Watson J W, Jackson A C, Drazen J M
J Appl Physiol (1985). 1986 Jul;61(1):304-11. doi: 10.1152/jappl.1986.61.1.304.
The lung volume (VL) dependence of several dynamic pulmonary mechanical properties of the guinea pig lung were determined over the range of the vital capacity (10-100% VC) with the vagi intact and sectioned. We found dynamic compliance to be strongly VL dependent, decreasing as much as 85% between functional residual capacity (FRC) and total lung capacity (TLC). Below FRC, dynamic compliance either remained unchanged or decreased, depending upon the technique used in its measurement. Pulmonary resistance (RL) decreased monotonically with increasing VL, whereas pulmonary conductance was linearly related to VL. Conductance was much less sensitive to VL than compliance, increasing only 28% between FRC and TLC. The sensitivity of pulmonary conductance to VL was substantially increased by subtracting the resistance of the tracheal cannula from RL. Specific pulmonary conductance was not independent of VL but decreased approximately 45% over the range of the VC. Pulmonary inertance was found to be unaffected by VL. Extrapolation from these data indicate that small differences in FRC, which might be expected within and between studies relying on pulmonary mechanical measurements, would most strongly affect compliance estimates and only moderately alter resistance estimates. It also indicates that the use of specific pulmonary conductance does not remove VL as an independent variable.
在豚鼠肺的肺活量范围(10 - 100%肺活量)内,分别在迷走神经完整和切断的情况下,测定了豚鼠肺的几种动态肺力学特性对肺容积(VL)的依赖性。我们发现动态顺应性强烈依赖于VL,在功能残气量(FRC)和肺总量(TLC)之间下降多达85%。在FRC以下,动态顺应性要么保持不变,要么下降,这取决于测量所使用的技术。肺阻力(RL)随VL增加而单调下降,而肺传导率与VL呈线性相关。传导率对VL的敏感性远低于顺应性,在FRC和TLC之间仅增加28%。通过从RL中减去气管插管的阻力,肺传导率对VL的敏感性显著增加。比肺传导率并非独立于VL,而是在肺活量范围内下降约45%。发现肺惯性不受VL影响。从这些数据推断,在依赖肺力学测量的研究内部和之间可能预期的FRC的微小差异,将最强烈地影响顺应性估计,而只会适度改变阻力估计。这也表明,使用比肺传导率并不能消除VL作为一个独立变量的影响。