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犬胸骨旁肌麻痹时肋间肌的代偿作用:中枢和本体感受机制

Intercostal muscle compensation for parasternal paralysis in the dog: central and proprioceptive mechanisms.

作者信息

De Troyer A, Yuehua C

机构信息

Laboratory of Cardio-Respiratory Physiology, Brussels School of Medicine, Belgium.

出版信息

J Physiol. 1994 Aug 15;479 ( Pt 1)(Pt 1):149-57. doi: 10.1113/jphysiol.1994.sp020284.

DOI:10.1113/jphysiol.1994.sp020284
PMID:7990031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1155732/
Abstract
  1. Denervation of the parasternal intercostal muscles in the dog is known to cause a substantial reduction in the inspiratory cranial displacement of the ribs and a compensatory increase in the activation of the other inspiratory intercostal muscles, namely the external intercostals and the levator costae. The present studies were designed to assess the mechanism(s) of that compensation. 2. Denervating the parasternal intercostals bilaterally caused a reduction in tidal volume and an increase in arterial PCO2 (Pa, CO2). Severing the parasternal intercostals selectively produced similar changes. The concomitant increases in external intercostal and levator costae activity, however, were much greater than predicted on the basis of the increased Pa, CO2. 3. Denervating the parasternal intercostals on one side of the chest produced large increases in ipsilateral, but not contralateral external intercostal activity. 4. Manipulating the ribs after the parasternal intercostals were inactivated so as to reproduce the normal inspiratory cranial displacement of the ribs elicited immediate, clear-cut reductions in external intercostal and levator costae activities. 5. The increases in external intercostal and levator costae activities that occur after inactivation of the parasternal intercostals thus result partly from the increased hypercapnic drive but mostly from proprioceptive reflexes, presumably muscle spindle reflexes.
摘要
  1. 已知犬的胸骨旁肋间肌去神经支配会导致肋骨吸气时向上移位显著减少,以及其他吸气性肋间肌(即肋间外肌和肋提肌)的激活出现代偿性增加。本研究旨在评估这种代偿的机制。2. 双侧切断胸骨旁肋间肌会导致潮气量减少和动脉血二氧化碳分压(Pa, CO2)升高。选择性切断胸骨旁肋间肌会产生类似的变化。然而,肋间外肌和肋提肌活动的同时增加远大于基于动脉血二氧化碳分压升高所预测的幅度。3. 一侧胸部的胸骨旁肋间肌去神经支配会导致同侧肋间外肌活动大幅增加,但对侧则无此现象。4. 在胸骨旁肋间肌失活后对肋骨进行操作,以重现肋骨正常的吸气时向上移位,会立即引起肋间外肌和肋提肌活动明显减少。5. 因此,胸骨旁肋间肌失活后肋间外肌和肋提肌活动的增加部分源于高碳酸血症驱动的增加,但主要源于本体感受反射,推测为肌梭反射。

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