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[封闭型呼吸装置单次潜水对人体通气肺功能影响的声学评估]

[Acoustical estimation of impact of single dive in closed-type breathing apparatus on human ventilatory lung function].

作者信息

Pochekutova I A, Korenbaum V I

出版信息

Fiziol Cheloveka. 2011 May-Jun;37(3):76-82.

Abstract

Diving renders negative influence on human respiratory system especially when oxygen breathing apparatus is used. Spirometry indexes, traditionally used to estimate ventilator lung function, have poor sensitivity to toxic effect of hyperbaric hyperoxia. The objective is to study possibility of revealing minimum impairments of lung ventilator function in oxygen divers by analysis of forced expiratory tracheal noise duration. 48 divers were studied before and after single shallow water dive in oxygen closed-type breathing apparatus. A significant drop of FVC, FEV1 over the group as a whole was found after dive however being in the limits of norm. The significant increase of individual forced expiratory tracheal noise duration, exceeding the natural variability limit (19.6%, p < 0.05), was found in 10 subjects (20.8%). Three of them during dive had respiratory symptoms characteristic for initial manifestations of pulmonary oxygen poisoning. The asymptomatic reversible increase of forced expiratory tracheal noise duration in the rest 7 divers was interpreted as a sign of hidden phase of hyperbaric hyperoxia effect.

摘要

潜水对人体呼吸系统有负面影响,尤其是在使用氧气呼吸器时。传统上用于评估通气肺功能的肺量计指标,对高压高氧的毒性作用敏感性较差。目的是通过分析用力呼气气管噪声持续时间,研究揭示氧气潜水员肺通气功能最小损伤的可能性。对48名潜水员在使用氧气封闭式呼吸器进行单次浅水潜水前后进行了研究。潜水后发现,整个组的FVC、FEV1显著下降,但仍在正常范围内。在10名受试者(20.8%)中发现,个体用力呼气气管噪声持续时间显著增加,超过自然变异限度(19.6%,p<0.05)。其中3人在潜水期间出现了肺氧中毒初始表现的特征性呼吸道症状。其余7名潜水员无症状的用力呼气气管噪声持续时间可逆增加,被解释为高压高氧效应隐匿期的标志。

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