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在高呼吸驱动状态下说话和呼吸。

Speaking and breathing in high respiratory drive.

作者信息

Bailey E Fiona, Hoit Jeannette D

机构信息

National Center for Neurogenic Communication Disorders, Tucson, AZ 85724-5051 USA.

出版信息

J Speech Lang Hear Res. 2002 Feb;45(1):89-99. doi: 10.1044/1092-4388(2002/007).

Abstract

Pulmonary ventilation during speech breathing reflects the sum of the airflow changes used to speak and to meet the metabolic needs of the body. Studying interactions between speaking and breathing may provide insights into the mechanisms of shared respiratory control. The purposes of this study were to determine if healthy subjects exhibit task-specific breathing behaviors in high respiratory drive and to document subjects' perceptions during breathing and speaking under these conditions. Ten men were studied in air and high CO2. Magnetometers were used to estimate lung volume, rib cage and abdomen volumes, minute volume, breathing frequency, tidal volume, inspiratory and expiratory duration, and inspiratory and expiratory flow. Subjects' perceptions were assessed informally. Results indicated that the chest wall kinematic behaviors associated with breathing and speaking in high drive were similar in pattern but differed in the magnitudes of lung volume and rib cage volume events and in inspiratory and expiratory flow. Linguistic influences remained strong, but not as strong as under normal conditions. All subjects reported a heightened sense of breathing-related discomfort during speaking as opposed to breathing in high respiratory drive. We conclude that in healthy subjects breathing behavior associated with speaking in high respiratory drive is guided continuously by shared linguistic and metabolic influences. A parallel-processing model is proposed to explain the behaviors observed.

摘要

言语呼吸过程中的肺通气反映了用于说话和满足身体代谢需求的气流变化总和。研究说话与呼吸之间的相互作用可能有助于深入了解共享呼吸控制的机制。本研究的目的是确定健康受试者在高呼吸驱动时是否表现出特定任务的呼吸行为,并记录受试者在这些条件下呼吸和说话时的感受。对10名男性在空气中和高二氧化碳环境下进行了研究。使用磁力计来估计肺容积、胸廓和腹部容积、分钟通气量、呼吸频率、潮气量、吸气和呼气持续时间以及吸气和呼气流量。对受试者的感受进行了非正式评估。结果表明,在高驱动状态下与呼吸和说话相关的胸壁运动行为模式相似,但在肺容积和胸廓容积事件的大小以及吸气和呼气流量方面存在差异。语言影响仍然很强,但不如正常情况下那么强烈。与在高呼吸驱动下呼吸相比,所有受试者在说话时都报告有更强的与呼吸相关的不适感。我们得出结论,在健康受试者中,与高呼吸驱动下说话相关的呼吸行为受到共享的语言和代谢影响的持续引导。提出了一个并行处理模型来解释所观察到的行为。

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