Barnas G M, Campbell D N, Mackenzie C F, Mendham J E, Fahy B G, Runcie C J, Mendham G E
Department of Anesthesiology, University of Maryland, Baltimore.
Am Rev Respir Dis. 1992 Jan;145(1):110-3. doi: 10.1164/ajrccm/145.1.110.
We measured total respiratory system and lung and chest wall resistances (Rrs, Rl, and Rcw) and elastances (Ers, El, and Ecw) in awake, relaxed human subjects during sinusoidal volume forcing at the mouth from 0.2 to 0.6 Hz with tidal volumes (VT) of 6 to 18% VC at constant mean airway pressure. In addition, we repeated measurements with the lowest VT at a lower airway pressure and therefore at a lower mean lung volume (Vl). Rrs and Rcw decreased with increasing respiratory frequency (f) and VT, but Rl was independent of f and VT. All resistances were higher at the lower Vl. Ers and Ecw increased with increasing f and decreased with increasing VT. El increased slightly with increasing f but was not affected by VT. All elastances tended to increase at the lower Vl. We conclude that in the normal range of breathing amplitude and frequency, (1) lung properties are nearly constant if mean lung volume does not change, and (2) f and VT dependencies of total respiratory system properties are caused by the chest wall.
我们在清醒、放松的人体受试者中进行了测量,在口部以0.2至0.6 Hz的频率进行正弦波容积驱动,潮气量(VT)为肺活量(VC)的6%至18%,平均气道压力恒定,测量了总呼吸系统以及肺和胸壁的阻力(Rrs、Rl和Rcw)和弹性(Ers、El和Ecw)。此外,我们在较低气道压力下,因而在较低平均肺容积(Vl)时,以最低VT重复测量。Rrs和Rcw随呼吸频率(f)和VT增加而降低,但Rl与f和VT无关。所有阻力在较低Vl时更高。Ers和Ecw随f增加而增加,随VT增加而降低。El随f增加略有增加,但不受VT影响。所有弹性在较低Vl时均趋于增加。我们得出结论,在正常呼吸幅度和频率范围内,(1)如果平均肺容积不变,肺特性几乎恒定;(2)总呼吸系统特性对f和VT的依赖性是由胸壁引起的。