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自愿性常二氧化碳通气过度期间胸壁容积的隔室变化。

Compartmental chest wall volume changes during volitional normocapnic hyperpnoea.

机构信息

Exercise Physiology, Institute of Human Movement Sciences, ETH Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.

出版信息

Respir Physiol Neurobiol. 2011 Aug 15;177(3):294-300. doi: 10.1016/j.resp.2011.05.007. Epub 2011 May 14.

Abstract

During increased ventilation, inspiratory rib cage muscles have been suggested to take over part of diaphragmatic work after the diaphragm fatigues. We investigated the extent to which this proposed change in muscle recruitment is associated with changes in the relative contribution of chest wall compartments to tidal volume (V(T)). Thirteen healthy subjects performed 1 h of fatiguing normocapnic hyperpnoea. Chest wall volumes were assessed by optoelectronic plethysmography. While breathing frequency increased (43±3 to 56±5 breaths min(-1), p=0.006) and V(T) decreased during normocapnic hyperpnoea (2.6±0.2 to 1.9±0.1l, p<0.001), the relative contribution of chest wall compartments to V(T) remained unchanged (pulmonary rib cage: 48±9 versus 51±14%; abdominal rib cage: 24±4 versus 23±9%; abdomen: 28±8 versus 26±9%; all p>0.05). In conclusion, fatiguing respiratory work is not associated with a change in compartmental contribution to V(T), even in the presence of a change in breathing pattern.

摘要

在增加通气量的情况下,吸气性胸廓肌肉在膈肌疲劳后被认为会接管部分膈肌的工作。我们研究了这种肌肉募集的变化与胸壁各腔室对潮气量(V(T))的相对贡献变化之间的关联程度。13 名健康受试者进行了 1 小时的疲劳性常通气过度。通过光体积描记法评估胸壁容积。在常通气过度期间,呼吸频率增加(43±3 次/分钟至 56±5 次/分钟,p=0.006),V(T)下降(2.6±0.2 升至 1.9±0.1l,p<0.001),但胸壁各腔室对 V(T)的相对贡献保持不变(肺胸廓:48±9%比 51±14%;腹胸廓:24±4%比 23±9%;腹部:28±8%比 26±9%;均 p>0.05)。总之,疲劳性呼吸工作与 V(T)的腔室贡献变化无关,即使在呼吸模式发生变化的情况下也是如此。

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