Lodato R F
Department of Internal Medicine, University of Texas Health Science Center Houston 77030.
J Appl Physiol (1985). 1989 Oct;67(4):1551-9. doi: 10.1152/jappl.1989.67.4.1551.
Recent reports indicate that under certain restricted conditions hyperoxia may decrease tissue O2 consumption. However, this effect has not been established for whole body O2 consumption in the intact healthy conscious state. The goal of the present study was to document the effect of hyperoxia on resting whole body O2 consumption and hemodynamics under these latter more general physiological conditions. The inspired gas was delivered by mask to six fasted resting conscious dogs and alternated hourly between air and O2-enriched air (hyperoxia) for 5 h, while hemodynamics and blood gas data were obtained every 20 min. Compared with air breathing, hyperoxia increased the mean arterial O2 tension from 95 to 475 Torr and decreased heart rate, cardiac output, pulmonary vascular resistance, and right and left ventricular work rates and thus, presumably, myocardial O2 consumption. Hyperoxia also increased systemic vascular resistance and right atrial pressure but did not change stroke volume or systemic arterial pressure. The increase in arterial O2 content during hyperoxia was counterbalanced by the decrease in cardiac output, so that O2 delivery was unchanged by hyperoxia. Surprisingly, hyperoxia decreased the arterial-to-mixed venous difference in O2 content; this decrease together with the decrease in cardiac output produced a decrease in resting whole body O2 consumption from 5.88 +/- 0.68 to 4.80 +/- 0.62 ml O2.min-1.kg-1 (P = 0.0002). It is concluded that under physiological conditions normobaric hyperoxia may decrease metabolic rate in addition to cardiac output, which may have important implications for the metabolic regulation of O2 utilization as well as for the medical and nonmedical uses of O2.
最近的报告表明,在某些受限条件下,高氧可能会降低组织的氧气消耗。然而,在完整健康的清醒状态下,这种效应尚未在全身氧气消耗方面得到证实。本研究的目的是记录在这些更一般的生理条件下,高氧对静息状态下全身氧气消耗和血流动力学的影响。通过面罩向六只禁食、静息的清醒犬输送吸入气体,每小时在空气和富氧空气(高氧)之间交替,持续5小时,同时每20分钟获取血流动力学和血气数据。与呼吸空气相比,高氧使平均动脉血氧张力从95托升至475托,并降低了心率、心输出量、肺血管阻力以及左右心室作功速率,因此推测也降低了心肌的氧气消耗。高氧还增加了全身血管阻力和右心房压力,但未改变每搏输出量或体循环动脉压。高氧期间动脉血氧含量的增加被心输出量的减少所抵消,因此高氧并未改变氧气输送。令人惊讶的是,高氧降低了动脉血氧含量与混合静脉血氧含量的差值;这种降低与心输出量的减少共同导致静息状态下全身氧气消耗从5.88±0.68降至4.80±0.62毫升氧气·分钟⁻¹·千克⁻¹(P = 0.0002)。结论是,在生理条件下,常压高氧除了降低心输出量外,还可能降低代谢率,这可能对氧气利用的代谢调节以及氧气的医学和非医学用途具有重要意义。