Lindholm P, Karlsson L, Gill H, Wigertz O, Linnarsson D
Department of Physiology and Pharmacology, Section of Environmental Physiology, Karolinska Institutet, 17177, Stockholm, Sweden.
Eur J Appl Physiol. 2006 May;97(1):96-102. doi: 10.1007/s00421-006-0144-6. Epub 2006 Feb 17.
Blood gas changes occurring in the lung undergo delay and damping on their way to a peripheral artery sampling site. Knowledge of the time components of circulatory transfer is important for the understanding of respiratory control and cardiovascular reflexes in response to blood gas transients. Providing steady state with regard to VA/Q distribution, cardiac output and peripheral blood flow, the relationship between the time courses of small end-tidal and peripheral PO2 changes is determined by the transfer function of the interposed vascular segment. This transfer function, expressed as delay time TD and mean transit time (MTT), was measured in six well-trained subjects, allowing the calculation of arterial time-courses from end-tidal to the reverse. They were studied at rest and during four different dynamic leg exercise intensities in the supine posture. TD and MTT amounted to 15.8 +/- 1.7 (mean +/- SEM) and 18.3 +/- 2.1 s at rest and were shortened to 7.7 +/- 0.6 and 11.5 +/- 1.8 s during exercise at 170 W. The shortening of TD and MTT did not appear to be simply an inverse function of cardiac output, suggesting that the shortening occurs in the central circulatory segment but not in the arm segment.
肺内发生的血气变化在传输至外周动脉采样点的过程中会出现延迟和衰减。了解循环传输的时间成分对于理解呼吸控制以及对血气瞬变的心血管反射非常重要。在保证通气/血流比值(VA/Q)分布、心输出量和外周血流处于稳态的情况下,呼气末小幅度PO₂变化与外周PO₂变化的时间进程之间的关系由中间血管段的传递函数决定。该传递函数以延迟时间TD和平均传输时间(MTT)表示,在6名训练有素的受试者中进行了测量,从而能够计算从呼气末到相反情况的动脉时间进程。对他们在仰卧姿势下休息时以及四种不同强度的动态腿部运动过程中进行了研究。休息时TD和MTT分别为15.8±1.7(平均值±标准误)和18.3±2.1秒,在170瓦运动时缩短至7.7±0.6和11.5±1.8秒。TD和MTT的缩短似乎并非仅仅是心输出量的反函数,这表明缩短发生在中心循环段而非手臂段。