Adler Andy, Cieslewicz Greg, Irvin Charles G
School of Information Technology and Engineering, University of Ottawa, Ontario, Canada K1N 6N5.
J Appl Physiol (1985). 2004 Jul;97(1):286-92. doi: 10.1152/japplphysiol.00821.2003. Epub 2004 Mar 19.
There has been significant utilization of the technique described by Hamelmann et al. (Am J Respir Crit Care Med 156: 766-775, 1997) in which a parameter, enhanced pause (Penh), related to airways responsiveness is noninvasively measured by unrestrained plethysmography (UP). Investigating this technique, we sought to answer these questions: 1). How do changes in Penh compare with changes in traditional plethysmographic and lung mechanical parameters? 2). How do UP parameters perform in two different mouse strains? Awake immunized and control BALB/c (n = 16) and C57BL/6 (n = 14) mice were placed in the UP chamber and exposed to doses of aerosolized methacholine while the following parameters were measured at each concentration: inspiratory time (Ti), expiratory time (Te), total time (Ttot), Ti/Ttot, peak inspiratory pressure, peak expiratory pressure, Pause, Penh, tidal volume (Vt), Vt/Ti, Vt/Te, and Vt/Ttot. The next day, lung resistance (Rl) and compliance (Cl) were invasively measured in the same animals. For the BALB/c, the parameters with the highest magnitude of correlation coefficient vs. Rl are (in order) 1). Cl, 2). Pause and Penh, 3). parameters of breathing frequency (Te, Ttot, Ti), and 4). parameters related to Vt (inspiratory pressure, expiratory pressure). Flow parameters (Vt/Ttot, Vt/Te, Vt/Ti) and duty cycle parameters (Ti/Ttot) had insignificant correlations. This ordering is significantly different in C57BL/6 mice, in which the parameters with the largest correlations are 1). Cl, 2). parameters of breathing frequency, and 3). flow parameters. Pause, Penh, Vt, and duty cycle parameters had insignificant correlations. These data show that Penh is problematic in the sense that it is strain specific; it behaves very differently in BALB/c and C57BL/6 mice. We suggest that UP parameters largely originate as part of reflex control of breathing processes, rather than in the lung mechanics and conclude that it is inappropriate to use UP parameters in general, and Penh specifically, as substitute variables for invasive mechanical indexes such as Rl.
哈默尔曼等人(《美国呼吸与危重症医学杂志》156: 766 - 775, 1997)所描述的技术已得到大量应用,该技术通过无束缚体积描记法(UP)对与气道反应性相关的一个参数——增强呼吸暂停(Penh)进行无创测量。在研究这项技术时,我们试图回答以下问题:1). Penh的变化与传统体积描记法和肺力学参数的变化相比如何?2). UP参数在两种不同品系的小鼠中表现如何?将清醒的免疫和对照BALB/c小鼠(n = 16)及C57BL/6小鼠(n = 14)置于UP室中,使其暴露于雾化乙酰甲胆碱剂量下,同时在每个浓度下测量以下参数:吸气时间(Ti)、呼气时间(Te)、总时间(Ttot)、Ti/Ttot、吸气峰值压力、呼气峰值压力、呼吸暂停、Penh、潮气量(Vt)、Vt/Ti、Vt/Te和Vt/Ttot。第二天,对同一批动物进行有创测量肺阻力(Rl)和顺应性(Cl)。对于BALB/c小鼠,与Rl相关系数绝对值最高的参数依次为:1). Cl,2). 呼吸暂停和Penh,3). 呼吸频率参数(Te、Ttot、Ti),4). 与Vt相关的参数(吸气压力、呼气压力)。流量参数(Vt/Ttot、Vt/Te、Vt/Ti)和占空比参数(Ti/Ttot)的相关性不显著。在C57BL/6小鼠中这种排序有显著差异,其中相关性最大的参数依次为:1). Cl,2). 呼吸频率参数,3). 流量参数。呼吸暂停、Penh、Vt和占空比参数的相关性不显著。这些数据表明,Penh存在问题,因为它具有品系特异性;在BALB/c和C57BL/6小鼠中的表现差异很大。我们认为UP参数在很大程度上源自呼吸过程反射控制的一部分,而非肺力学,因此得出结论,一般使用UP参数,特别是Penh作为诸如Rl等有创机械指标的替代变量是不合适的。