O'Halloran K D, Curran A K, Bradford A
Dept of Physiology, Royal College of Surgeons in Ireland, Dublin.
Eur Respir J. 1996 Nov;9(11):2323-7. doi: 10.1183/09031936.96.09112323.
Upper airway (UA) reflexes play an important role in regulating breathing and UA patency, but the effects of UA CO2 and cooling on ventilation and UA muscle activity are controversial. Diaphragm and geniohyoid electromyographic activities were recorded in anaesthetized rats, breathing spontaneously through a low-cervical tracheostomy. Warmed, humidified air containing 0 or 10% CO2 and cooled, room humidity air were applied at constant flow to the UA through a high- cervical tracheostomy. Spontaneous tracheal airflow, UA airflow and temperature, blood pressure, and rectal temperature were recorded. In all animals, the geniohyoid muscle had phasic inspiratory activity, which slightly preceded diaphragmatic activity. CO2 had no effect on mean peak integrated diaphragmatic activity and variable effects on geniohyoid activity. The coefficients of variation of these activities were unaffected by CO2. Similar results were obtained following bilateral mid-cervical vagotomy. Cool air decreased respiratory frequency (78+/-8%) (mean+/-SD % of control), peak inspiratory flow (78+/-5%) and diaphragmatic activity (77+/-4%), and increased geniohyoid activity (149+/-11%). Cutting the superior laryngeal nerves abolished these effects. In conclusion, whilst moderate upper airway cooling inhibits breathing and excites geniohyoid muscle activity, upper airway carbon dioxide has minimal effect.
上呼吸道(UA)反射在调节呼吸和上呼吸道通畅方面发挥着重要作用,但上呼吸道二氧化碳和冷却对通气及上呼吸道肌肉活动的影响存在争议。在通过低位颈段气管造口进行自主呼吸的麻醉大鼠中记录膈肌和颏舌肌的肌电图活动。通过高位颈段气管造口以恒定流量将含0%或10%二氧化碳的温热、湿润空气以及冷却的、室温湿度的空气施加于上呼吸道。记录自主气管气流、上呼吸道气流和温度、血压及直肠温度。在所有动物中,颏舌肌具有相位性吸气活动,略早于膈肌活动。二氧化碳对平均峰值整合膈肌活动无影响,对颏舌肌活动有不同影响。这些活动的变异系数不受二氧化碳影响。双侧颈段迷走神经切断术后获得了类似结果。冷空气降低呼吸频率(78±8%)(平均值±标准差,相对于对照组的百分比)、峰值吸气流量(78±5%)和膈肌活动(77±4%),并增加颏舌肌活动(149±11%)。切断喉上神经消除了这些影响。总之,适度的上呼吸道冷却会抑制呼吸并兴奋颏舌肌活动,而上呼吸道二氧化碳的影响极小。