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迷走神经C纤维传入神经在对高碳酸血症的呼吸反应中的作用。

Role of vagal C-fiber afferents in respiratory response to hypercapnia.

作者信息

Russell N J, Raybould H E, Trenchard D

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1984 Jun;56(6):1550-8. doi: 10.1152/jappl.1984.56.6.1550.

Abstract

The respiratory response to hypercapnia has been investigated in 10 anesthetized rabbits by use of a rebreathing technique. The responses were obtained in three situations: with one intact vagus nerve (control), during differential block of conduction, and after vagotomy. Differential block was achieved using anodal hyperpolarization by application of a direct current to the cervical vagus nerve. Great care was taken during the differential block to establish that all impulse conduction in myelinated fibers of the cervical vagus nerve was abolished but that the nonmyelinated fibers conducted normally. Additionally, in five more rabbits the nature of the differential block was confirmed from single-fiber recordings of activity in both myelinated and nonmyelinated fibers. The same increase in tidal volume in response to hypercapnia was present in all three experimental situations, indicating that it was not vagally mediated. The increase in frequency in response to hypercapnia in the control state was abolished by vagotomy but preserved when only the nonmyelinated fibers were functioning during the differential block. This increased frequency response, attributable to decreases in both inspiratory and expiratory durations, was usually enhanced during the differential block, despite the slower deeper pattern of breathing attributed to loss of activity in myelinated fibers. The implications of this reflex increase in frequency in response to hypercapnia, mediated by nonmyelinated vagal endings in the lung, are discussed.

摘要

采用再呼吸技术,对10只麻醉兔的高碳酸血症呼吸反应进行了研究。在三种情况下获得了反应:一条迷走神经完整(对照)、传导差异阻滞期间以及迷走神经切断后。通过向颈迷走神经施加直流电进行阳极超极化来实现差异阻滞。在差异阻滞过程中格外小心,以确定颈迷走神经有髓纤维的所有冲动传导均被消除,但无髓纤维传导正常。此外,在另外5只兔中,从有髓和无髓纤维活动的单纤维记录中证实了差异阻滞的性质。在所有三种实验情况下,对高碳酸血症的潮气量增加均相同,表明其并非由迷走神经介导。对照状态下对高碳酸血症的频率增加在迷走神经切断后消失,但在差异阻滞期间仅无髓纤维起作用时则得以保留。这种频率增加反应归因于吸气和呼气持续时间的缩短,尽管由于有髓纤维活动丧失导致呼吸模式更深更慢,但在差异阻滞期间通常会增强。本文讨论了由肺中无髓迷走神经末梢介导的这种对高碳酸血症频率反射性增加的意义。

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