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高氧、常氧和低氧状态下的二氧化碳-心率反应。

Carbon dioxide-heart rate responses during hyperoxia, euoxia, and hypoxia.

作者信息

Tanaka M, Takaishi S, Honda Y

机构信息

Department of Physiology, School of Medicine, Chiba University, Japan.

出版信息

Jpn J Physiol. 1989;39(5):703-12. doi: 10.2170/jjphysiol.39.703.

Abstract

We studied the steady state responses of heart rate (HR) to carbon dioxide inhalation under hyperoxic, euoxic, and hypoxic conditions in 9 healthy men. With increasing end-tidal PCO2, HR generally increased slightly. On the other hand, distinct increment in VE in response to step increase in end-tidal PCO2 was observed in all three different conditions. Significant positive correlation between hypercapnic VE and HR responsiveness was found in both hyperoxic and hypoxic conditions, whereas no such tendency was seen in euoxic condition. We suggest that the effect of CO2 inhalation on HR is mainly determined by the pulmonary inflation reflex in hyperoxia, the pulmonary inflation reflex plus peripheral chemoreceptor activity in euoxia, and the additional sympathetic and humoral factors in hypoxia, respectively.

摘要

我们研究了9名健康男性在高氧、常氧和低氧条件下吸入二氧化碳时心率(HR)的稳态反应。随着呼气末PCO2的增加,心率通常略有增加。另一方面,在所有三种不同条件下,均观察到呼气末PCO2逐步增加时VE有明显增加。在高氧和低氧条件下,高碳酸血症性VE与HR反应性之间存在显著正相关,而在常氧条件下未观察到这种趋势。我们认为,吸入二氧化碳对心率的影响分别主要由高氧时的肺扩张反射、常氧时的肺扩张反射加外周化学感受器活动以及低氧时的额外交感和体液因素决定。

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