Lara J P, Dawid-Milner M S, González-Barón S
Departamento de Fisiología, Facultad de Medicina, Universidad de Málaga, Spain.
Rev Esp Fisiol. 1993 Dec;49(4):235-40.
The present study was aimed to analyse the influence of bronchoconstriction (Carbachol, 10 micrograms/kg, i.v.) on the cough response to mechanical stimulation of the tracheal mucosa. Experiments were performed in anaesthetised and spontaneously breathing cats, using the isolated glottis technique. Airflow, pleural pressure, subglottic pressure, blood pressure and total lung resistance were recorded. During bronchoconstriction, the cough response was inhibited significantly as shown by the decrease in the number of cough efforts (p < 0.001), in maximum flow during inspiratory (p < 0.001) and expiratory (p < 0.001) movements and in the change of the expiratory (p < 0.01) and inspiratory (p < 0.01) pleural pressures. The mechanical stimulation of the tracheal mucosa evoked always a prolonged decrease of the larynx resistance, including those cases with inhibition of the cough. This study shows that the activation of some type of receptors during bronchoconstriction can modify the cough response to mechanical stimulation of the tracheal mucosa. On the other hand, the widening of the glottis, an associated component of the cough response, can be obtained separately, suggesting that the laryngeal response is centrally integrated via different mechanisms.
本研究旨在分析支气管收缩(静脉注射10微克/千克卡巴胆碱)对气管黏膜机械刺激咳嗽反应的影响。实验在麻醉且自主呼吸的猫身上进行,采用孤立声门技术。记录气流、胸膜压力、声门下压力、血压和总肺阻力。在支气管收缩期间,咳嗽反应受到显著抑制,表现为咳嗽次数减少(p < 0.001)、吸气(p < 0.001)和呼气(p < 0.001)运动期间的最大流量以及呼气(p < 0.01)和吸气(p < 0.01)胸膜压力变化。气管黏膜的机械刺激总是引起喉部阻力的长时间降低,包括那些咳嗽受到抑制的情况。本研究表明,支气管收缩期间某种类型受体的激活可改变对气管黏膜机械刺激的咳嗽反应。另一方面,咳嗽反应的相关组成部分声门增宽可单独获得,这表明喉部反应是通过不同机制进行中枢整合的。