Gaultier C, Mortola J P
Can J Physiol Pharmacol. 1981 Sep;59(9):1017-21. doi: 10.1139/y81-155.
The apnea following lung inflation (Hering-Breuer expiratory promoting reflex) is a vagally mediated reflex which is initiated by the activation of pulmonary stretch receptors (PSR) and terminated by the interaction of several factors, which include adaptation of PSR, chemical stimuli, level of anaesthesia, and body temperature. Since PSR activity is determined by the changes in airway tension, the interpretation of the strength of vagal reflexes on the basis of changes in lung volume rather than transpulmonary pressure can be misleading when the mechanical properties of the respiratory system are not constant. In this study we compared the reflex apnea resulting from lung inflation of young and adult mammals, the respiratory system it can be considered weaker or stronger in the young depending upon the normalizing parameter used. However, when considered on the basis of the relative changes in transpulmonary pressure, which better reflects the activation of PSR, the reflex is weaker in young rats and rabbits than in their adult counterparts an similar in dogs. The analysis of the underlying mechanisms suggests a weaker vagal contribution in the young animal, but a satisfactory conclusion requires a better knowledge of the factors which, in the younger animals, result in the termination of the apnea.
肺膨胀后的呼吸暂停(黑林-布雷尔呼气促进反射)是一种由迷走神经介导的反射,它由肺牵张感受器(PSR)的激活引发,并由多种因素的相互作用终止,这些因素包括PSR的适应、化学刺激、麻醉水平和体温。由于PSR的活动由气道张力的变化决定,当呼吸系统的力学特性不恒定时,基于肺容积变化而非跨肺压变化来解释迷走反射的强度可能会产生误导。在本研究中,我们比较了幼年和成年哺乳动物肺膨胀引起的反射性呼吸暂停,根据所使用的归一化参数,幼年动物的呼吸系统可被认为较弱或较强。然而,当基于能更好反映PSR激活的跨肺压相对变化来考虑时,幼鼠和幼兔的反射比成年同类动物弱,而在狗中则相似。对潜在机制的分析表明幼年动物的迷走神经贡献较弱,但要得出令人满意的结论,需要更好地了解在幼年动物中导致呼吸暂停终止的因素。