[软腭在呼吸中的作用:狗的肌电图研究]。

T Kurimoto
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引用次数: 0

摘要

本研究探讨了腭veli tensor muscle (TVP)和palatini veli提上肌(LVP)作为副呼吸肌的性质。在研究的第一部分中,分析了在动脉血中O2和CO2分压的各种组合下,肌电图活动显示的肌肉活动与呼吸节律之间的关系。进一步观察经颈动脉窦灌注的氰化钠(NaCN)的作用。在静息呼吸时,两组肌肉均未记录肌电图活动。在再呼吸产生的高碳酸血症或低氧血症条件下,TVP在吸气时表现出相性肌电活动。在缺氧条件下(PaO2小于40 mmHg)呼气时,LVP表现出相肌电活动。双侧颈动脉窦灌注NaCN诱导的肌电图活动与高碳酸血症和/或低氧血症相似。TVP对NaCN的敏感性高于LVP。研究的第二部分检查了呼吸状态改变时肌肉的具体作用。在再呼吸诱导的LVP活动开始时,口腔气流比例明显增加。另一方面,当负压作用于上气道时,TVP活性的幅度大大增加。结果表明,这两块肌肉都是副呼吸肌,并受包括颈动脉体在内的化学输入的调节;TVP是辅助吸气肌,有助于维持上气道通畅,LVP是辅助呼气肌,增加通过口腔的呼气气流的比例。
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[Role of the soft palate in respiration: an electromyographic study in the dog].

The present study investigates the nature of tensor veli palatini muscle (TVP) and levator veli palatini muscle (LVP) as accessory respiratory muscles. In the first part of the study, the relation between the muscles' activities as revealed by EMG activities and respiration rhythm was analysed under various combinations of partial pressures of O2 and CO2 in the arterial blood. Furthermore, the effect of sodium cyanide (NaCN) perfused through the carotid sinus was examined. During resting breathing, no EMG activity was recorded from either muscle. In hypercapnic or hypoxemic conditions produced by rebreathing, TVP exhibited a phasic EMG activity during inspiration. LVP showed a phasic EMG activity during expiration in hypoxic conditions (PaO2 less than 40 mmHg). NaCN perfused bilaterally through the carotid sinus induced the phasic EMG activities similar to those observed in hypercapnia and/or hypoxemia. TVP was more sensitive to NaCN than LVP. The second part of the study examined specific roles of the muscles in altered states of breathing. At the time of onset of LVP activity induced by rebreathing, the oral proportion of airflow markedly increased. On the other hand, TVP activity greatly increased in amplitude when negative pressure was applied to the upper airway. The results suggest that both muscles are accessory respiratory muscles and are regulated by chemogenic inputs including those from the carotid body; TVP is an accessory inspiratory muscle that contributes to the maintenance of upper airway patency, and LVP is an accessory expiratory muscle that increases the portion of expiratory airflow through the oral cavity.

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