Mulvey D A, Koulouris N G, Elliott M W, Moxham J, Green M
Respiratory Muscle Laboratory, Brompton Hospital, London, United Kingdom.
Am Rev Respir Dis. 1991 Oct;144(4):803-6. doi: 10.1164/ajrccm/144.4.803.
We have measured the normalized maximal relaxation rate (MRR, % pressure loss/10 ms) of esophageal and transdiaphragmatic pressures in five normal subjects who performed unoccluded shifts from FRC, with the peak pressure varying between 10 and 100% of each subject's maximum. MRR was computed as the maximal rate of decay of pressure divided by the peak pressure, with units of %pressure loss/10 ms. We observed that MRR became progressively faster as sniff peak pressure increased in amplitude above 10% maximum. In four subjects this trend was most marked for sniffs of less than 40% maximal pressure, with little change as peak pressure increased further. In a fifth subject this trend continued across the full range of pressure. Thus, MRR may be an effort-dependent variable during voluntary inspiratory maneuvers. We postulate that sniff MRR becomes faster with increasing peak pressure because of progressive activation of fast-twitch type II muscle fibers. The findings of this study suggest that erroneous conclusions about the significance of slowing of sniff MRR with fatigue may be made if MRR is determined from voluntary efforts with a peak pressure of less than 60% of control maximum, as may occur with fatigue.
我们测量了5名正常受试者在从功能残气量(FRC)进行无阻塞转换时食管压力和跨膈压力的标准化最大松弛率(MRR,压力损失百分比/10毫秒),峰值压力在每个受试者最大值的10%至100%之间变化。MRR计算为压力的最大衰减率除以峰值压力,单位为压力损失百分比/10毫秒。我们观察到,当嗅吸峰值压力在幅度上超过最大值的10%时,MRR逐渐加快。在4名受试者中,这种趋势在最大压力低于40%的嗅吸时最为明显,随着峰值压力进一步增加变化不大。在第5名受试者中,这种趋势在整个压力范围内持续存在。因此,在自主吸气动作期间,MRR可能是一个与用力相关的变量。我们推测,由于快肌纤维II型的逐渐激活,嗅吸MRR随着峰值压力增加而加快。本研究结果表明,如果像疲劳时可能出现的那样,从峰值压力低于对照最大值60%的自主用力中确定MRR,可能会对嗅吸MRR随疲劳减慢的意义得出错误结论。