Berger P J, Cooke I R, Soust M, Wilkinson M H
Monash University Centre for Early Human Development, Monash Medical Centre, Clayton, Vic., Australia.
Brain Res. 1993 May 28;612(1-2):299-305. doi: 10.1016/0006-8993(93)91675-i.
The respiratory pattern generator in fetal and postnatal life activates the phrenic nucleus and diaphragm muscle with phasic bursts of activity. In the fetus, diaphragmatic activity is also characterized by tonic activity patterns of unknown origin. We have examined whether such activity is diaphragmatic, or radiated from nearby ribcage muscles, by placing two sets of electrodes side-by-side in the costal portion of the diaphragm in five fetuses. The rationale for this approach is that if tonic activity, radiates to the diaphragm it should be recorded by both sets of electrodes and there should be no delay between the action potentials from each set of electrodes. Of 24 single tonic units identified, 15 were recorded from only one of the two sets of electrodes in the diaphragm. In the 9 tonic units recorded from both sets of electrodes, there was a time delay between the appearance of the action potentials in the two recordings (mean +/- S.E.M. 1.6 +/- 0.2 ms). This is the expected conduction delay along the muscle fibres separating the two electrodes. Since tonic diaphragmatic activity persisted in fetuses with the spinal cord transected rostral or caudal to the phrenic nucleus, we conclude that the spinal cord alone is sufficient to produce the tonic activity recorded from the fetal diaphragm but that the brain may also generate such activity.
胎儿期及出生后的呼吸模式发生器通过阶段性的活动爆发来激活膈神经核和膈肌。在胎儿期,膈肌活动还具有起源不明的紧张性活动模式。我们通过在5例胎儿的膈肌肋部并排放置两组电极,研究了这种活动是膈肌自身的,还是由附近胸廓肌肉辐射而来的。这种方法的基本原理是,如果紧张性活动辐射到膈肌,两组电极都应记录到,并且每组电极的动作电位之间不应有延迟。在识别出的24个单紧张性单位中,有15个仅从膈肌两组电极中的一组记录到。在从两组电极都记录到的9个紧张性单位中,两次记录中动作电位出现之间存在时间延迟(平均±标准误为1.6±0.2毫秒)。这是沿着分隔两个电极的肌纤维的预期传导延迟。由于在膈神经核头侧或尾侧脊髓横断的胎儿中,膈肌紧张性活动持续存在,我们得出结论,仅脊髓就足以产生从胎儿膈肌记录到的紧张性活动,但大脑也可能产生这种活动。