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猫呼吸与吞咽中枢模式发生器之间的相互作用。

Interaction between central pattern generators for breathing and swallowing in the cat.

作者信息

Dick T E, Oku Y, Romaniuk J R, Cherniack N S

机构信息

Department of Medicine, School of Medicine, Case Western Reserve University, Cleveland, OH 44106-5000.

出版信息

J Physiol. 1993 Jun;465:715-30. doi: 10.1113/jphysiol.1993.sp019702.

Abstract
  1. We examined the interaction between central pattern generators for respiration and deglutition in decerebrate, vagotomized, paralysed and ventilated cats (n = 10), by recording activity from the following nerves: hypoglossal, phrenic, thyroarytenoid and triangularis sterni. Fictive breathing was spontaneous with carbon dioxide above the apnoeic threshold (end-tidal PCO2, 32 +/- 4 mmHg) and fictive swallowing was induced by stimulating the internal branch of the left superior laryngeal nerve (SLN) continuously (0.2 ms pulse duration, 10 Hz). 2. In all ten animals, SLN stimulation evoked short bursts of thyroarytenoid and hypoglossal nerve activity indicative of fictive swallowing. In two of ten animals, respiration was inhibited completely during deglutition. In the other eight animals, fictive breathing and swallowing occurred simultaneously. 3. With SLN stimulation below threshold for eliciting swallowing, the respiratory rhythm decreased, the duration of inspiration did not change but the duration of expiration, especially stage II, increased. Integrated nerve activities indicated that the rate of rise and peak of phrenic nerve activity decreased, stage I expiratory activity of the thyroarytenoid and especially that of the hypoglossal nerve increased and stage II expiratory activity of the triangularis sterni nerve was suppressed completely. However, if inspired carbon dioxide was increased, i.e. hypercapnic ventilation, stage II expiratory activity remained partially during continuous SLN stimulation. 4. Fictive-swallowing bursts occurred only at respiratory phase transitions. At the minimal stimulus intensity that evoked repetitive swallowing bursts, the pattern of interaction between breathing and swallowing central pattern generators was consistent for each animal (n = 7) but was different across animals. In four animals, fictive swallows occurred at the phase transition between stage II expiration and inspiration, at the transition between inspiration and stage I expiration in one animal; and in two other animals, at the transition between stage I and II of expiration. 5. The response to SLN stimulation accommodated during the stimulus train. Accommodation was evident in both the interswallow interval (ISI) which lengthened, and the interaction pattern which had fewer swallows per breath as the stimulus period progressed. In contrast to the ISI, characteristics of the fictive swallow did not accommodate. For example, duration of the swallow was constant, distributed over a narrow range throughout the stimulus train. 6. We conclude that the central pattern generators for swallowing and breathing interact. The pattern of interaction supports the three-phase theory of respiratory pattern generation.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 我们通过记录以下神经的活动,研究了去大脑、切断迷走神经、麻痹并通气的猫(n = 10)中呼吸与吞咽中枢模式发生器之间的相互作用:舌下神经、膈神经、甲杓肌神经和胸骨甲状肌神经。当二氧化碳高于呼吸暂停阈值(呼气末PCO2,32±4 mmHg)时,虚构呼吸是自发的,通过持续刺激左喉上神经(SLN)的内支(脉冲持续时间0.2 ms,频率10 Hz)诱导虚构吞咽。2. 在所有十只动物中,SLN刺激诱发了甲杓肌神经和舌下神经活动的短阵发放,表明存在虚构吞咽。在十只动物中的两只,吞咽期间呼吸完全被抑制。在另外八只动物中,虚构呼吸和吞咽同时发生。3. 当SLN刺激低于诱发吞咽的阈值时,呼吸节律减慢,吸气持续时间不变,但呼气持续时间,尤其是第二阶段,延长。综合神经活动表明,膈神经活动的上升速率和峰值降低,甲杓肌神经尤其是舌下神经的第一阶段呼气活动增加,胸骨甲状肌神经的第二阶段呼气活动完全被抑制。然而,如果吸入二氧化碳增加,即高碳酸血症通气,在持续SLN刺激期间第二阶段呼气活动仍部分存在。4. 虚构吞咽爆发仅发生在呼吸相位转换时。在诱发重复性吞咽爆发的最小刺激强度下,每只动物(n = 7)呼吸与吞咽中枢模式发生器之间的相互作用模式是一致的,但不同动物之间有所不同。在四只动物中,虚构吞咽发生在第二阶段呼气与吸气之间的相位转换时,在一只动物中发生在吸气与第一阶段呼气之间的转换时;在另外两只动物中,发生在呼气的第一阶段与第二阶段之间的转换时。5. 在刺激序列期间对SLN刺激的反应出现适应。适应在吞咽间隔(ISI)延长以及随着刺激期进展每呼吸吞咽次数减少的相互作用模式中都很明显。与ISI不同,虚构吞咽的特征没有适应。例如,吞咽持续时间是恒定的,在整个刺激序列中分布在一个狭窄范围内。6. 我们得出结论,吞咽和呼吸的中枢模式发生器相互作用。这种相互作用模式支持呼吸模式产生的三相理论。(摘要截断于400字)

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Coordination of breathing and swallowing in human infants.人类婴儿呼吸与吞咽的协调
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