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运动过程中人体对呼气末二氧化碳和低氧阶跃变化的通气反应动态。

Dynamics of the ventilatory response in man to step changes of end-tidal carbon dioxide and of hypoxia during exercise.

作者信息

MacFarlane D J, Cunningham D J

机构信息

University Laboratory of Physiology, Oxford.

出版信息

J Physiol. 1992 Nov;457:539-57. doi: 10.1113/jphysiol.1992.sp019393.

Abstract
  1. Four human subjects exercised in hypoxia (end-tidal partial pressure of O2 (P(ET),O2) ca 55 Torr; heart rate ca 100-130 beats min-1), and the contribution to the respiratory drive of the peripheral and central chemoreflex pathways have been separated on the basis of the latencies and the time courses of the responses to sudden changes of stimulus. 2. The subjects were exposed to repeated end-tidal step changes in PCO2 of ca 3-3.5 Torr (at nearly constant P(ET),O2) and PO2 (between ca 55 and 230 Torr) at three regions along the expiratory ventilation VE-P(ET),CO2 response line (hypocapnia, eucapnia, hypercapnia). The dynamics of the ventilatory responses were calculated using a two-compartment non-linear least-squares optimization method. 3. The component of the response attributable to the peripheral chemoreflex loop may in some subjects contribute up to 75% of the ventilatory drive during mild hypocapnic hypoxic exercise and ca 72% of the total gain following steps of P(ET),CO2 during hypoxic exercise. These data support the notion that the effectiveness of the peripheral chemoreceptor pathway is enhanced in moderate exercise. 4. During hypoxic exercise, the time delays and time constants attributed to the peripheral chemoreflex pathways (ca 3.5 and 9 s respectively) and to the central chemoreflex pathways (ca 9.5 and 47 s respectively) are some of the shortest reported. 5. The dynamics of the peripheral and central chemoreflex pathways appeared to be largely independent of each other. 6. There was a notable absence of systematic change of inspiratory and expiratory durations during the step-induced transients.
摘要
  1. 四名人类受试者在低氧环境中进行运动(呼气末氧分压(P(ET),O2)约为55托;心率约为100 - 130次/分钟),并根据对刺激突然变化的反应潜伏期和时间进程,区分了外周和中枢化学反射通路对呼吸驱动的贡献。2. 受试者在呼气通气量VE - P(ET),CO2反应线的三个区域(低碳酸血症、正常碳酸血症、高碳酸血症),暴露于PCO2约3 - 3.5托的重复呼气末阶跃变化(在几乎恒定的P(ET),O2和PO2(约55至230托之间))。使用两室非线性最小二乘法优化方法计算通气反应的动力学。3. 在轻度低碳酸血症性低氧运动期间,外周化学反射回路引起的反应成分在某些受试者中可能占通气驱动的75%,在低氧运动期间P(ET),CO2阶跃变化后的总增益中约占72%。这些数据支持了在适度运动中外周化学感受器通路有效性增强的观点。4. 在低氧运动期间,归因于外周化学反射通路(分别约为3.5秒和9秒)和中枢化学反射通路(分别约为9.5秒和47秒)的时间延迟和时间常数是报告中最短的一些。5. 外周和中枢化学反射通路的动力学似乎在很大程度上相互独立。6. 在阶跃诱导的瞬态过程中,吸气和呼气持续时间没有明显的系统性变化。

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