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既往通气经验对运动期间呼吸困难估计的影响。

Influence of prior ventilatory experience on the estimation of breathlessness during exercise.

作者信息

Wilson R C, Jones P W

机构信息

Department of Medicine, St. George's Hospital Medical School, London.

出版信息

Clin Sci (Lond). 1990 Feb;78(2):149-53. doi: 10.1042/cs0780149.

DOI:10.1042/cs0780149
PMID:2155740
Abstract
  1. The intensity of breathlessness was measured during exercise in nine normal subjects using a modified Borg scale to examine the effect of prior experience of breathlessness on subsequent estimates of breathlessness. 2. Each subject performed four exercise tests, each of which consisted of two identical runs of workload incrementation (run 1 and run 2). An inspiratory resistive load of 3.8 cmH2O s-1 l-1 was applied during the appropriate run of the exercise test to examine the effect of (a) prior experience of 'loaded' breathing on breathlessness estimation during 'unloaded' breathing, and (b) prior experience of 'unloaded' breathing on breathlessness estimation during 'loaded' breathing. Run 1 was the conditioning run: run 2 was the run in which the effect of conditioning was measured. 3. There was a good correlation between breathlessness and minute ventilation during both 'unloaded' breathing (median r = 0.93) and 'loaded' breathing (median r = 0.95). 4. The slope of the Borg score/minute ventilation relationship was greater during 'loaded' breathing than during 'unloaded' breathing (P less than 0.01). There was no difference in mean Borg score between 'unloaded' and 'loaded' breathing. 5. After a period of 'loaded' breathing during run 1, estimated breathlessness was significantly reduced during ensuing 'unloaded' breathing in run 2 (P less than 0.01) compared with the exercise test in which 'unloaded' breathing was experienced throughout both run 1 and run 2. 6. After a period of 'unloaded' breathing in run 1, estimated breathlessness was significantly increased during ensuing 'loaded' breathing in run 2 (P less than 0.01) compared with the exercise test in which the inspiratory load had already been experienced in run 1.(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 在九名正常受试者运动期间,使用改良的博格量表测量呼吸急促的强度,以研究先前呼吸急促经历对后续呼吸急促估计的影响。2. 每位受试者进行四项运动测试,每项测试包括两次相同的工作量递增跑步(跑步1和跑步2)。在运动测试的适当跑步过程中施加3.8 cmH2O s-1 l-1的吸气阻力负荷,以研究(a)先前“负荷”呼吸经历对“无负荷”呼吸时呼吸急促估计的影响,以及(b)先前“无负荷”呼吸经历对“负荷”呼吸时呼吸急促估计的影响。跑步1为适应性跑步:跑步2是测量适应性效果的跑步。3. 在“无负荷”呼吸(中位数r = 0.93)和“负荷”呼吸(中位数r = 0.95)期间,呼吸急促与分钟通气量之间均存在良好的相关性。4. “负荷”呼吸期间博格评分/分钟通气量关系的斜率大于“无负荷”呼吸期间(P小于0.01)。“无负荷”和“负荷”呼吸之间的平均博格评分无差异。5. 在跑步1中经历一段时间的“负荷”呼吸后,与在跑步1和跑步2中均全程经历“无负荷”呼吸的运动测试相比,跑步2中随后的“无负荷”呼吸期间估计的呼吸急促明显降低(P小于0.01)。6. 在跑步1中经历一段时间的“无负荷”呼吸后,与在跑步1中已经经历吸气负荷的运动测试相比,跑步2中随后的“负荷”呼吸期间估计的呼吸急促明显增加(P小于0.01)。(摘要截短为250字)

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