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水温对浸入水中的人体肺容量的影响。

Effects of water temperature on pulmonary volumes in immersed human subjects.

作者信息

Choukroun M L, Kays C, Varène P

机构信息

Laboratoire de Physiologie, Université de Bordeaux-II, France.

出版信息

Respir Physiol. 1989 Mar;75(3):255-65. doi: 10.1016/0034-5687(89)90036-4.

Abstract

Pulmonary volumes and capacities have been measured at three water temperatures (Tw = 25, 34, 40 degrees C) in standing subjects immersed up to the shoulders. The comparison of data obtained in air with those obtained in thermoneutral immersion (Tw = 34 degrees C) confirms the results previously published in several studies. The comparison of data obtained in immersion at different Tw shows: 1. A significant decrease in vital capacity (VC) with bath temperature (VC 40 degrees C greater than VC 34 degrees C greater than VC 25 degrees C). The same decrease is observed in the inspiratory reserve volume (IRV) while the expiratory reserve volume (ERV), the residual volume (RV) and the functional residual capacity (FRC) do not vary. 2. A significant decrease in maximum breathing capacity (MBC) with bath temperature (MBC 40 degrees C greater than MBC 25 degrees C). 3. A significant increase in tidal volume (VT) in cold or hot water compared to thermoneutral water (VT40 degrees C greater than VT34 degrees C; VT34 degrees C less than VT25 degrees C) during quiet breathing. Breathing frequency does not change, thus ventilation (V) follows the same evolution as VT. The relative abdominal (ABD) contribution to VT, estimated by a double belt inductance plethysmograph, is reduced at Tw = 25 degrees C but unchanged at Tw = 40 degrees C compared to thermoneutral bath. Beside variations in the metabolic state, the variations of the pulmonary volumes as a function of Tw are estimated to be mainly due to alterations in respiratory muscles functioning.

摘要

在水温为三个值(Tw = 25、34、40摄氏度)的情况下,对浸入至肩部的站立受试者的肺容积和肺容量进行了测量。将在空气中获得的数据与在热中性浸入(Tw = 34摄氏度)中获得的数据进行比较,证实了先前在多项研究中发表的结果。对在不同水温下浸入时获得的数据进行比较显示:1. 肺活量(VC)随水温显著降低(VC 40摄氏度>VC 34摄氏度>VC 25摄氏度)。吸气储备量(IRV)也有同样的降低,而呼气储备量(ERV)、残气量(RV)和功能残气量(FRC)没有变化。2. 最大通气量(MBC)随水温显著降低(MBC 40摄氏度>MBC 25摄氏度)。3. 在安静呼吸时,与热中性水相比,冷水或热水中的潮气量(VT)显著增加(VT40摄氏度>VT34摄氏度;VT34摄氏度<VT25摄氏度)。呼吸频率不变,因此通气量(V)与VT的变化趋势相同。通过双带感应体积描记器估计,与热中性浴相比,在Tw = 25摄氏度时腹部(ABD)对VT的相对贡献降低,但在Tw = 40摄氏度时不变。除了代谢状态的变化外,肺容积随Tw的变化估计主要是由于呼吸肌功能的改变。

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