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人类的屏气持续时间及面部浸入所诱发的潜水反应。

Breath-hold duration in man and the diving response induced by face immersion.

作者信息

Sterba J A, Lundgren C E

机构信息

Center for Research in Special Environments, Department of Physiology, Buffalo, NY 14214.

出版信息

Undersea Biomed Res. 1988 Sep;15(5):361-75.

PMID:3201633
Abstract

The objective of this study in 5 selected volunteer subjects was to see whether the circulatory diving response which is elicited by breath holding and by cold water on the face would affect the duration of maximal-effort breath holds. Compared to control measurements (breath holding during resting, breathing with 35 degrees C water on the face) breath holding with the face cooled by 20 degrees C water caused a 12% reduction of heart rate, 6% reduction of cardiac output, 33% reduction in [corrected] forearm blood flow, and 9% rise in mean arterial blood pressure, but there was no difference in breath-hold duration (control and experimental both 94 s). There were also no differences in time of appearance of the first involuntary respiratory efforts during breath holding, in alveolar gas exchange, or in breaking-point alveolar O2 and CO2 tensions. When the diving response was magnified by a brief bout of exercise so that there was a 19% [corrected] reduction in heart rate, 23% reduction in cardiac output, and 48% reduction in forearm blood flow, breath-hold duration was still unaffected by face cooling. Compared to intermittent immersions, continuous exposure of the face to cold water abolished the diving response, probably by a cold adaptation of facial thermal receptors. These results with cooling of the face only are consistent with our earlier finding that there was a negative correlation between the duration of a maximal-effort breath hold and the diving response during whole-body submersion in cold water.

摘要

本研究选取了5名志愿者,目的是观察屏气和冷水刺激面部所引发的循环性潜水反应是否会影响最大努力屏气的持续时间。与对照测量(静息时屏气、用35℃水洗脸时呼吸)相比,用20℃水冷却面部进行屏气时,心率降低了12%,心输出量降低了6%,[校正后]前臂血流量降低了33%,平均动脉血压升高了9%,但屏气持续时间没有差异(对照和实验均为94秒)。屏气过程中首次出现非自主呼吸努力的时间、肺泡气体交换、以及转折点时的肺泡氧分压和二氧化碳分压也没有差异。当通过短暂运动增强潜水反应,使心率降低19%[校正后]、心输出量降低23%、前臂血流量降低48%时,面部冷却仍不影响屏气持续时间。与间歇性浸水相比,面部持续暴露于冷水中会消除潜水反应,这可能是由于面部热感受器的冷适应。仅对面部进行冷却的这些结果与我们早期的发现一致,即在冷水中全身浸没期间,最大努力屏气的持续时间与潜水反应之间存在负相关。

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