Lutchen K R, Jackson A C
Department of Biomedical Engineering, Boston University, Massachusetts 02115.
J Appl Physiol (1985). 1990 May;68(5):2128-38. doi: 10.1152/jappl.1990.68.5.2128.
The frequency dependence of respiratory impedance (Zrs) from 0.125 to 4 Hz (Hantos et al., J. Appl. Physiol. 60: 123-132, 1986) may reflect inhomogeneous parallel time constants or the inherent viscoelastic properties of the respiratory tissues. However, studies on the lung alone or chest wall alone indicate that their impedance features are also dependent on the tidal volumes (VT) of the forced oscillations. The goals of this study were 1) to identify how total Zrs at lower frequencies measured with random noise (RN) compared with that measure with larger VT, 2) to identify how Zrs measured with RN is affected by bronchoconstriction, and 3) to identify the impact of using linear models for analyzing such data. We measured Zrs in six healthy dogs by use of a RN technique from 0.125 to 4 Hz or with a ventilator from 0.125 to 0.75 Hz with VT from 50 to 250 ml. Then methacholine was administered and the RN was repeated. Two linear models were fit to each separate set of data. Both models assume uniform airways leading to viscoelastic tissues. For healthy dogs, the respiratory resistance (Rrs) decreased with frequency, with most of the decrease occurring from 0.125 to 0.375 Hz. Significant VT dependence of Rrs was seen only at these lower frequencies, with Rrs higher as VT decreased. The respiratory compliance (Crs) was dependent on VT in a similar fashion at all frequencies, with Crs decreasing as VT decreased. Both linear models fit the data well at all VT, but the viscoelastic parameters of each model were very sensitive to VT. After methacholine, the minimum Rrs increased as did the total drop with frequency. Nevertheless the same models fit the data well, and both the airways and tissue parameters were altered after methacholine. We conclude that inferences based only on low-frequency Zrs data are problematic because of the effects of VT on such data (and subsequent linear modeling of it) and the apparent inability of such data to differentiate parallel inhomogeneities from normal viscoelastic properties of the respiratory tissues.
呼吸阻抗(Zrs)在0.125至4赫兹之间的频率依赖性(Hantos等人,《应用生理学杂志》60: 123 - 132,1986)可能反映了不均匀的平行时间常数或呼吸组织固有的粘弹性。然而,单独对肺或胸壁的研究表明,它们的阻抗特征也取决于强迫振荡的潮气量(VT)。本研究的目的是:1)确定用随机噪声(RN)在较低频率下测量的总Zrs与用较大VT测量的总Zrs相比情况如何;2)确定用RN测量的Zrs如何受到支气管收缩的影响;3)确定使用线性模型分析此类数据的影响。我们通过RN技术在6只健康犬中测量了0.125至4赫兹的Zrs,或使用呼吸机在0.125至0.75赫兹、VT为50至250毫升的情况下测量Zrs。然后给予乙酰甲胆碱并重复RN测量。对每组单独的数据拟合两个线性模型。两个模型都假定气道均匀,通向粘弹性组织。对于健康犬,呼吸阻力(Rrs)随频率降低,大部分降低发生在0.125至0.375赫兹之间。仅在这些较低频率下观察到Rrs对VT有显著依赖性,随着VT降低Rrs升高。呼吸顺应性(Crs)在所有频率下都以类似方式依赖于VT,随着VT降低Crs降低。两个线性模型在所有VT下都能很好地拟合数据,但每个模型的粘弹性参数对VT非常敏感。给予乙酰甲胆碱后,最小Rrs增加,频率总下降也增加。然而,相同的模型仍能很好地拟合数据,并且给予乙酰甲胆碱后气道和组织参数均发生了改变。我们得出结论,仅基于低频Zrs数据进行推断存在问题,因为VT对此类数据(以及随后对其进行的线性建模)有影响,并且此类数据显然无法区分呼吸组织平行的不均匀性与正常的粘弹性。