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[通过确定敏感性阈值优化渐进性高碳酸血症方法]

[Optimization of the method of progressive hypercapnia by determination of the sensitivity threshold].

作者信息

Mercier J, Ramonatxo M, Vago P, Préfaut C

出版信息

C R Seances Soc Biol Fil. 1986;180(5):574-9.

PMID:2950980
Abstract

Ventilatory response to CO2 rebreathing is a method which allows to evaluate the reactivity of chemoreceptors. However this method doesn't study the sensibility threshold, i.e. the Pe.t.CO2 value for which the ventilatory response appears clearly. This sensibility threshold was measured in 10 healthy subjects by rebreathing a gas mixture: 7% CO2 and 50% O2 to avoid hypoxy. It was defined as the value of Pe.t.CO2 for which the ventilation was above the tidal ventilation + 2 standard deviations. The sensibility threshold (51 +/- 4.35 mm Hg) was independent of the reactivity slope represented by the slope of the linear relation between minute ventilation (VE) and Pe.t.CO2 (1.34 +/- 0.60 l/min/mm Hg/m2) and consequently appears as an interesting parameter in order to evaluate the ventilatory response to CO2 by rebreathing.

摘要

对二氧化碳再呼吸的通气反应是一种可用于评估化学感受器反应性的方法。然而,该方法并未研究敏感性阈值,即通气反应明显出现时的呼气末二氧化碳分压(Pe.t.CO2)值。通过让10名健康受试者再呼吸一种气体混合物(7%二氧化碳和50%氧气以避免缺氧)来测量该敏感性阈值。它被定义为呼气末二氧化碳分压的值,此时通气量高于潮气量 + 2个标准差。敏感性阈值(51±4.35毫米汞柱)与由分钟通气量(VE)和呼气末二氧化碳分压之间线性关系的斜率所代表的反应性斜率无关(1.34±0.60升/分钟/毫米汞柱/平方米),因此,作为通过再呼吸评估对二氧化碳通气反应的一个有趣参数而出现。

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