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上呼吸道冷却可降低麻醉状态下幼年豚鼠的上呼吸道阻力。

Upper airway cooling reduces upper airway resistance in anaesthetized young guinea-pigs.

作者信息

Curran A K, O'Halloran K D, Bradford A

机构信息

Dept of Preventive Medicine, School of Veterinary Medicine, University of Wisconsin at Madison, USA.

出版信息

Eur Respir J. 1998 Jun;11(6):1257-62. doi: 10.1183/09031936.98.11061257.

Abstract

In adults, the upper airway (UA) contains a variety of receptors including cold receptors, which evoke reflex effects on ventilation and UA dilator muscle activity, which may be important in the regulation of UA patency. However, very little is known about UA receptors in young animals, and the effects of UA cooling on UA dilator muscle activity and resistance have not been studied. A constant flow of warm or cool air was applied to the isolated UA in anaesthetized, vagotomized young guinea-pigs breathing spontaneously through a low-cervical tracheostomy while ventilation, UA resistance and geniohyoid muscle electromyographic activity were recorded. Cooling caused an inhibition of breathing, a reduction in UA resistance and an excitation of geniohyoid muscle activity. Topical anaesthesia of the UA or sealing the nose and cutting the superior laryngeal and glossopharyngeal nerves abolished the ventilatory and geniohyoid muscle responses but not the fall in UA resistance. It is concluded that upper airway cooling reflexly inhibits breathing and excites geniohyoid muscle activity. Cooling also reduces upper airway resistance by an effect which is not of reflex origin, possibly by reducing upper airway mucosal blood flow.

摘要

在成年动物中,上呼吸道(UA)含有多种受体,包括冷感受器,这些感受器会对通气和UA扩张肌活动产生反射性影响,这可能对上呼吸道通畅性的调节很重要。然而,对于幼龄动物的上呼吸道受体,我们知之甚少,并且尚未对上呼吸道冷却对上呼吸道扩张肌活动和阻力的影响进行研究。在麻醉、切断迷走神经的幼龄豚鼠中,通过低位颈段气管造口术使其自主呼吸,同时记录通气、上呼吸道阻力和颏舌骨肌肌电图活动,将恒定的热空气或冷空气流施加于分离出的上呼吸道。冷却导致呼吸抑制、上呼吸道阻力降低以及颏舌骨肌活动兴奋。对上呼吸道进行局部麻醉或封闭鼻腔并切断喉上神经和舌咽神经可消除通气和颏舌骨肌反应,但不能消除上呼吸道阻力的下降。得出的结论是,上呼吸道冷却会反射性地抑制呼吸并兴奋颏舌骨肌活动。冷却还通过一种非反射性的效应降低上呼吸道阻力,可能是通过减少上呼吸道黏膜血流来实现的。

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