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健康受试者的氧合混合静脉血二氧化碳分压

Oxygenated mixed venous PCO2 in healthy subjects.

作者信息

Sealey K G, Rubuck A S, Campbell E J

出版信息

Can Med Assoc J. 1975 Dec 13;113(11-12):1047-50.

Abstract

Despite the large number of blood gas measurements made over the years, precise information is lacking on intrasubject and intersubject variability of carbon dioxide tension. Accordingly, the oxygenated mixed venous CO2 tension was measured in 202 healthy volunteers and the influence of potentially disturbing factors such as intake of coffee and food, exercise and menstruation on the stability of this tension was studied in selected subjects. In the 102 men the mean value was 5.1 mm Hg (SD, 2.9 mm Hg), significantly higher (P less than 0.001) than that of the 100 women, 46.03 mm Hg (SD, 2.48 mm Hg). Among the women the value was significantly lower (P less than 0.01) in those taking oral contraceptives (mean, 44.9 mm Hg; SD, 2.3 mm Hg) than in those not taking these agents (mean, 46.5 mm Hg; SD, 2.4 mm Hg). Intrasubject variability of values was greatest in women taking oral contraceptives, mean day-to-day variation over two mentrual cycles being +/- 3.26 mm Hg. After moderate exercise the tension usually returned to +/- 1 mm Hg of resting values within 5 minutes. Intake of food and coffee had negligible effects on the tension.

摘要

尽管多年来进行了大量的血气测量,但关于个体内和个体间二氧化碳分压变异性的精确信息仍然匮乏。因此,对202名健康志愿者测量了氧合混合静脉血二氧化碳分压,并在部分受试者中研究了诸如摄入咖啡和食物、运动及月经等潜在干扰因素对该分压稳定性的影响。102名男性的平均值为5.1毫米汞柱(标准差为2.9毫米汞柱),显著高于100名女性的平均值46.03毫米汞柱(标准差为2.48毫米汞柱)(P<0.001)。在女性中,服用口服避孕药者的值(平均值为44.9毫米汞柱;标准差为2.3毫米汞柱)显著低于未服用者(平均值为46.5毫米汞柱;标准差为2.4毫米汞柱)(P<0.01)。服用口服避孕药的女性个体内值的变异性最大,在两个月经周期内每日平均变化为±3.26毫米汞柱。适度运动后,分压通常在5分钟内恢复到比静息值±1毫米汞柱的范围内。食物和咖啡的摄入对分压的影响可忽略不计。

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