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运动性脱水及使用不同葡萄糖电解质饮料进行补液时的体液平衡

Fluid balance in exercise dehydration and rehydration with different glucose-electrolyte drinks.

作者信息

Nielsen B, Sjøgaard G, Ugelvig J, Knudsen B, Dohlmann B

出版信息

Eur J Appl Physiol Occup Physiol. 1986;55(3):318-25. doi: 10.1007/BF02343806.

DOI:10.1007/BF02343806
PMID:3732259
Abstract

After exercise dehydration (3% of body weight) the restoration of water and electrolyte balance was followed in 6 male subjects. During a 2 h rest period after exercise, a drink of one of four solutions was given as 9 X 300 ml portions at 15 min intervals: control (C-drink), high potassium (K-drink), high sodium (Na-drink) or high sugar (S-drink). An exercise test (submaximal and supramaximal work) was performed before dehydration and after rehydration. Dehydration reduced plasma volume by 16%, a process reversed on resting even before fluid ingestion began, due to release of water accumulated in the muscles during exercise. After 2 h rehydration, plasma volume was above the initial resting value with all 4 drinks. The final plasma volumes after the Na-drink (+14%) and C-drink (+9%) were significantly higher than after the K- and S-drinks. The Na-drink favoured filling of the extracellular compartment, whereas the K- and S-drinks favoured intracellular rehydration. In spite of the higher than normal plasma volume after rehydration, mean heart rate during the submaximal test was 10 bpm higher after rest and rehydration than in the initial test, and was not different between the drinks. The amount of work which could be performed in the supramaximal test (105% VO2max) was 20% less after exercise dehydration and subsequent rest and rehydration than before. This reduction was similar for all drinks, and may be due to a decreased muscle glycogen content (70% of initial) at the time of the second test.

摘要

对6名男性受试者进行了运动性脱水(体重的3%)后水和电解质平衡恢复情况的跟踪研究。在运动后的2小时休息期内,每隔15分钟给予4种溶液之一的饮品,每次9×300毫升:对照组(C饮品)、高钾饮品(K饮品)、高钠饮品(Na饮品)或高糖饮品(S饮品)。在脱水前和补液后进行了运动测试(次最大和超最大负荷运动)。脱水使血浆量减少了16%,即使在开始摄入液体之前,由于运动期间肌肉中积累的水分释放,休息时这一过程就开始逆转。补液2小时后,所有4种饮品都使血浆量高于初始休息值。Na饮品(+14%)和C饮品(+9%)后的最终血浆量显著高于K饮品和S饮品后的血浆量。Na饮品有利于细胞外液的充盈,而K饮品和S饮品有利于细胞内补液。尽管补液后血浆量高于正常水平,但次最大负荷测试期间的平均心率在休息和补液后比初始测试时高10次/分钟,且不同饮品之间无差异。在超最大负荷测试(105%最大摄氧量)中,运动性脱水及随后的休息和补液后能够完成的工作量比之前减少了20%。所有饮品的减少情况相似,这可能是由于第二次测试时肌肉糖原含量降低(初始值的70%)。

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