Mador M J, Tobin M J
Division of Pulmonary Medicine, State University of New York, Veterans Administration Medical Center, Buffalo 14215.
Am Rev Respir Dis. 1991 Sep;144(3 Pt 1):481-7. doi: 10.1164/ajrccm/144.3_Pt_1.481.
The overall output from the respiratory centers is regulated by an automatic metabolic control system in the brainstem and by higher neural centers under direct voluntary control. An understanding of the constancy with which respiration is controlled can be obtained by measuring the breath-to-breath variability in breathing pattern. We hypothesized that different forms of mental activity would alter the variability of breathing pattern. To test this hypothesis, we measured breathing pattern on a breath-by-breath basis during resting wakefulness and during four conditions of altered mental activity. Measurements were obtained with a calibrated respiratory inductive plethysmograph, and variability was assessed by calculations of the coefficients of variation. We also examined the effect of the altered states of mental activity on the mean values of the breathing pattern components. We found that noxious stimulation increased the variability of all the breathing pattern indices, audiovisual stimulation tended to increase the variability of tidal volume (VT), and mental arithmetic had no effect. In addition, the variability of breathing pattern was increased during rapid eye movement sleep and decreased during Stage IV sleep. The variability of VT and expiratory time were greater than that of inspiratory time (TI) across the different states of mental activity. Significant correlations were observed between VT and TI and between VT and frequency (f) during Stage IV sleep. With regards to the mean values, mental arithmetic, audiovisual stimulation, and noxious stimulation all increased minute ventilation and mean inspiratory flow.(ABSTRACT TRUNCATED AT 250 WORDS)
呼吸中枢的总体输出受脑干中自动代谢控制系统以及直接受自主控制的高级神经中枢调节。通过测量呼吸模式中逐次呼吸的变异性,可以了解呼吸控制的稳定性。我们假设不同形式的精神活动会改变呼吸模式的变异性。为验证这一假设,我们在静息觉醒状态以及四种精神活动改变的状态下逐次测量呼吸模式。使用校准后的呼吸感应体积描记器进行测量,并通过计算变异系数评估变异性。我们还研究了精神活动改变状态对呼吸模式各组成部分平均值的影响。我们发现,有害刺激会增加所有呼吸模式指标的变异性,视听刺激倾向于增加潮气量(VT)的变异性,而心算则无影响。此外,快速眼动睡眠期间呼吸模式的变异性增加,而在第四阶段睡眠期间降低。在不同的精神活动状态下,VT和呼气时间的变异性大于吸气时间(TI)。在第四阶段睡眠期间,VT与TI以及VT与频率(f)之间存在显著相关性。关于平均值,心算、视听刺激和有害刺激均增加了分钟通气量和平均吸气流量。(摘要截选至250词)