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工作起始时的摄氧量动力学:心输出量和磷酸肌酸分解的作用。

Oxygen uptake kinetics at work onset: role of cardiac output and of phosphocreatine breakdown.

机构信息

Department of Medical and Biological Sciences, University of Udine, 33100 Udine, Italy.

出版信息

Respir Physiol Neurobiol. 2013 Jan 15;185(2):287-95. doi: 10.1016/j.resp.2012.09.015. Epub 2012 Oct 5.

Abstract

The hypothesis that variability in individual's cardiac output response affects the kinetics of pulmonary O₂ uptake (VO₂) was tested by investigating the time constants of cardiac output (Q) adjustment (τ(Q)), of PCr splitting (τ(PCr)), and of phase II pulmonary O₂ uptake (τ(VO₂)) in eight volunteers. VO₂, Q, and gastrocnemius [PCr] (by (31)P-MRS) were measured at rest and during low intensity two-legged exercise. Steady state VO₂ and Q increased (ΔVO₂(s) = 182 ± 58 mL min⁻¹; ΔQ = 1.3 ± 0.4 L min⁻¹), whereas [PCr] decreased significantly (21 ± 8%). τ(VO₂), τ(PCr) and τ(Q) were significantly different from each other (38.3 ± 4.0, 23.9 ± 2.5, 11.6 ± 4.6 s, respectively; p<0.001). τ(PCr) assumed to be equal to the time constant of VO₂ at the muscle level (τ(mVO₂)), was not related to τ(Q), whereas τ(VO₂) and τ(Q) were significantly related (p<0.05) as were τ(VO₂) and τ(PCr) (p<0.05). Venous blood O₂ stores changes, as determined from arterio-to-mixed-venous O₂ content, were essentially equal to those estimated as (τ(VO₂)-τ(PCr))·ΔVO₂(s). This suggests that cardiac output responses affect O₂ stores utilization and hence τ(VO₂) : thus τ(VO₂) is not necessarily a good estimate of τ(mVO₂).

摘要

研究人员通过考察 8 名志愿者的心输出量(Q)调整时间常数(τ(Q))、磷酸肌酸(PCr)分裂时间常数(τ(PCr))和第二相肺摄取氧量(τ(VO₂)),来检验个体心输出量反应的变异性是否会影响肺摄取氧量(VO₂)动力学的假说。在休息和低强度双腿运动时测量 VO₂、Q 和比目鱼肌 [PCr](通过(31)P-MRS)。稳态 VO₂和 Q 增加(ΔVO₂(s)= 182 ± 58 mL min⁻¹;ΔQ = 1.3 ± 0.4 L min⁻¹),而 [PCr] 显著降低(21 ± 8%)。τ(VO₂)、τ(PCr)和 τ(Q)彼此显著不同(分别为 38.3 ± 4.0、23.9 ± 2.5 和 11.6 ± 4.6 s;p<0.001)。τ(PCr)假定为肌肉水平 VO₂的时间常数(τ(mVO₂)),与 τ(Q)无关,而 τ(VO₂)和 τ(Q)显著相关(p<0.05),τ(VO₂)和 τ(PCr)也显著相关(p<0.05)。通过动静脉血氧含量差值确定的静脉血氧库变化与通过(τ(VO₂)-τ(PCr))·ΔVO₂(s)估算的变化基本相等。这表明心输出量反应会影响氧储存的利用,从而影响 τ(VO₂):因此,τ(VO₂)不一定是 τ(mVO₂)的良好估计值。

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