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运动引起的功能残气量变化。

Exercise-induced changes in functional residual capacity.

作者信息

Sharratt M T, Henke K G, Aaron E A, Pegelow D F, Dempsey J A

机构信息

John Rankin Laboratory of Pulmonary Medicine, University of Wisconsin, Madison 53705.

出版信息

Respir Physiol. 1987 Dec;70(3):313-26. doi: 10.1016/0034-5687(87)90013-2.

Abstract

We used a helium-rebreathe technique in nine healthy subjects to determine the effects of exercise intensity and duration on end-expiratory lung volume (EELV). The rebreathe functional residual capacity (FRC) technique was shown: (a) to be similar to that measured in the body plethysmograph, at rest; (b) to agree closely with volitionally induced changes in EELV as determined by inductance plethysmography, at rest; (c) to be reproducible within subjects between trials conducted at rest or exercise on different days (r = 0.96, coefficient of variation +/- 3%); (d) to correlate significantly with coincident changes in end-expiratory esophageal pressure from rest to exercise, with increasing exercise intensity and over time at a constant exercise load. Exercise-induced reductions in EELV occurred in all subjects, averaging 0.3 L (-0.1 to -0.7 L) in light exercise and 0.79 L (-0.5 to -1.2 L) in heavy or maximum exercise. This reduction in EELV accounted for slightly more than one-half of the increase in VT during light exercise and slightly less than one-half of the increased VT in heavy exercise. In heavy prolonged exercise lasting 8-15 min, EELV fell in the initial 2 min and was either sustained at this reduced level or fell further with exercise duration to exhaustion. We found that FRC was reduced even in very light exercise when changes in TE and VE from rest were minimal; further reductions in EELV occurred as end-inspiratory lung volume increased and expiratory time shortened with increasing exercise intensity and duration. Based on these types of changes we speculate that active expiration during exercise in humans may be controlled by a combination of locomotor-related feed-forward and lung volume related feed-back mechanisms.

摘要

我们对9名健康受试者采用氦气再呼吸技术,以确定运动强度和持续时间对呼气末肺容积(EELV)的影响。结果显示,再呼吸功能残气量(FRC)技术:(a)在静息状态下与体容积描记法测量的结果相似;(b)在静息状态下与通过电感容积描记法测定的EELV的自主诱导变化密切相符;(c)在不同日期进行的静息或运动试验中,受试者之间具有可重复性(r = 0.96,变异系数±3%);(d)与从静息到运动时呼气末食管压力的同步变化显著相关,随着运动强度增加以及在恒定运动负荷下随时间变化。所有受试者运动均导致EELV降低,轻度运动时平均降低0.3 L(-0.1至-0.7 L),重度或最大运动时平均降低0.79 L(-0.5至-1.2 L)。EELV的这种降低在轻度运动时占潮气量(VT)增加量的略多于一半,在重度运动时占增加的VT的略少于一半。在持续8 - 15分钟的重度长时间运动中,EELV在最初2分钟下降,然后要么维持在这个降低水平,要么随着运动持续至疲劳而进一步下降。我们发现,即使在非常轻度的运动中,当静息时的呼气时间(TE)和分钟通气量(VE)变化很小时,FRC也会降低;随着运动强度和持续时间增加,吸气末肺容积增加且呼气时间缩短,EELV会进一步降低。基于这些类型的变化,我们推测人类运动时的主动呼气可能由与运动相关的前馈和与肺容积相关的反馈机制共同控制。

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