Deschamps A, Levy R D, Cosio M G, Marliss E B, Magder S
Cardiology Division, McGill Nutrition Centre, Royal Victoria Hospital,Montreal, Quebec, Canada.
J Appl Physiol (1985). 1989 Jun;66(6):2799-804. doi: 10.1152/jappl.1989.66.6.2799.
We tested the hypothesis that volume infusion during strenuous exercise, by expanding blood volume, would allow better skin blood flow and better temperature homeostasis and thereby improve endurance time. Nine males exercised to exhaustion at 84.0 +/- 3.14% (SE) of maximum O2 consumption on a cycle ergometer in a double-blind randomized protocol with either no infusion (control) or an infusion of 0.9% NaCl (mean vol 1,280.3 +/- 107.3 ml). Blood samples and expired gases (breath-by-breath), as well as core and skin temperatures, were analyzed. Plasma volume decreased less during exercise with the infusion at 15 min (-13.7 +/- 1.4% control vs. -5.3 +/- 1.7% infusion, P less than 0.05) and at exhaustion (-13.6 +/- 1.2% vs. -1.3 +/- 2.2%, P less than 0.01). The improved fluid homeostasis was associated with a lower core temperature during exercise (39.0 +/- 0.2 degrees C for control and 38.5 +/- 0.2 degrees C for infusion at exhaustion, P less than 0.01) and lower heart rate (194.1 +/- 3.9 beats/min for control and 186.0 +/- 5.1 beats/min for infusion at exhaustion, P less than 0.05). However, endurance time did not differ between control and infusion (21.96 +/- 3.56 and 20.82 +/- 2.63 min, respectively), and neither did [H+], peak O2 uptake, and CO2 production, end-tidal partial pressure of CO2, blood lactate, or blood pressure. In conclusion, saline infusion increases heat dissipation and lowers core temperature during strenuous exercise but does not influence endurance time.
在剧烈运动期间进行容量输注,通过扩充血容量,将能实现更好的皮肤血流和更好的体温稳态,从而延长耐力时间。九名男性在双盲随机试验方案中,于自行车测力计上以最大耗氧量的84.0±3.14%(标准误)运动至力竭,试验分为不输注(对照组)或输注0.9%氯化钠溶液(平均容量1280.3±107.3毫升)两组。分析了血样和呼出气体(逐次呼吸),以及核心体温和皮肤温度。运动15分钟时,输注组的血浆容量减少较少(对照组减少-13.7±1.4%,输注组减少-5.3±1.7%,P<0.05),力竭时也是如此(对照组减少-13.6±1.2%,输注组减少-1.3±2.2%,P<0.01)。改善的液体稳态与运动期间较低的核心体温相关(力竭时对照组为39.0±0.2℃,输注组为38.5±0.2℃,P<0.01)以及较低的心率(力竭时对照组为194.1±3.9次/分钟,输注组为186.0±5.1次/分钟,P<0.05)。然而,对照组和输注组的耐力时间并无差异(分别为21.96±3.56分钟和20.82±2.63分钟),[H⁺]、峰值耗氧量、二氧化碳产生量、呼气末二氧化碳分压、血乳酸或血压也无差异。总之,在剧烈运动期间输注生理盐水可增加散热并降低核心体温,但不影响耐力时间。