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中枢和反射神经活动对人体肌肉运动开始时肺通气量迅速增加的作用。

Contribution of central and reflex nervous activity to the rapid increase in pulmonary ventilation at the start of muscular exercise in man.

作者信息

Concu A

机构信息

Istituto di Fisiologia Umana, Facoltà di Medicina e Chirurgia, Università di Cagliari, Italy.

出版信息

Eur J Appl Physiol Occup Physiol. 1989;59(1-2):10-5. doi: 10.1007/BF02396573.

Abstract

To investigate the relative contributions of the central and peripheral neural drive to hyperventilation at the onset of muscular exercise, five volunteers were tested during the first ten breaths while performing both voluntary (VM) and passive (PM) ankle rotations with a frequency of 1 Hz and through an angle of 10 degrees. Resulting breathing patterns for the two movements were compared. Hypocapnic hyperventilation, found in both PM and VM, indicated its neural origin. Respiratory changes were higher in VM than in PM. In both experimental conditions, increases in ventilation (VE) depended more on respiratory frequency (f) than on tidal volume (VT). Moreover, increases in VT adapted, breath-by-breath, to values lower than the initial ones, while increases in f rose progressively. Expiratory time was reduced more than inspiratory time (TI); increases in inspiratory flow (VT/TI) depended to the same extent on changes in both TI and VT. Increases in expiratory tidal volume were initially higher than in inspiratory tidal volume, thereby producing a reduction in functional residual capacity. Because PM respiratory changes could be considered to be of nervous reflex origin only, the identical breathing patterns in PM and VM indicated that the hyperventilation found also in VM was mainly of reflex origin. The increase in VE was considered to be dependent on a greater stimulus from muscle proprioreceptors.

摘要

为了研究在肌肉运动开始时中枢和外周神经驱动对过度通气的相对贡献,五名志愿者在以1赫兹的频率和10度的角度进行主动(VM)和被动(PM)踝关节旋转的前十次呼吸过程中接受了测试。比较了两种运动产生的呼吸模式。在PM和VM中均发现的低碳酸血症性过度通气表明其神经起源。VM中的呼吸变化高于PM。在两种实验条件下,通气量(VE)的增加更多地取决于呼吸频率(f)而不是潮气量(VT)。此外,VT的增加逐次适应于低于初始值的值,而f的增加则逐渐上升。呼气时间比吸气时间(TI)减少得更多;吸气流量(VT/TI)的增加在相同程度上取决于TI和VT的变化。呼气潮气量的增加最初高于吸气潮气量,从而导致功能残气量减少。由于PM中的呼吸变化仅可被认为是神经反射起源,PM和VM中相同的呼吸模式表明在VM中发现的过度通气主要是反射起源。VE的增加被认为取决于来自肌肉本体感受器的更大刺激。

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