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关于人体中枢和外周化学感受器对通气贡献之间相互作用的证据。

Evidence for interaction between the contributions to ventilation from the central and peripheral chemoreceptors in man.

作者信息

Robbins P A

机构信息

University Laboratory of Physiology, Oxford.

出版信息

J Physiol. 1988 Jul;401:503-18. doi: 10.1113/jphysiol.1988.sp017175.

Abstract
  1. The question of whether there is any interaction between the peripheral and central chemoreceptor contributions to ventilation in man has been addressed. 2. Subjects were exposed to an end-tidal PCO2 of ca. 10 Torr above resting for 8 min at an end-tidal PO2 of 100 Torr. The end-tidal PCO2 was then reduced to near eucapnia. This provided a period of time when the PCO2 at the peripheral chemoreceptors would be near eucapnia, but would still be raised at the central chemoreceptors. 3. Against the background above, the effect of an hypoxic end-tidal step from a PO2 of 100 Torr to a PO2 of 50 Torr was studied, and compared with the effect of the same step when both sets of chemoreceptors were near eucapnia. 4. Three subjects were studied, each contributing twelve sets of data to each of the three protocols required for the comparisons. 5. In two of the three subjects, the ventilatory response to hypoxia was augmented when central PCO2 was high. 6. The results support the idea that there is an interaction between the central and peripheral chemoreceptors in man. The consequences of this and other possible interpretations of the results are discussed.
摘要
  1. 人体外周和中枢化学感受器对通气的贡献之间是否存在相互作用这一问题已得到探讨。2. 让受试者在呼气末氧分压为100托时,将呼气末二氧化碳分压维持在比静息水平高约10托的状态8分钟。然后将呼气末二氧化碳分压降至接近正常碳酸水平。这就提供了一段时间,此时外周化学感受器处的二氧化碳分压接近正常碳酸水平,但中枢化学感受器处的二氧化碳分压仍处于升高状态。3. 在上述背景下,研究了呼气末氧分压从100托降至50托的低氧步骤的影响,并将其与两组化学感受器都接近正常碳酸水平时相同步骤的影响进行了比较。4. 对三名受试者进行了研究,每位受试者为比较所需的三个方案中的每一个贡献了十二组数据。5. 在三名受试者中的两名中,当中枢二氧化碳水平较高时,对低氧的通气反应增强。6. 结果支持了人体中枢和外周化学感受器之间存在相互作用这一观点。讨论了这一结果的影响以及其他可能的解释。

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