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与男性相比,年轻女性在正常碳酸血症性通气过度期间的血压反应较为迟钝。

Blood pressure response during normocapnic hyperpnoea is blunted in young women compared to men.

作者信息

Shimizu Kaori, Goto Kanako, Ishida Koji, Saito Mitsuru, Akima Hiroshi, Katayama Keisho

机构信息

Graduate School of Education and Human Development, Nagoya University, Nagoya, Japan.

Graduate School of Medicine, Nagoya University, Nagoya, Japan.

出版信息

Respir Physiol Neurobiol. 2018 Jan;247:52-56. doi: 10.1016/j.resp.2017.08.014. Epub 2017 Sep 2.

Abstract

We hypothesized that young women have a lower arterial blood pressure (BP) response to high inspiratory and expiratory muscle contractions with normocapnic hyperpnoea compared to age-matched men. To test this hypothesis, the cardiovascular response during voluntary normocapnic incremental hyperpnoea was evaluated in young women and compared to that of young men. An incremental respiratory endurance test (IRET) was performed as follows: target minute ventilation was initially set to 30% of the maximal voluntary ventilation (MVV12) and was increased by 10% MVV12 every 3min. The test was terminated when the subject could not maintain the target%MVV. Heart rate and mean arterial BP (MBP) were continuously recorded. The increase in MBP from the baseline (ΔMBP) during the IRET was lower in women than in men (ΔMBP, men: +32.1±4.6mmHg vs. women: +14.9±3.5mmHg at 8min during IRET). This result suggests that young women exhibit a blunted arterial BP response during high-speed inspiratory and expiratory muscle contractions with normocapnic hyperpnoea compared to young men.

摘要

我们假设,与年龄匹配的男性相比,年轻女性在正常碳酸血症性通气过度时,对高吸气和呼气肌肉收缩的动脉血压(BP)反应较低。为了验证这一假设,我们评估了年轻女性在自愿性正常碳酸血症性递增通气过度期间的心血管反应,并将其与年轻男性进行了比较。递增呼吸耐力测试(IRET)的操作如下:目标分钟通气量最初设定为最大自主通气量(MVV12)的30%,并每3分钟增加10% MVV12。当受试者无法维持目标%MVV时,测试终止。连续记录心率和平均动脉压(MBP)。在IRET期间,女性的MBP相对于基线的增加量(ΔMBP)低于男性(IRET 8分钟时,ΔMBP,男性:+32.1±4.6mmHg,女性:+14.9±3.5mmHg)。这一结果表明,与年轻男性相比,年轻女性在正常碳酸血症性通气过度时,高速吸气和呼气肌肉收缩期间的动脉血压反应减弱。

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