Guénard Hervé Jean-Pierre, Martinot Jean-Benoit, Martin Sebastien, Maury Bertrand, Lalande Sophie, Kays Christian
Laboratory of Physiology, Bordeaux University, France.
Department of Pneumology, St. Elisabeth Hospital, Namur, Belgium.
Respir Physiol Neurobiol. 2016 Jul;228:1-8. doi: 10.1016/j.resp.2016.03.003. Epub 2016 Mar 5.
Membrane conductance (Dm) and capillary lung volume (Vc) derived from NO and CO lung transfer measurements in humans depend on the blood conductance (θ) values of both gases. Many θ values have been proposed in the literature. In the present study, measurements of CO and NO transfer while breathing 15% or 21% O2 allowed the estimation of θNO and the calculation of the optimal equation relating 1/θCO to pulmonary capillary oxygen pressure (PcapO2). In 10 healthy subjects, the mean calculated θNO value was similar to the θNO value previously reported in the literature (4.5mmHgmin(-1)) provided that one among three θCO equations from the literature was chosen. Setting 1/θCO=a·PcapO2+b, optimal values of a and b could be chosen using two methods: 1) by minimizing the difference between Dm/Vc ratios for any PcapO2, 2) by establishing a linear equation relating a and b. Using these methods, we are proposing the equation 1/θCO=0.0062·PcapO2+1.16, which is similar to two equations previously reported in the literature. With this set of θ values, DmCO reached the morphometric range.
通过人体中一氧化氮(NO)和一氧化碳(CO)肺转运测量得出的膜电导(Dm)和肺毛细血管容积(Vc)取决于两种气体的血液电导(θ)值。文献中已提出许多θ值。在本研究中,在呼吸15%或21%氧气时对CO和NO转运进行测量,从而能够估算θNO,并计算出将1/θCO与肺毛细血管氧分压(PcapO2)相关联的最佳方程。在10名健康受试者中,如果从文献中选择三个θCO方程中的一个,计算得出的θNO平均值与文献中先前报道的θNO值(4.5mmHgmin⁻¹)相似。设定1/θCO = a·PcapO2 + b,可以使用两种方法选择a和b的最佳值:1)通过最小化任何PcapO2下Dm/Vc比值之间的差异;2)通过建立一个将a和b相关联的线性方程。使用这些方法,我们提出方程1/θCO = 0.0062·PcapO2 + 1.16,该方程与文献中先前报道的两个方程相似。使用这组θ值时,DmCO达到了形态测量范围。