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本文引用的文献

1
The contribution of the intercostal muscles to the effort of respiration in man.肋间肌在人类呼吸活动中的作用。
J Physiol. 1960 May;151(2):390-402. doi: 10.1113/jphysiol.1960.sp006446.
2
Role of the diaphragm in breathing in conscious normal man: an electromyographic study.膈肌在清醒正常人呼吸中的作用:一项肌电图研究。
J Appl Physiol. 1960 Nov;15:1101-6. doi: 10.1152/jappl.1960.15.6.1101.
3
Electromyography of the diaphragm in man and transdiaphragmatic pressure.人体膈肌肌电图与跨膈压
J Appl Physiol. 1960 Nov;15:1093-7. doi: 10.1152/jappl.1960.15.6.1093.
4
Respiratory muscles in speech.言语中的呼吸肌。
J Speech Hear Res. 1959 Mar;2(1):16-27. doi: 10.1044/jshr.0201.16.
5
The effect of training on strength and endurance of the diaphragm in quadriplegia.
Am J Med. 1980 Jan;68(1):27-35. doi: 10.1016/0002-9343(80)90157-6.
6
Dyspnoea during generalised spasms in tetraplegic patients.四肢瘫痪患者全身痉挛时的呼吸困难。
J Neurol Neurosurg Psychiatry. 1981 Sep;44(9):842-5. doi: 10.1136/jnnp.44.9.842.
7
Nervous output from the respiratory center during obstructed breathing.呼吸受阻时呼吸中枢的神经输出。
J Appl Physiol. 1966 Mar;21(2):527-33. doi: 10.1152/jappl.1966.21.2.527.
8
Influence of diaphragm activity on the measurement of total chest compliance.
J Appl Physiol. 1968 Jun;24(6):741-6. doi: 10.1152/jappl.1968.24.6.741.
9
Chest movements in patients with traumatic injuries of the cervical cord.颈髓创伤患者的胸部运动
Clin Sci. 1970 Sep;39(3):407-22. doi: 10.1042/cs0390407.
10
A model for treatment of impaired ventilatory function in tetraplegic patients.一种治疗四肢瘫痪患者通气功能障碍的模型。
Scand J Rehabil Med. 1971;3(4):168-77.

四肢瘫痪患者膈肌和肋间肌的肌电图研究

Electromyographic investigation of the diaphragm and intercostal muscles in tetraplegics.

作者信息

Silver J R, Lehr R P

出版信息

J Neurol Neurosurg Psychiatry. 1981 Sep;44(9):837-41. doi: 10.1136/jnnp.44.9.837.

DOI:10.1136/jnnp.44.9.837
PMID:7310425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC491146/
Abstract

Local electromyographic activity has been demonstrated in the intercostal muscles of tetraplegic patients by using a combination of surface, fine-wire and intra-oesophageal diaphragmatic electrodes. This activity is first present and most evident in the lower chest, the point of maximum deformation in the tetraplegic's thorax. In patients with long standing injury the activity is present and prominent in the more superior intercostal muscles. We believe this activity to be reflex in character and that it develops and facilitates over time, so improving the ventilatory capacity of tetraplegics.

摘要

通过联合使用表面电极、细针电极和食管内膈肌电极,已证实四肢瘫痪患者的肋间肌存在局部肌电图活动。这种活动首先出现在下胸部,即四肢瘫痪患者胸部最大变形点,且最为明显。对于长期受伤的患者,这种活动出现在更靠上的肋间肌,且较为显著。我们认为这种活动具有反射性质,并且会随着时间发展并得到促进,从而提高四肢瘫痪患者的通气能力。