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气道阻力对运动人群呼吸模式和肺容量的意义。

Significance of airway resistance for the pattern of breathing and lung volumes in exercising humans.

作者信息

Hesser C M, Lind F, Linnarsson D

机构信息

Department of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

J Appl Physiol (1985). 1990 May;68(5):1875-82. doi: 10.1152/jappl.1990.68.5.1875.

Abstract

The effects of increased airway resistance on lung volumes and pattern of breathing were studied in eight subjects performing leg exercise on a cycle ergometer. Airway resistance was changed 1) by increasing the density (D) of the respired gas by a factor of 4.2 and changing the inspired gas from O2 at 1.3 bar to air at 6 bar and 2) by increasing airway flow rates by exposing the subjects to incremental work loads of 0-200 W. Increased gas D caused a slower and deeper respiration at rest and during exercise and, at work loads greater than 120 W, depressed the responses of ventilation and mean inspiratory flow. Raised airway resistance induced by increases in D and/or airway flow rates altered respiratory timing by increasing the ratio of inspiratory time (TI) to total breath duration. Furthermore, analyses of the relationships between tidal volume and TI and between end-inspiratory volume and TI revealed elevation of Hering-Breuer inspiratory volume thresholds. We propose that this elevation, and hence exercise-induced increases of tidal volume, can largely be explained by previous observations that the threshold of the inspiratory off-switch mechanisms depends on central inspiratory activity (cf. C. von Euler, J. Appl. Physiol. 55: 1647-1659, 1983), which in turn increases with airway resistance (Acta Physiol. Scand. 120: 557-565, 1984).

摘要

在八名在自行车测力计上进行腿部运动的受试者中,研究了气道阻力增加对肺容量和呼吸模式的影响。通过以下两种方式改变气道阻力:1)将呼吸气体的密度(D)增加4.2倍,并将吸入气体从1.3巴的氧气改为6巴的空气;2)让受试者承受0-200瓦的递增工作负荷,以增加气道流速。气体密度增加导致静息和运动时呼吸变慢、变深,并且在工作负荷大于120瓦时,抑制通气和平均吸气流量的反应。由气体密度和/或气道流速增加引起的气道阻力升高,通过增加吸气时间(TI)与总呼吸持续时间的比值来改变呼吸时间。此外,对潮气量与吸气时间之间以及吸气末容量与吸气时间之间关系的分析显示,黑林-布雷尔吸气容量阈值升高。我们认为,这种升高以及由此导致的运动诱发潮气量增加,很大程度上可以用先前的观察结果来解释,即吸气切断机制的阈值取决于中枢吸气活动(参见C.冯·欧拉,《应用生理学杂志》55:1647-1659,1983),而中枢吸气活动又随气道阻力增加而增加(《生理学杂志》120:557-565,1984)。

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