Ledlie J F, Kelsen S G, Cherniack N S, Fishman A P
J Appl Physiol Respir Environ Exerc Physiol. 1981 Sep;51(3):732-8. doi: 10.1152/jappl.1981.51.3.732.
In the spontaneously breathing animal, respiratory responses to chemical stimuli are influenced by phasic proprioceptive inputs from the thorax. We have compared the effects of hypercapnia and hypoxia on the level and timing of phrenic nerve activity while these phasic afferent signals were absent. Progressive hyperoxic hypercapnia and isocapnic hypoxia were produced in anesthetized paralyzed dogs by allowing 3-5 min of apnea to follow mechanical ventilation with 100% O2 or 35% O2 in N2, respectively; during hypoxia, isocapnia was maintained by intravenous infusion of tris(hydroxymethyl)aminomethane buffer. The peak height (P) of nerve bursts, inspiratory time (TI), and expiratory time (TE) were measured from the phrenic neurogram. With the vagi intact or severed, hypoxia decreased TI, whereas hypercapnia did not; both stimuli decreased TE. At the same minute phrenic activity (P x frequency), P, TI, and TE were all less during hypoxia than during hypercapnia. The decreases in TI and TE with hypoxia were significantly less after carotid sinus denervation. The results indicate that the patterns of phrenic nerve activity in response to hypoxia and hypercapnia are different: hypoxia has a greater effect on respiratory timing, whereas hypercapnia has a greater effect on peak phrenic nerve activity. The effect of hypoxia on respiratory timing is largely mediated by the peripheral chemoreceptors.
在自主呼吸的动物中,对化学刺激的呼吸反应受来自胸部的阶段性本体感受输入的影响。我们比较了在这些阶段性传入信号缺失时,高碳酸血症和低氧血症对膈神经活动水平和时间的影响。通过分别在100%氧气或氮气中35%氧气机械通气后允许3 - 5分钟的呼吸暂停,在麻醉的瘫痪犬中产生渐进性高氧高碳酸血症和等碳酸低氧血症;在低氧血症期间,通过静脉输注三(羟甲基)氨基甲烷缓冲液维持等碳酸状态。从膈神经图测量神经冲动的峰值高度(P)、吸气时间(TI)和呼气时间(TE)。迷走神经完整或切断时,低氧血症会缩短TI,而高碳酸血症则不会;两种刺激都会缩短TE。在同一分钟,膈神经活动(P×频率)、P、TI和TE在低氧血症时均低于高碳酸血症时。颈动脉窦去神经支配后,低氧血症时TI和TE的缩短明显减少。结果表明,膈神经活动对低氧血症和高碳酸血症的反应模式不同:低氧血症对呼吸时间的影响更大,而高碳酸血症对膈神经活动峰值的影响更大。低氧血症对呼吸时间的影响主要由外周化学感受器介导。