第10肋间外神经、第3至第12肋间内神经、第6至第12肋间主神经的外侧支或第1至第2腰神经可抑制膈神经活动(PA)。刺激较低水平(第9至第11肋间)的肋间神经或腰神经在抑制之前会产生持续时间较短(10 - 20毫秒)的膈神经活动增强。膈神经活动的增强和抑制与来自肌肉本体感受器的传入纤维的募集相关。无论刺激何种神经,DRG中的吸气神经元(Iα和Iβ)与膈神经活动同时受到抑制。与肺充气同步放电的DRG神经元(P细胞)即使膈神经活动受到抑制也不受神经刺激的影响。刺激较低水平的肋间神经(第9至第11肋间)会在膈神经活动增强的同时短暂增强延髓神经元活动。得出的结论是,肋间肌和腹肌本体感受器传入纤维,可能还有皮肤传入纤维,通过反射改变驱动膈运动神经元的DRG吸气神经元(Iα、Iβ)的活动。抑制作用不是通过P细胞,而是可能通过与I细胞紧密相邻的其他中间神经元。

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