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兔脑桥、延髓和脊髓中线横断的呼吸效应

Respiratory effects of pontine, medullary and spinal cord midline sections in the rabbit.

作者信息

Janczewski W A, Karczewski W A

出版信息

Respir Physiol. 1984 Sep;57(3):293-305. doi: 10.1016/0034-5687(84)90078-1.

Abstract

Experiments were performed on halothane anaesthetized, paralyzed rabbits with vagi intact or cut. In vagotomized rabbits separation of both halves of the medulla by a midline section resulted in a 'desynchronization' of both phrenic and both efferent vagal inspiratory volleys. Activities of all these nerves fall and respiratory frequency decreased. In animals with intact vagi the inspiratory volleys generated by each half of the brainstem were locked to the respirator (and consequently to each other). Elimination of the phasic feedback by stopping the respirator led to 'desynchronization'. Extension of the incision through the pons and midbrain increased phrenic amplitude almost to control values. During 'desynchronized' firing the coincident volleys exhibited markedly bigger amplitude than those which appeared in the opposite phase, i.e. during the silent period of the other phrenic. Hemisection at C1 level or a cervical spinal cord midline myelotomy eliminated the amplitude differences between coinciding and non-coinciding volleys. Amplitude of efferent vagal activity was always constant and synchronous with the ipsilateral phrenic. Our findings indicate the existence of bulbo-spinal excitatory and inhibitory pathways which affect phrenic motoneurones from the opposite side. We conclude that integration at pontine and cervical spinal cord level may significantly influence the respiratory output.

摘要

实验在氟烷麻醉、麻痹且迷走神经完整或切断的家兔身上进行。在切断迷走神经的家兔中,通过中线切开将延髓的两半分开,导致膈神经和传出迷走神经吸气波群出现“去同步化”。所有这些神经的活动下降,呼吸频率降低。在迷走神经完整的动物中,脑干每一半产生的吸气波群与呼吸机同步(因此彼此同步)。停止呼吸机消除相位反馈会导致“去同步化”。将切口延伸穿过脑桥和中脑,膈神经振幅几乎增加到对照值。在“去同步化”放电期间,同时出现的波群的振幅明显大于在相反相位出现的波群,即在另一侧膈神经的静息期。在C1水平进行半横切或颈髓中线脊髓切开术消除了同时出现和不同时出现的波群之间的振幅差异。传出迷走神经活动的振幅始终恒定,并与同侧膈神经同步。我们的研究结果表明存在延髓 - 脊髓兴奋性和抑制性通路,它们影响来自对侧的膈运动神经元。我们得出结论,脑桥和颈髓水平的整合可能会显著影响呼吸输出。

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