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使用呼吸机期间呼吸模式的决定因素。

Determinants of pattern of breathing during respirator use.

作者信息

Harber P, Shimozaki S, Barrett T, Fine G

机构信息

Department of Medicine, University of California Southern Occupational Health Center, Los Angeles.

出版信息

Am J Ind Med. 1988;13(2):253-62. doi: 10.1002/ajim.4700130206.

Abstract

The relationship between the pattern of breathing in response to respirator-type loads and an individual's psychophysiologic sensitivity to loads (load scaling sensitivity, LSS) was investigated in the study of 11 normal volunteers. LSS was measured by having the subjects numerically rate a series of resistors; Steven's Psychophysical Law was used to evaluate sensitivity as the slope relating log (sensation) to log (stimulus). Peak pressure and actual added resistance were the stimuli. Inspiratory time, peak pressure, duty cycle, and tidal volume were inversely related to independently measured LSS during exercise and with a respiratory-type dead space and inspiratory resistance load. Because the need for changes in respiratory timing is a major adaptation in respirator use, it suggests that workers who are very sensitive to loads may have limited ability to adapt to respirator use.

摘要

在一项针对11名正常志愿者的研究中,调查了对呼吸器类型负荷的呼吸模式与个体对负荷的心理生理敏感性(负荷缩放敏感性,LSS)之间的关系。通过让受试者对一系列阻力进行数字评分来测量LSS;史蒂文斯心理物理学定律被用来评估敏感性,即作为将对数(感觉)与对数(刺激)联系起来的斜率。峰值压力和实际增加的阻力是刺激因素。吸气时间、峰值压力、占空比和潮气量在运动期间以及使用呼吸型死腔和吸气阻力负荷时与独立测量的LSS呈负相关。由于呼吸时间变化的需求是呼吸器使用中的一项主要适应性因素,这表明对负荷非常敏感的工人适应呼吸器使用的能力可能有限。

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