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通过电刺激鼻咽部诱发的嗅样吸气反射。

The sniff-like aspiration reflex evoked by electrical stimulation of the nasopharynx.

作者信息

Benacka R, Tomori Z

机构信息

Department of Pathophysiology, Faculty of Medicine, Safarik University, Slovakia.

出版信息

Respir Physiol. 1995 Dec;102(2-3):163-74. doi: 10.1016/0034-5687(95)00063-1.

Abstract

Forced inspiratory efforts resembling the sniff-like aspiration reflex (AR) were evoked by single-shocks or trains of electrical impulses to the dorsal pharyngeal and nasal mucosal surfaces in 12 anaesthetized spontaneously breathing cats. The strongest ARs determined by diaphragmatic (DIA) EMG and peak-inspiratory flows were elicited from the dorsolateral nasopharyngeal wall close to the torus tubalis. Highly responsive sites were also detected in the posterolateral nasal cavity and in the rostrolateral oropharynx. Repetitive stimulation at threshold strength evoked ARs exclusively in the late inspiration and early expiration. Suprathreshold responses abolished and replaced the tidal respiration. ARs exhibited a two-phase response in DIA EMG: a short latency (25.2 +/- 2.4 msec, M +/- SD) powerful excitation (69.7 +/- 10.7 msec) followed by an voltage-dependent inhibition (63.9 +/- 11.3 msec). Irrespective of voltage repetitive ARs were attenuated at rates above 7-9 Hz. In conclusion, electrical stimulation within the large receptive area of the nasal-pharyngeal airway evokes sniff-like efforts with biphasic inspiratory pattern and marked phase-dependent properties.

摘要

在12只麻醉状态下自主呼吸的猫中,通过对咽背侧和鼻黏膜表面进行单次电击或电脉冲串刺激,诱发了类似于嗅吸样吸气反射(AR)的强制吸气动作。由膈肌(DIA)肌电图和吸气峰值流量确定的最强AR,是从靠近咽鼓管圆枕的鼻咽背外侧壁引出的。在鼻后外侧腔以及口咽的 rostrolateral也检测到了高反应性部位。在阈强度下的重复刺激仅在吸气后期和呼气早期诱发AR。阈上反应消除并取代了潮式呼吸。AR在DIA肌电图中表现出双相反应:短潜伏期(25.2±2.4毫秒,平均值±标准差)的强力兴奋(69.7±10.7毫秒),随后是电压依赖性抑制(63.9±11.3毫秒)。无论电压如何,重复AR在频率高于7 - 9赫兹时都会衰减。总之,在鼻咽气道的大感受区内进行电刺激会诱发具有双相吸气模式和明显相位依赖性特性的嗅吸样动作。

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