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自主低碳酸血症性过度通气对运动人群核心体温与散热反应之间关系的影响。

Effect of voluntary hypocapnic hyperventilation on the relationship between core temperature and heat loss responses in exercising humans.

作者信息

Fujii Naoto, Honda Yasushi, Komura Ken, Tsuji Bun, Sugihara Akira, Watanabe Kazuhito, Kondo Narihiko, Nishiyasu Takeshi

机构信息

Institute of Health and Sports Sciences, University of Tsukuba, Tsukuba, Japan; and.

Faculty of Human Development, Kobe University, Kobe, Japan.

出版信息

J Appl Physiol (1985). 2014 Dec 1;117(11):1317-24. doi: 10.1152/japplphysiol.00334.2014. Epub 2014 Sep 25.

Abstract

Two thermolytic thermoregulatory responses, cutaneous vasodilation and sweating, begin when core temperature reaches a critical threshold, after which response magnitudes increase linearly with increasing core temperature; thus the slope indicates response sensitivity. We evaluated the influence of hypocapnia induced by voluntary hyperventilation on the core temperature threshold and sensitivity of thermoregulatory responses. Ten healthy males performed 15 min of cycling at 117 W (29.5°C, 50% RH) under three breathing conditions: 1) spontaneous ventilation, 2) voluntary normocapnic hyperventilation, and 3) voluntary hypocapnic hyperventilation. In the hypocapnic hyperventilation trial, end-tidal CO2 pressure was reduced throughout the exercise, whereas it was maintained around the normocapnic level in the other two trials. Cutaneous vascular conductances at the forearm and forehead were evaluated as laser-Doppler signal/mean arterial blood pressure, and the forearm sweat rate was measured using the ventilated capsule method. Esophageal temperature threshold was higher for the increase in cutaneous vascular conductance in the hypocapnic than normocapnic hyperventilation trial at the forearm (36.88 ± 0.36 vs. 36.68 ± 0.34°C, P < 0.05) and forehead (36.89 ± 0.31 vs. 36.75 ± 0.31°C, P < 0.05). The slope relating esophageal temperature to cutaneous vascular conductance was decreased in the hypocapnic than normocapnic hyperventilation trial at the forearm (302 ± 177 vs. 420 ± 178% baseline/°C, P < 0.05) and forehead (236 ± 164 vs. 358 ± 221% baseline/°C, P < 0.05). Neither the threshold nor the slope for the forearm sweat rate differed significantly between the hypocapnic or normocapnic hyperventilation trials. These findings indicate that in exercising humans, hypocapnia induced by voluntary hyperventilation does not influence sweating, but it attenuates the cutaneous vasodilatory response by increasing its threshold and reducing its sensitivity.

摘要

当核心体温达到临界阈值时,会引发两种热解体温调节反应,即皮肤血管舒张和出汗,在此之后,反应强度会随着核心体温的升高而呈线性增加;因此,斜率表明了反应敏感性。我们评估了自愿过度通气引起的低碳酸血症对核心体温阈值和体温调节反应敏感性的影响。十名健康男性在三种呼吸条件下以117瓦的功率进行了15分钟的骑行(29.5°C,50%相对湿度):1)自主通气,2)自愿正常碳酸血症过度通气,3)自愿低碳酸血症过度通气。在低碳酸血症过度通气试验中,整个运动过程中呼气末二氧化碳压力降低,而在其他两项试验中,该压力维持在正常碳酸血症水平附近。通过激光多普勒信号/平均动脉血压评估前臂和前额的皮肤血管传导率,并使用通风胶囊法测量前臂出汗率。在前臂(36.88±0.36 vs. 36.68±0.34°C,P<0.05)和前额(36.89±0.31 vs. 36.75±0.31°C,P<0.05),低碳酸血症过度通气试验中皮肤血管传导率增加时的食管温度阈值高于正常碳酸血症过度通气试验。与正常碳酸血症过度通气试验相比,低碳酸血症过度通气试验中前臂(302±177 vs. 420±178%基线/°C,P<0.05)和前额(236±164 vs. 358±221%基线/°C,P<0.05)食管温度与皮肤血管传导率之间的斜率降低。低碳酸血症或正常碳酸血症过度通气试验之间,前臂出汗率的阈值和斜率均无显著差异。这些发现表明,在运动的人体中,自愿过度通气引起的低碳酸血症不会影响出汗,但会通过提高阈值和降低敏感性来减弱皮肤血管舒张反应。

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