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高温诱导的人体过度通气及相关呼吸性碱中毒

Hyperthermic-induced hyperventilation and associated respiratory alkalosis in humans.

作者信息

Abbiss Chris R, Nosaka Kazunori, Laursen Paul B

机构信息

School of Exercise, Biomedical and Health Sciences, Edith Cowan University, 100 Joondalup Drive, Joondalup, WA, 6027, Australia.

出版信息

Eur J Appl Physiol. 2007 May;100(1):63-9. doi: 10.1007/s00421-007-0405-z. Epub 2007 Feb 8.

Abstract

The purpose of this study was to determine if increased environmental heat leads to hyperthermic-induced hypocapnia and associated alkalosis during prolonged self-paced cycling. Nine male cyclists completed three 100 km stochastic time trials in hot (34 degrees C), neutral (22 degrees C) and cold (10 degrees C) environments. Intermittent measurements of rectal and skin temperature, expired gases, blood pH, PaCO(2), PaO(2), and bicarbonate were made throughout. Rectal temperature increased significantly throughout all trials (P < 0.001) and was significantly correlated with increases in the ventilatory equivalent for carbon dioxide (Ve/ VCo2; r = 0.77; P < 0.001) and blood pH (r = 0.69; P < 0.05). Rectal temperature was also negatively correlated with a reduction in PaCO(2) (r = -0.80; P < 0.001). PaO(2) and bicarbonate concentration remained constant throughout all trials. This study has shown that prolonged self-paced cycling is associated with a hyperthermic-induced hyperventilation, causing a decrease in arterialized carbon dioxide tension and consequential respiratory alkalosis.

摘要

本研究的目的是确定在长时间的自定节奏骑行过程中,环境热量增加是否会导致高温引起的低碳酸血症及相关碱中毒。九名男性自行车运动员在炎热(34摄氏度)、中性(22摄氏度)和寒冷(10摄氏度)环境下完成了三次100公里的随机计时赛。在整个过程中,间歇性测量直肠温度、皮肤温度、呼出气体、血液pH值、动脉血二氧化碳分压(PaCO₂)、动脉血氧分压(PaO₂)和碳酸氢盐。在所有试验中,直肠温度均显著升高(P < 0.001),并且与二氧化碳通气当量(Ve/VCO₂;r = 0.77;P < 0.001)和血液pH值的升高显著相关(r = 0.69;P < 0.05)。直肠温度也与PaCO₂的降低呈负相关(r = -0.80;P < 0.001)。在所有试验中,PaO₂和碳酸氢盐浓度保持恒定。本研究表明,长时间的自定节奏骑行与高温引起的通气过度有关,导致动脉化二氧化碳张力降低和随之而来的呼吸性碱中毒。

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