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麻醉对清醒犬腹部肌肉静息长度及缩短的影响。

The effect of anesthesia on abdominal muscle resting length and shortening in awake dogs.

作者信息

Leevers A M, Road J D

机构信息

Department of Medicine, University Hospital, University of British Columbia, Vancouver, Canada.

出版信息

Lung. 1995;173(2):105-15. doi: 10.1007/BF02981470.

Abstract

The objectives of this study were to examine the effects of anesthesia and implantation of sonomicrometer transducers on tonic and phasic expiratory activity of the abdominal muscles. Eight tracheotomized dogs were chronically instrumented with sonomicrometer transducers placed in each of the four abdominal muscles. The dogs were studied in the lateral decubitus position immediately after transducer implantation, while under halothane anesthesia, and then in the awake dogs 2 to 3 days postimplantation, and repeatedly over a 2- to 8-week period. The resting length (LRL) of the rectus abdominis (RA) was reduced in the first awake study compared to during anesthesia, but there was no change in LRL of the other abdominal muscles. The abdominal muscles phasically, actively, shortened during expiration more in the awake state than in the anesthetized state. The internal abdominal muscle layer (transversus abdominis and internal oblique) shortened phasically more than the external layer (RA and external oblique). Neither the LRL nor the amount of phasic shortening of the abdominal muscles changed significantly over the period in which transducers were in situ (2-8 weeks). Muscle sections excised at the end of each study exhibited small capsules of fibrosis immediately surrounding the transducers with normal muscle tissue between pairs of transducers. In conclusion, both tonic and phasic respiratory activity of the abdominal muscles, reflected by changes in resting length and the amount of active shortening, respectively, were absent during halothane anaesthesia and chronic implantation of sonomicrometer transducers per se had no effect.

摘要

本研究的目的是检查麻醉和植入超声微测换能器对腹部肌肉的强直性和阶段性呼气活动的影响。八只气管切开的狗长期植入超声微测换能器,每个换能器分别置于四块腹部肌肉中。在植入换能器后,立即在氟烷麻醉下,将狗置于侧卧位进行研究,然后在植入后2至3天对清醒的狗进行研究,并在2至8周的时间内反复进行。与麻醉期间相比,在首次清醒研究中,腹直肌(RA)的静息长度(LRL)缩短,但其他腹部肌肉的LRL没有变化。腹部肌肉在清醒状态下比在麻醉状态下在呼气时阶段性地、主动地缩短得更多。腹内肌层(腹横肌和腹内斜肌)的阶段性缩短比外层(RA和腹外斜肌)更多。在换能器在位的期间(2至8周),腹部肌肉的LRL和阶段性缩短量均未发生显著变化。在每项研究结束时切除的肌肉切片显示,换能器周围立即出现小的纤维化包膜,换能器之间为正常肌肉组织。总之,腹部肌肉的强直性和阶段性呼吸活动,分别由静息长度的变化和主动缩短量反映,在氟烷麻醉期间不存在,并且超声微测换能器的长期植入本身没有影响。

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