Huszczuk A, Yeh E, Innes J A, Solarte I, Wasserman K, Whipp B J
Department of Medicine, Harbor-UCLA Medical Center, Torrance 90509.
Respir Physiol. 1993 Mar;91(2-3):207-26. doi: 10.1016/0034-5687(93)90100-o.
The influence of impeding muscle perfusion on the time course of ventilatory decline during recovery from electrically induced hindlimb contractions has been studied in 14 anesthetized dogs. When intravascular balloons, placed in abdominal aorta and inferior vena cava just rostral to the iliac bifurcation, were inflated at the cessation of contraction bout, minute ventilation (VE) was significantly reduced during recovery compared with control. The subsequent restoration of iliac circulation rapidly augmented VE, which peaked at the fifth breath after release, by an average of +4.97 L.min-1; VE then returned exponentially to resting (pre-contraction) level. Breathing 100% O2 did not affect the VE recovery pattern neither during iliac occlusion nor immediately after its release (the peak average delta VE = +4.42 L.min-1). When a local anesthetic (5% Lidocaine) was applied bilaterally to the regions of carotid bifurcation, systemic blood pressure was significantly increased and the VE response to both iliac occlusion and release were nearly abolished. The VE response to inhalation of 5% CO2 in air was not affected by this procedure, whereas the stimulation of VE with 2 mg i.v. bolus of NaCN was attenuated. When the local anesthetic was thoroughly washed out (and systemic blood pressure had returned to control level) the previously observed VE responses to iliac occlusion and release were restored. These results and analysis of the VE response timing (transits and latencies) suggest that the vascular rather than humoral effects or tissue 'metaboreception' modulate ventilatory recovery from muscular contractions; baroreception appears to be important in this process.
在14只麻醉犬身上研究了阻碍肌肉灌注对电诱发后肢收缩恢复过程中通气量下降时间进程的影响。当在收缩停止时,将置于腹主动脉和髂总动脉分叉处前方的下腔静脉内的血管球囊充气时,与对照组相比,恢复过程中的分钟通气量(VE)显著降低。随后髂循环的恢复迅速增加了VE,在释放后的第五次呼吸时达到峰值,平均增加了+4.97L·min⁻¹;然后VE呈指数下降至静息(收缩前)水平。呼吸100%氧气在髂血管闭塞期间和释放后即刻均不影响VE的恢复模式(峰值平均ΔVE = +4.42L·min⁻¹)。当双侧在颈动脉分叉区域应用局部麻醉药(5%利多卡因)时,全身血压显著升高,对髂血管闭塞和释放的VE反应几乎完全消失。该操作不影响对吸入5%二氧化碳的空气的VE反应,而静脉注射2mg NaCN对VE的刺激减弱。当局部麻醉药被彻底冲洗掉(且全身血压恢复到对照水平)时,先前观察到的对髂血管闭塞和释放的VE反应得以恢复。这些结果以及对VE反应时间(通过时间和潜伏期)的分析表明,是血管效应而非体液效应或组织“代谢感受”调节了肌肉收缩后的通气恢复;压力感受在这一过程中似乎很重要。