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气道闭塞压和膈肌整体肌电图分析用于评估牛的吸气肌驱动力和神经机械耦合

Airway occlusion pressure and diaphragm global electromyogram analysis for evaluation of inspiratory muscle drive and neuromechanical coupling in cattle.

作者信息

Desmecht D J, Linden A S, Rollin F A, Lekeux P M

机构信息

Laboratory for Functional Investigation, Faculty of Veterinary Medicine, University of Liege, Belgium.

出版信息

Am J Vet Res. 1994 Jun;55(6):746-55.

PMID:7944009
Abstract

Although healthy and diseased bovine respiratory tracts have been intensively studied during the last years, to the authors' knowledge, there have been no attempts to objectively examine the inspiratory drive from the brain to the nerves and muscles and its transformation in pressure. Such technique would be useful in assessing the possibility of altered ventilatory drive or inspiratory muscle fatigue in the context of an animal with ventilatory failure. The relation among ventilation, airway opening occlusion pressure generated 100 milliseconds after onset of inspiration (Pawo100ms) and 6 indexes describing diaphragmatic electromyographic activity (EMGdi) recorded via implanted fishhooks was evaluated during free and impeded CO2 rebreathing in 6 young bulls. The best significant linear correlations (r > 0.8) with inspiratory center afferent stimulation, as judged by end-tidal CO2 concentration in expired air, were found for Pawo100ms, peak moving time average or variance EMGdi, and mean integrated EMGdi, whatever had been the respiratory impedance. However, with an inspiratory load, Pawo100ms responses systematically had greater increase for a given change in the driving EMGdi, implying dependence of the former not only on neural input, but also on configurational factors that determine inspiratory muscle excitation-pressure generation couplings. The reproducibility of EMGdi absolute values and changes was satisfactory up to 10 hours, but could not be repeated from one day to the other. It was concluded that, provided the constancy of the electrical coupling of the recording system to the tissue being studied is ensured, specific EMGdi and Pawo100ms values correlate reliably with amount of CO2 during free and loaded breathing.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

尽管在过去几年中对健康和患病的牛呼吸道进行了深入研究,但据作者所知,尚未有人尝试客观地检测从大脑到神经和肌肉的吸气驱动及其压力转换。这种技术对于评估通气衰竭动物通气驱动改变或吸气肌疲劳的可能性将是有用的。在6头年轻公牛自由和受阻的二氧化碳再呼吸过程中,评估了通气、吸气开始后100毫秒产生的气道开口闭塞压(Pawo100ms)与通过植入鱼钩记录的描述膈肌肌电图活动(EMGdi)的6个指标之间的关系。无论呼吸阻抗如何,Pawo100ms、峰值移动时间平均值或EMGdi方差以及平均积分EMGdi与吸气中心传入刺激的最佳显著线性相关性(r>0.8),通过呼出空气中的呼气末二氧化碳浓度判断。然而,在有吸气负荷的情况下,对于给定的驱动EMGdi变化,Pawo100ms反应系统性地有更大的增加,这意味着前者不仅依赖于神经输入,还依赖于决定吸气肌兴奋-压力产生耦合的构型因素。EMGdi绝对值和变化的可重复性在长达10小时内令人满意,但不能从一天到另一天重复。得出的结论是,只要确保记录系统与所研究组织的电耦合恒定,特定的EMGdi和Pawo100ms值在自由呼吸和负荷呼吸期间与二氧化碳量可靠相关。(摘要截断于250字)

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