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急性低氧时缓慢的氧摄取动力学与过度通气引起的低碳酸血症无关。

Slow V˙O kinetics in acute hypoxia are not related to a hyperventilation-induced hypocapnia.

作者信息

Keir Daniel A, Pollock Michael, Thuraisingam Piramilan, Paterson Donald H, Heigenhauser George J F, Rossiter Harry B, Kowalchuk John M

机构信息

Canadian Centre for Activity and Aging, The University of Western Ontario, London, ON, Canada; School of Kinesiology, The University of Western Ontario, London, ON, Canada.

Department of Medicine, McMaster University, Hamilton, ON, Canada.

出版信息

Respir Physiol Neurobiol. 2018 May;251:41-49. doi: 10.1016/j.resp.2018.02.010. Epub 2018 Feb 22.

Abstract

We examined whether slower pulmonary O uptake (V˙O) kinetics in hypoxia is a consequence of: a) hypoxia alone (lowered arterial O pressure), b) hyperventilation-induced hypocapnia (lowered arterial CO pressure), or c) a combination of both. Eleven participants performed 3-5 repetitions of step-changes in cycle ergometer power output from 20W to 80% lactate threshold in the following conditions: i) normoxia (CON; room air); ii) hypoxia (HX, inspired O = 12%; lowered end-tidal O pressure [PO] and end-tidal CO pressure [PCO]); iii) hyperventilation (HV; increased PO and lowered PCO); and iv) normocapnic hypoxia (NC-HX; lowered PO and PCO matched to CON). Ventilation was increased (relative to CON) and matched between HX, HV, and NC-HX conditions. During each condition VO˙ was measured and phase II V˙O kinetics were modeled with a mono-exponential function. The V˙O time constant was different (p < 0.05) amongst all conditions: CON, 26 ± 11s; HV, 36 ± 14s; HX, 46 ± 14s; and NC-HX, 52 ± 13s. Hypocapnia may prevent further slowing of V˙O kinetics in hypoxic exercise.

摘要

我们研究了低氧状态下肺摄氧量(V˙O)动力学较慢是否是以下原因导致的:a)单纯低氧(动脉血氧分压降低),b)过度通气引起的低碳酸血症(动脉血二氧化碳分压降低),或c)两者共同作用。11名参与者在以下条件下对自行车测力计的功率输出进行了3 - 5次从20W到80%乳酸阈的阶跃变化:i)常氧(CON;室内空气);ii)低氧(HX,吸入氧浓度 = 12%;呼气末氧分压[PO]和呼气末二氧化碳分压[PCO]降低);iii)过度通气(HV;PO升高且PCO降低);以及iv)正常碳酸血症性低氧(NC - HX;PO和PCO降低且与CON匹配)。通气量增加(相对于CON),且在HX、HV和NC - HX条件下保持匹配。在每种条件下测量V˙O,并使用单指数函数对II期V˙O动力学进行建模。所有条件下的V˙O时间常数不同(p < 0.05):CON为26±11秒;HV为36±14秒;HX为46±14秒;NC - HX为52±13秒。低碳酸血症可能会阻止低氧运动中V˙O动力学进一步减慢。

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