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[健康人和支气管哮喘患者支气管肺模式的临时组织特征]

[Characteristics of temporary organization of the bronchopulmonary pattern in healthy persons and in patients with bronchial asthma].

作者信息

Alekseev M Iu, Gorbenko P P, Dubinskaia A V, Savich A A, Sysuev V M

出版信息

Vestn Akad Med Nauk SSSR. 1989(2):15-24.

PMID:2711745
Abstract

It has been shown by periodographic computer analysis that ultradian rhythms of all examined parameters (bronchial resistance, inhalation, exhalation and breathing cycle duration, inspiration activity index, pneumographic amplitude, inhalation rate) of bronchopulmonary pattern in asthmatics and normal subjects exhibit latent periodicity, with prevailing oscillations of about 60 sec. during spontaneous breathing or under exposures. changing bronchial potency. Slow-wave components form very complex poly-harmonical temporal structure with specific organization during air breathing and response to challenge tests. Bronchospasm provoked by inhalation of acetylcholine produced an abrupt decrease of the number of periodical ultradian components (or even total disappearance of oscillations) and the development of a rigid hypersynchronic temporal structure on the basis of the hypersynchronized ultradien fluctiations. The principal factors of this new system may be changes of airway resistance. Analysis of our data suggests that the phenomenon of bronchial hyper-reactivity may be associated with a disturbance in temporal organization of the cardiobronchopulmonary pattern. Development of temporal disorganization may have some pathogenetic stages such as hypersynchronization, disrhythmy, appearance of a rigid temporal structure and bronchospasm as a clinical result.

摘要

通过周期图计算机分析表明,哮喘患者和正常受试者支气管肺模式的所有检查参数(支气管阻力、吸气、呼气和呼吸周期持续时间、吸气活动指数、呼吸图幅度、吸气速率)的超日节律呈现潜在周期性,在自主呼吸或暴露期间,主要振荡周期约为60秒。改变支气管效能。慢波成分在空气呼吸和对激发试验的反应过程中形成具有特定组织的非常复杂的多谐波时间结构。吸入乙酰胆碱引发的支气管痉挛导致周期性超日成分数量突然减少(甚至振荡完全消失),并在超同步超日波动的基础上形成刚性超同步时间结构。这个新系统的主要因素可能是气道阻力的变化。对我们数据的分析表明,支气管高反应性现象可能与心肺支气管模式的时间组织紊乱有关。时间紊乱的发展可能有一些致病阶段,如超同步化、心律失常、刚性时间结构的出现以及作为临床结果的支气管痉挛。

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