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食管扩张对麻醉猫膈肌和喉肌活动的影响。

The effects of oesophageal distension on diaphragm and laryngeal muscle activity in the anaesthetized cat.

作者信息

Jones J F, McKeogh D, Nolan P, O'Regan R G

机构信息

Department of Physiology and Histology, University College, Dublin, Ireland.

出版信息

Exp Physiol. 1994 Jul;79(4):505-13. doi: 10.1113/expphysiol.1994.sp003783.

Abstract

The electromyographic (EMG) activities of diaphragm and laryngeal muscles were recorded during oesophageal distension in anesthetized cats. The responses to distension of the thoracic oesophagus differed from those evoked by distension of the cervical oesophagus. The crural component of the diaphragm (CD) was inhibited by distension of the thoracic oesophagus; distension of the cervical oesophagus did not affect CD EMG. Thyroarytenoid (TA) muscle EMG increased markedly and consistently in response to distension of the cervical oesophagus. Distension of the thoracic oesophagus only produced statistically significant increases in TA EMG with high distending volume (10 ml) at the level of the gastro-oesophageal junction. The main abductor of the vocal cords, the posterior cricoarytenoid (PCA) was either unchanged or decreased by oesophageal distension. The electrical activities of left paratendinous diaphragm, left costal diaphragm, internal intercostal and external intercostal muscles remained unchanged. The entire pattern would appear to constitute a means to aid passage of a bolus into the stomach, and simultaneously guard the respiratory tract from reflux or aspiration.

摘要

在麻醉猫的食管扩张过程中,记录了膈肌和喉部肌肉的肌电图(EMG)活动。胸段食管扩张的反应与颈段食管扩张所诱发的反应不同。胸段食管扩张会抑制膈肌的脚成分(CD);颈段食管扩张不影响CD的肌电图。甲状杓肌(TA)的肌电图在颈段食管扩张时显著且持续增加。胸段食管扩张仅在胃食管交界处,高扩张容积(10毫升)时,使TA的肌电图产生统计学上的显著增加。声带的主要外展肌,环杓后肌(PCA)在食管扩张时要么不变,要么降低。左腱旁膈肌、左肋膈肌、肋间内肌和肋间外肌的电活动保持不变。整个模式似乎构成了一种帮助食团进入胃内,同时保护呼吸道免受反流或误吸的手段。

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