Rubini Alessandro, Bosco Gerardo
Department of Biomedical Sciences, Physiology Section, University of Padova, Via Marzolo, 3, 35100, Padova, Italy.
J Biol Phys. 2013 Jun;39(3):411-8. doi: 10.1007/s10867-013-9298-8. Epub 2013 Feb 22.
The mechanical inhomogeneity of the respiratory system is frequently investigated by measuring the frequency dependence of dynamic compliance, but no data are currently available describing the effects of body temperature variations. The aim of the present report was to study those effects in vivo. Peak airway pressure was measured during positive pressure ventilation in eight anesthetized rats while breathing frequency (but not tidal volume) was altered. Dynamic compliance was calculated as the tidal volume/peak airway pressure, and measurements were taken in basal conditions (mean rectal temperature 37.3 °C) as well as after total body warming (mean rectal temperature 39.7 °C). Due to parenchymal mechanical inhomogeneity and stress relaxation-linked effects, the normal rat respiratory system exhibited frequency dependence of dynamic lung compliance. Even moderate body temperature increments significantly reduced the decrements in dynamic compliance linked to breathing rate increments. The results were analyzed using Student's and Wilcoxon's tests, which yielded the same results (p < 0.05). Body temperature variations are known to influence respiratory mechanics. The frequency dependence of dynamic compliance was found, in the experiments described, to be temperature-dependent as temperature variations affected parenchymal mechanical inhomogeneity and stress relaxation. These results suggest that body temperature variations should be taken into consideration when the dynamic compliance-breathing frequency relationship is being examined during clinical assessment of inhomogeneity of lung parenchyma in patients.
呼吸系统的机械不均匀性常通过测量动态顺应性的频率依赖性来研究,但目前尚无描述体温变化影响的数据。本报告的目的是在体内研究这些影响。在八只麻醉大鼠进行正压通气期间,改变呼吸频率(而非潮气量),测量气道峰值压力。动态顺应性计算为潮气量/气道峰值压力,并在基础条件下(平均直肠温度37.3℃)以及全身升温后(平均直肠温度39.7℃)进行测量。由于实质机械不均匀性和应力松弛相关效应,正常大鼠呼吸系统表现出动态肺顺应性的频率依赖性。即使是适度的体温升高也显著减少了与呼吸频率增加相关的动态顺应性下降。使用学生检验和威尔科克森检验对结果进行分析,得出相同结果(p < 0.05)。已知体温变化会影响呼吸力学。在所描述的实验中发现,动态顺应性的频率依赖性是温度依赖性的,因为温度变化影响实质机械不均匀性和应力松弛。这些结果表明,在临床评估患者肺实质不均匀性期间检查动态顺应性-呼吸频率关系时,应考虑体温变化。