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吸气负荷对人体通气气流混沌动力学的影响。

Effects of inspiratory loading on the chaotic dynamics of ventilatory flow in humans.

作者信息

Samara Ziyad, Raux Mathieu, Fiamma Marie-Noëlle, Gharbi Alexandre, Gottfried Stewart B, Poon Chi-Sang, Similowski Thomas, Straus Christian

机构信息

UPMC Univ Paris 06, EA 2397, F-75013 Paris, France.

出版信息

Respir Physiol Neurobiol. 2009 Jan 1;165(1):82-9. doi: 10.1016/j.resp.2008.10.015. Epub 2008 Nov 1.

Abstract

Human ventilation at rest exhibits complexity and chaos. The aim of this study was to determine whether suprapontine interferences with the automatic breathing control could contribute to ventilatory chaos. We conducted a post hoc analysis of a previous study performed in awake volunteers exhibiting cortical pre-motor potentials during inspiratory loading. In eight subjects, flow was recorded at rest, while breathing against inspiratory threshold loads (median 21.5 cm H(2)O) and resistive loads (50 cm H(2)Ol(-1)s(-1)) loads, and while inhaling 7% CO(2)-93% O(2). Chaos was identified through noise titration (noise limit, NL) and the sensitivity to initial conditions was assessed through the largest Lyapunov exponent (LLE). Breath-by-breath variability was evaluated using the coefficient of variation of several ventilatory variables. Chaos was consistently present in ventilatory flow recordings, but mechanical loading did not alter NL, LLE, or variability. In contrast, CO(2) altered chaos and reduced variability. In conclusion, inspiratory loading - and any resultant respiratory-related cortical activity - were not associated with changes in ventilatory chaos in this study, arguing against suprapontine contributions to ventilatory complexity.

摘要

静息状态下人体的通气表现出复杂性和混沌性。本研究的目的是确定脑桥上的干扰对自动呼吸控制是否会导致通气混沌。我们对之前一项在清醒志愿者中进行的研究进行了事后分析,这些志愿者在吸气负荷期间表现出皮质运动前电位。在八名受试者中,记录了静息时、对抗吸气阈值负荷(中位数为21.5 cm H₂O)和阻力负荷(50 cm H₂O·l⁻¹·s⁻¹)时以及吸入7% CO₂ - 93% O₂时的气流。通过噪声滴定(噪声极限,NL)识别混沌,并通过最大Lyapunov指数(LLE)评估对初始条件的敏感性。使用几个通气变量的变异系数评估逐次呼吸变异性。通气气流记录中始终存在混沌,但机械负荷并未改变NL、LLE或变异性。相比之下,CO₂改变了混沌并降低了变异性。总之,在本研究中,吸气负荷以及任何由此产生的与呼吸相关的皮质活动与通气混沌的变化无关,这表明脑桥以上区域对通气复杂性没有贡献。

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