Of all the physiological differences in human sleep compared with wakefulness that have been discovered in the last decade, changes in respiratory control are most dramatic. Not only are there differences in the level of the functioning of respiratory systems, there are even changes in how they function. Movements of the rib cage for breathing are reduced during sleep, making the contractions of the diaphragm more important. Yet because of the physics of lying down, the stomach applies weight against the diaphragm and makes it more difficult for the diaphragm to do its job. However, there are many other changes that affect respiration when asleep.
During wakefulness, breathing is controlled by two interacting systems. The first is an automatic, metabolic system whose control is centered in the brain stem. It subconsciously adjusts breathing rate and depth in order to regulate the levels of carbon dioxide (CO2) and oxygen (O2), and the acid-base ratio in the blood. The second system is the voluntary, behavioral system. Its control center is based in the forebrain, and it regulates breathing for use in speech, singing, sighing, and so on. It is capable of ignoring or overriding the automatic, metabolic system and produces an irregular pattern of breathing.
During NREM (the phase of sleep in which there is no rapid eye movement) breathing becomes deeper and more regular, but there is also a decrease in the breathing rate, resulting in less air being exchanged overall. This occurs because during NREM sleep the automatic, metabolic system has exclusive control over breathing and the body uses less oxygen and produces less carbon dioxide. Also, during sleep the automatic metabolic system is less responsive to carbon dioxide levels and oxygen levels in the blood. Two things result from these changes in breathing control that occur during sleep. First, there may be a brief cessation or reduction of breathing when falling asleep as the sleeper waxes and wanes between sleep and wakefulness and their differing control mechanisms. Second, once sleep is fully obtained, there is an increase of carbon dioxide and a decrease of oxygen in the blood that persists during NREM.
But that is not all that changes. During all phases of sleep, several changes in the air passages have been observed. It takes twice as much effort to breathe during sleep because of greater resistance to airflow in the airways and changes in the efficiency of the muscles used for breathing. Some of the muscles that help keep the upper airway open when breathing tend to become more relaxed during sleep, especially during REM (the phase of sleep in which there is rapid eye movement). Without this muscular action, inhaling is like sucking air out of a balloon—the narrow passages tend to collapse. Also there is a regular cycle of change in resistance between the two sides of the nose. If something blocks the "good" side, such as congestion from allergies or a cold, then resistance increases dramatically. Coupled with these factors is the loss of the complex interactions among the muscles that can change the route of airflow from nose to mouth.
Other respiratory regulating mechanisms apparently cease functioning during sleep. For example, during wakefulness there is an immediate, automatic, adaptive increase in breathing effort when inhaling is made more difficult (such as breathing through a restrictive face mask). This reflexive adjustment is totally absent during NREM sleep. Only after several inadequate breaths under such conditions, resulting in the considerable elevation of carbon dioxide and reduction of oxygen in the blood, is breathing effort adjusted. Finally, the coughing reflex in reaction to irritants in the airway produces not a cough during sleep but a cessation of breathing. If the irritation is severe enough, a sleeping person will arouse, clear the airway, then resume breathing and likely return to sleep.
Additional breathing changes occur during REM sleep that are even more dramatic than the changes that occur during NREM. The amount of air exchanged is even lower in REM than NREM because, although breathing is more rapid in REM,it is also more irregular, with brief episodes of shallow breathing or absence of breathing. In addition, breathing during REM depends much more on the action of the diaphragm and much less on rib cage action.
paragraph1: Of all the physiological differences in human sleep compared with wakefulness that have been discovered in the last decade, changes in respiratory control are most dramatic. Not only are there differences in the level of the functioning of respiratory systems, there are even changes in how they function. Movements of the rib cage for breathing are reduced during sleep, making the contractions of the diaphragm more important. Yet because of the physics of lying down, the stomach applies weight against the diaphragm and makes it more difficult for the diaphragm to do its job. However, there are many other changes that affect respiration when asleep.
1. According to paragraph 1, which of the following can be inferred about the diaphragm during sleep?
○During sleep the diaphragm requires increased movement of the rib cage.
○The diaphragm helps with breathing as movements of the rib cage decrease during sleep.
○The diaphragm requires a great amount of pressure to function properly.
○The diaphragm contributes to the effective functioning of the rib cage.
paragraph2: During wakefulness, breathing is controlled by two interacting systems. The first is an automatic, metabolic system whose control is centered in the brain stem. It subconsciously adjusts breathing rate and depth in order to regulate the levels of carbon dioxide (CO2) and oxygen (O2), and the acid-base ratio in the blood. The second system is the voluntary, behavioral system. Its control center is based in the forebrain, and it regulates breathing for use in speech, singing, sighing, and so on. It is capable of ignoring or overriding the automatic, metabolic system and produces an irregular pattern of breathing.
2. According to paragraph 2, all of the following are true of the voluntary breathing system EXCEPT:
○It has its control center in the brain stem.
○It controls breathing for a number of activities during wakefulness.
○It is able to bypass the automatic system.
○It produces an irregular breathing pattern.
paragraph3: During NREM (the phase of sleep in which there is no rapid eye movement) breathing becomes deeper and more regular, but there is also a decrease in the breathing rate, resulting in less air being exchanged overall. This occurs because during NREM sleep the automatic, metabolic system has exclusive control over breathing and the body uses less oxygen and produces less carbon dioxide. Also, during sleep the automatic metabolic system is less responsive to carbon dioxide levels and oxygen levels in the blood. Two things result from these changes in breathing control that occur during sleep. First, there may be a brief cessation or reduction of breathing when falling asleep as the sleeper waxes and wanes between sleep and wakefulness and their differing control mechanisms. Second, once sleep is fully obtained, there is an increase of carbon dioxide and a decrease of oxygen in the blood that persists during NREM.
3. The word exclusive in the passage is closest in meaning to
○consistent
○perfect
○partial
○sole
4. According to paragraph 3, which of the following may occur just before NREM sleep begins?
○The automatic, metabolic system may increase its dependence on air exchanges.
○B(yǎng)reathing can stop for a short time as a person falls asleep.
○An increase in the oxygen level in the blood can occur as sleep becomes fully obtained.
○The level of carbon dioxide in the blood may drop suddenly.
paragraph4: But that is not all that changes. During all phases of sleep, several changes in the air passages have been observed. It takes twice as much effort to breathe during sleep because of greater resistance to airflow in the airways and changes in the efficiency of the muscles used for breathing. Some of the muscles that help keep the upper airway open when breathing tend to become more relaxed during sleep, especially during REM (the phase of sleep in which there is rapid eye movement). Without this muscular action, inhaling is like sucking air out of a balloon—the narrow passages tend to collapse. Also there is a regular cycle of change in resistance between the two sides of the nose. If something blocks the "good" side, such as congestion from allergies or a cold, then resistance increases dramatically. Coupled with these factors is the loss of the complex interactions among the muscles that can change the route of airflow from nose to mouth.
5. What is the author's purpose in stating that inhaling is like sucking air out of a balloon?
○To refute the argument that additional effort is necessary for breathing during sleep
○To argue that REM sleep is more important than NREM sleep
○To illustrate the difficulty of breathing during sleep
○To illustrate how blockage of narrow passages can be prevented during sleep
6. All of the following are mentioned in paragraph 4 as being characteristic of breathing during sleep EXCEPT
○relaxation of the muscles involved in the respiratory system
○changes in resistance between the two sides of the nose
○easier airflow in the passages of the upper airway
○absence of certain complex muscle interactions
paragraph5: Other respiratory regulating mechanisms apparently cease functioning during sleep. For example, during wakefulness there is an immediate, automatic, adaptive increase in breathing effort when inhaling is made more difficult (such as breathing through a restrictive face mask). This reflexive adjustment is totally absent during NREM sleep. Only after several inadequate breaths under such conditions, resulting in the considerable elevation of carbon dioxide and reduction of oxygen in the blood, is breathing effort adjusted. Finally, the coughing reflex in reaction to irritants in the airway produces not a cough during sleep but a cessation of breathing. If the irritation is severe enough, a sleeping person will arouse, clear the airway, then resume breathing and likely return to sleep.
7. According to paragraph 5, what happens during NREM sleep when inhaling is difficult?
○There is an immediate, automatic, adaptive increase in breathing effort.
○The sleeping person takes several inadequate breaths before the breathing effort is adjusted.
○The coughing reflex causes the breathing effort to adjust.
○The airways become cleared as the blood removes irritants.
8. It can be inferred from paragraph 5 that a very mild irritation during sleep will likely cause the sleeping person to
○increase the breathing effort
○wake up and remove the source of irritation
○cough while still sleeping
○stop breathing temporarily while still sleeping
9. The word considerable meaning to
○significant
○Steady
○Usual
○necessary
10.The word resume in the passage is closest in meaning to
○reduce
○stop
○Readjust
○restart
paragraph6: Additional breathing changes occur during REM sleep that are even more dramatic than the changes that occur during NREM. The amount of air exchanged is even lower in REM than NREM because, although breathing is more rapid in REM, it is also more irregular, with brief episodes of shallow breathing or absence of breathing. In addition, breathing during REM depends much more on the action of the diaphragm and much less on rib cage action.
11.Which of the sentences below best expresses the essential information in the highlighted sentence in the passage? Incorrect choices change the meaning in important ways or leave out essential information.
○B(yǎng)ecause breathing is more shallow and irregular in REM than in NREM, less air is exchanged in REM.
○B(yǎng)reathing in NREM is less effective than breathing in REM because of irregular episodes of rapid breathing during NREM.
○B(yǎng)ecause breathing is more rapid in NREM sleep than in REM sleep, breathing often becomes shallow.
○Although REM has brief episodes of shallow breathing or lack of breathing, breathing is more rapid than in NREM.
paragraph1: Of all the physiological differences in human sleep compared with wakefulness that have been discovered in the last decade, changes in respiratory control are most dramatic. Not only are there differences in the level of the functioning of respiratory systems, there are even changes in how they function. Movements of the rib cage for breathing are reduced during sleep, making the contractions of the diaphragm more important. [■] Yet because of the physics of lying down, the stomach applies weight against the diaphragm and makes it more difficult for the diaphragm to do its job. [■] However, there are many other changes that affect respiration when asleep.
paragraph2: [■] During wakefulness, breathing is controlled by two interacting systems. [■]The first is an automatic, metabolic system whose control is centered in the brain stem. It subconsciously adjusts breathing rate and depth in order to regulate the levels of carbon dioxide (CO2) and oxygen (O2), and the acid-base ratio in the blood. The second system is the voluntary, behavioral system. Its control center is based in the forebrain, and it regulates breathing for use in speech, singing, sighing, and so on. It is capable of ignoring or overriding the automatic, metabolic system and produces an irregular pattern of breathing.
12.Look at the four squares [■] that indicate where the following sentence could be added to the passage.
To better understand breathing during sleep, it is, however, helpful to first understand how respiration works in general.
Where would the sentence best fit? Click on a square to add the sentence to the passage
13.Directions: From the seven statements below, select the statements that correctly characterize breathing during wakefulness and those statements that correctly characterize breathing during sleep. Drag each answer choice you select into the appropriate box of the table. Two of the answer choices will NOT be used. This question is worth 3 points.
Wakefulness
|
Sleep
|
l
l
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l
l
l
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Answer Choices
○The role of the rib cage increases and the role of the diaphragm decreases.
○Carbon dioxide in blood rises and oxygen drops.
○The coughing reflex is extremely complex.
○A great deal of effort is used for breathing.
○Upper airways are resistant to colds and allergies.
○There is a drop in the volume of air that is exchanged.
○Automatic and voluntary respiratory systems are both involved.
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參考答案:
1.2
2.1
3.4
4.2
5.3
6.3
7.2
8.4
9.1
10. 4
11. 1
12. 3
13-14.
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The role of the ...
Automatic and voluntary...
S:
Carbon dioxide in...
A great deal of ...
There is a drop in ...
睡眠中的呼吸
關(guān)于人類(lèi)睡覺(jué)和清醒時(shí)生理狀態(tài)的差異在過(guò)去的十年里已被發(fā)現(xiàn),在所有的這些差異中,呼吸系統(tǒng)控制方面的變化尤其引人注目。不僅是呼吸系統(tǒng)運(yùn)作水平有差異,在如何運(yùn)作方面也出現(xiàn)了變化。胸腔所做的呼吸運(yùn)動(dòng)在睡覺(jué)時(shí)會(huì)減少,使得橫膈膜的收縮變得更為重要。然而由于躺下來(lái)的物理作用,胃部壓迫橫膈膜使得橫膈膜難以工作。不管怎樣,睡眠時(shí)還有很多其他的變化影響著呼吸。
清醒的時(shí)候,呼吸受到兩個(gè)互相影響的系統(tǒng)的控制。第一個(gè)是自動(dòng)的新陳代謝系統(tǒng),它的控制中心在腦干。它會(huì)潛意識(shí)的調(diào)整呼吸頻率和深度來(lái)控制二氧化碳和氧氣的濃度以及血液中的酸堿比。第二套系統(tǒng)是自發(fā)行為系統(tǒng)。它的控制中心在前腦,調(diào)節(jié)說(shuō)話、唱歌、嘆息等行為時(shí)的呼吸。它能忽略或無(wú)視自動(dòng)新陳代謝系統(tǒng)并且產(chǎn)生無(wú)規(guī)律的呼吸模式。
在NMER(睡覺(jué)時(shí)沒(méi)有快速眼部活動(dòng)的階段)這個(gè)階段中,呼吸會(huì)變得更深更有規(guī)律,但是呼吸頻率會(huì)降低,導(dǎo)致總體空氣交換減少。發(fā)生這個(gè)是因?yàn)樵?/span>NREM睡眠階段中,自動(dòng)的新陳代謝系統(tǒng)會(huì)獨(dú)自控制呼吸,身體會(huì)利用更少的氧氣產(chǎn)生更少的二氧化碳。同時(shí),自動(dòng)的新陳代謝系統(tǒng)對(duì)血液中二氧化碳和氧氣的含量反應(yīng)并不靈敏。在睡眠中呼吸控制的變化會(huì)導(dǎo)致兩個(gè)結(jié)果。第一,睡著時(shí)呼吸可能會(huì)有短暫的停止或減少,因?yàn)樗哒咴谒吆颓逍阎g徘徊,而這兩種狀態(tài)的控制系統(tǒng)不一樣。第二,一旦得到了充足的睡眠,血液中二氧化碳含量升高而氧氣含量降低,在NREM階段也會(huì)持續(xù)這樣。
但這并不是全部的變化。在睡眠的所有階段中,氣道的一些變化已經(jīng)被觀察到了。睡眠時(shí)需要付出兩倍的努力去呼吸,因?yàn)楹粑罋饬鞯淖枇?huì)比較強(qiáng)并且用來(lái)呼吸的肌肉的效率會(huì)有變化。一些在呼吸時(shí)幫助保持上呼吸道通暢的肌肉在睡覺(jué)的時(shí)候會(huì)變得松弛,特別是在REM階段(就是有快速眼部運(yùn)動(dòng)的睡眠階段)。沒(méi)有這種肌肉運(yùn)動(dòng),呼吸空氣就像從氣球里吸氣一樣,狹窄的通道會(huì)面臨崩潰。而且鼻子兩側(cè)的阻力也會(huì)周期性改變。如果有時(shí)候堵塞了“好”的一邊,比如過(guò)敏和感冒引起的堵塞,阻力就會(huì)大大增加。與這些因素一起的是那些能夠改變從鼻子到嘴巴的氣流路徑的肌肉之間失去了復(fù)雜的交互。
其他呼吸調(diào)節(jié)機(jī)制在睡眠時(shí)顯然要停止運(yùn)作。比如說(shuō),在清醒時(shí)如果呼吸變得困難的話就會(huì)有一個(gè)立即自動(dòng)適應(yīng)性的呼吸增強(qiáng)(比如戴上面具呼吸)。但在NREM狀態(tài)時(shí)完全不存在這樣反射性的調(diào)節(jié)。在這種情況下,只有幾次不充分的呼吸后使得血液中二氧化碳的含量顯著提升以及氧氣的含量降低,呼吸才會(huì)被調(diào)整過(guò)來(lái)。最后,咳嗽反應(yīng)在應(yīng)對(duì)呼吸道中刺激物時(shí)產(chǎn)生的不是睡覺(jué)時(shí)咳嗽而是呼吸停止。如果刺激物足夠嚴(yán)重,睡著的人會(huì)醒來(lái)清理氣道,然后繼續(xù)呼吸很可能再度入睡。
發(fā)生在REM時(shí)期的多余的呼吸變化比發(fā)生在NREM時(shí)期的呼吸變化更顯著。REM的空氣交換量要比NREM低,因?yàn)楸M管REM中呼吸更加急促,但也更加沒(méi)有規(guī)律,包括一些簡(jiǎn)短的淺呼吸或呼吸暫停。另外,REM時(shí)期的呼吸更多取決于橫膈膜而不是胸腔的作用。