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羔羊自主呼吸时膈肌的异步呼吸活动。

Asynchronous respiratory activity of the diaphragm during spontaneous breathing in the lamb.

作者信息

Henderson-Smart D J, Johnson P, McClelland M E

出版信息

J Physiol. 1982 Jun;327:377-91. doi: 10.1113/jphysiol.1982.sp014237.

Abstract
  1. Direct simultaneous recordings from chronically implanted electrodes in different parts of the diaphragm were made in young lambs in which laryngeal adductor (thyroarytenoideus) and intercostal electromyograms, airflow, tracheal pressure and electrocorticogram and electro-oculograms for behavioural state were also recorded.2. An asynchrony of diaphragmatic contraction occurred which was dependent on sleep state. The vertebral portion showed maximal post-inspiratory activity while the lateral paratendinous portion usually terminated abruptly with end-inspiration, reciprocating closely with the onset of expiratory laryngeal adductor activity during quiet sleep. The contraction of the sternal portion was similar to the vertebral portion. In active (rapid eye movement) sleep there was no expiratory laryngeal constriction and post-inspiratory activity occurred in all portions of the diaphragm. During the characteristic bursts of rapid breathing in active sleep all post-inspiratory activity disappeared and the diaphragm contracted synchronously.3. General anaesthesia (Halothane/N(2)O or Nembutal) abolished expiratory laryngeal adductor activity and the discharge pattern became similar in all parts of the diaphragm.4. Intrathoracic vagotomy of Xylocaine blockade below the recurrent laryngeal nerves abolished post-inspiratory activity in all parts of the diaphragm, in contrast to the effect on expiratory laryngeal adductor activity which increased.5. Sustained ;tonic' electromyographic activity was often recorded from the costal and to a lesser extent the paratendinous portion of the diaphragm. This activity related to adjacent intercostal activity:ipsilateral intercostal blockade with local anaesthetic (Xylocaine 1%) abolished both the intercostal and the ;tonic' activity of the costal margins of the diaphragm. Conversely ipsilateral phrenic nerve blockade abolished all but the ;tonic' activity which related to intercostal activity.6. Interpretation of the respiratory activity of the diaphragm could not be made adequately from conventionally placed electrodes (i.e. costal, sternal slip or surface) during spontaneous breathing in unanaesthetized lambs. Simultaneous recordings showed that while expiratory flow and duration were actively controlled by expiratory laryngeal adductor activity and the diaphragm, the latter performed asynchronously. While both laryngeal and diaphragmatic expiratory functions were substantially under vagal control, the former increased and the latter decreased with reduced vagal input.
摘要
  1. 对幼羊进行了从长期植入膈肌不同部位电极的直接同步记录,同时还记录了喉内收肌(甲杓肌)和肋间肌的肌电图、气流、气管压力以及用于行为状态监测的脑电图和眼电图。

  2. 膈肌收缩出现了异步现象,这取决于睡眠状态。椎体部分在吸气后显示出最大活动,而外侧腱旁部分通常在吸气末突然终止,在安静睡眠期间与呼气性喉内收肌活动的开始密切交替。胸骨部分的收缩与椎体部分相似。在活跃(快速眼动)睡眠中,没有呼气性喉收缩,且膈肌所有部分都出现吸气后活动。在活跃睡眠中典型的快速呼吸发作期间,所有吸气后活动消失,膈肌同步收缩。

  3. 全身麻醉(氟烷/氧化亚氮或戊巴比妥)消除了呼气性喉内收肌活动,且膈肌各部分的放电模式变得相似。

  4. 在喉返神经下方进行的利多卡因胸段迷走神经切断术消除了膈肌所有部分的吸气后活动,这与对呼气性喉内收肌活动的影响相反,后者增强。

  5. 经常从膈肌的肋部以及程度较轻的腱旁部分记录到持续性“紧张性”肌电活动。这种活动与相邻肋间活动相关:用局部麻醉剂(1%利多卡因)进行同侧肋间阻滞可消除肋间肌以及膈肌肋缘的“紧张性”活动。相反,同侧膈神经阻滞消除了除与肋间活动相关的“紧张性”活动之外的所有活动。

  6. 在未麻醉的幼羊自主呼吸过程中,从传统放置的电极(即肋部、胸骨附着处或表面电极)无法充分解读膈肌的呼吸活动。同步记录显示,虽然呼气流量和持续时间由呼气性喉内收肌活动和膈肌主动控制,但后者的活动是异步的。虽然喉部和膈肌的呼气功能在很大程度上受迷走神经控制,但随着迷走神经输入减少,前者增强而后者减弱。

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