Imai T
Department of Anesthesiology, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 1989 Sep;64(5):597-605.
Effects of respiratory frequency on breathing mechanics were examined on 11 surgical patients during artificial ventilation with inhalation of nitrous oxide, oxygen and halothane (GOF). When the respiratory frequency was increased stepwise from 10 to 30/min, the total compliance was significantly reduced stepwise (from 55.42 +/- 9.55 ml/cmH2O to 47.38 +/- 9.31, p less than 0.01). In animal experiment, the respiratory frequency was similarly increased from 10 to 30/min in 11 mongrel dogs under sodium thiamylal anesthesia with air breathing. The total pulmonary compliance decreased significantly from a control level of 13.62 +/- 5.04 ml/cmH2O to a value of 10.96 +/- 3.00 ml/cmH2O which was obtained under the administration of synthetic histamine (betazole hydrochloride) (p less than 0.01). However, the decreases in compliance with histamine were parallel with the control values without the drug treatment. From these results it was assumed that the reduction of the total pulmonary compliance under increased respiratory frequency was due not to changes in small airway but to those in large airway.
在11名外科手术患者吸入一氧化二氮、氧气和氟烷(GOF)进行人工通气期间,研究了呼吸频率对呼吸力学的影响。当呼吸频率从10次/分钟逐步增加到30次/分钟时,总顺应性显著逐步降低(从55.42±9.55毫升/厘米水柱降至47.38±9.31,p<0.01)。在动物实验中,11只杂种犬在硫喷妥钠麻醉下呼吸空气时,呼吸频率同样从10次/分钟增加到30次/分钟。总肺顺应性从对照水平13.62±5.04毫升/厘米水柱显著降低至在给予合成组胺(盐酸倍他唑)时获得的10.96±3.00毫升/厘米水柱的值(p<0.01)。然而,组胺引起的顺应性降低与未进行药物治疗时的对照值呈平行关系。从这些结果推测,呼吸频率增加时总肺顺应性的降低不是由于小气道的变化,而是由于大气道的变化。