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清醒和睡眠状态下犬类的呼吸负荷代偿

Respiratory load compensation in awake and sleeping dogs.

作者信息

Phillipson E A, Kozar L F, Murphy E

出版信息

J Appl Physiol. 1976 Jun;40(6):895-902. doi: 10.1152/jappl.1976.40.6.895.

Abstract

We have investigated immediate and progressive ventilatory responses to external elastic loads in five dogs with cervical vagal loops. Three dogs were studied while awake (W) and during non-REM sleep (S); the other two during barbiturate anesthesia (A). Elastic loads were applied at the end expiration for 1-6 breaths by having the dogs breathe from a rigid container (partial load) or against an occluded airway (infinite load). "Effective" elastance (EE) was determined from the tidal volume (VT)-tracheal pressure relationships of the unloaded, partially loaded, and infinitely loaded breaths. Passive thoracic elastance during W and S averaged 16.7 cmH2O/1. EE averaged 55.8 cmH2O/1 during W, 54.7 during S, and 59.5 during A. Vagal blockade (VB) induced large changes in VT but no change in EE in W or S; during A, EE decreased 37.5%. With sustained loading (partial) there was a progressive increase in VT but a corresponding increase in chemical (primarily hypoxic) respiratory drive, so that EE remained constant during five loaded breaths. VB augmented the progressive increase in VT during W or S but virtually abolished the increase in A. Thus the responses to elastic loads in W and S are similar and independent of conscious reactions or vagal influence; responses during A differ considerably. "Progressive load compensation" is a reflection of increasing of increasing chemical drive and not of progressive changes in EE.

摘要

我们研究了五只具有颈迷走神经袢的犬对外部弹性负荷的即时和渐进性通气反应。三只犬在清醒(W)和非快速眼动睡眠(S)期间进行研究;另外两只在巴比妥类麻醉(A)期间进行研究。通过让犬从刚性容器呼吸(部分负荷)或对抗阻塞气道呼吸(无限负荷),在呼气末施加弹性负荷1 - 6次呼吸。“有效”弹性(EE)根据未负荷、部分负荷和无限负荷呼吸的潮气量(VT)-气管压力关系来确定。清醒和睡眠期间的被动胸廓弹性平均为16.7 cmH₂O/L。清醒时EE平均为55.8 cmH₂O/L,睡眠时为54.7 cmH₂O/L,麻醉时为59.5 cmH₂O/L。迷走神经阻断(VB)在清醒或睡眠时引起VT的大幅变化,但EE无变化;在麻醉期间,EE下降37.5%。持续负荷(部分负荷)时,VT逐渐增加,但化学(主要是低氧)呼吸驱动相应增加,因此在五次负荷呼吸期间EE保持恒定。迷走神经阻断在清醒或睡眠时增强了VT的逐渐增加,但在麻醉时几乎消除了这种增加。因此,清醒和睡眠时对弹性负荷的反应相似,且与意识反应或迷走神经影响无关;麻醉时的反应有很大差异。“渐进性负荷补偿”反映的是化学驱动的增加,而非EE的渐进性变化。

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