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运动的通气效率(η⩒E):详细方法报告。

Ventilatory efficiency (η⩒E) of the exercise: A detailed method report.

作者信息

Muller Paulo de Tarso

机构信息

Federal University of Mato Grosso do Sul (UFMS)/Maria Aparecida Pedrossian Hospital (HUMAP), Laboratory of Respiratory Pathophysiology (LAFIR), Campo Grande MS, Mato Grosso do Sul, Brazil.

出版信息

MethodsX. 2023 Oct 5;11:102412. doi: 10.1016/j.mex.2023.102412. eCollection 2023 Dec.

DOI:10.1016/j.mex.2023.102412
PMID:37860042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10582470/
Abstract

Ventilatory efficiency is a combination of the ventilatory-metabolic response stemming from non-invasive analysis of cardiopulmonary exercise testing. Despite being a recognized marker in exercise physiology, this measure presents considerable limitations, including the imprecise designation of "efficiency", broadly recognized, and recently denominated as "excess ventilation". Herein we present a detailed method, with substantial improvements, and new physiological insights, in order to better define the true ventilatory efficiency of the exercise, according to recommendations for physical/physiological processes.•"Ventilatory efficiency" of the exercise is a remarkable physiological index.•Several limitations are currently debated.•We report a new ventilatory efficiency index that match with recommendations.

摘要

通气效率是源于心肺运动测试无创分析的通气-代谢反应的组合。尽管它是运动生理学中一个公认的指标,但该测量存在相当大的局限性,包括广泛认可的“效率”的不精确界定,最近被称为“过度通气”。在此,我们提出一种详细的方法,有实质性改进和新的生理学见解,以便根据身体/生理过程的建议更好地定义运动的真正通气效率。

•运动的“通气效率”是一个显著的生理指标。

•目前有几个局限性存在争议。

•我们报告了一个符合建议的新通气效率指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/68dee0d2aa37/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/dc41868a68b2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/2325e0ef4d18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/653687c8feb2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/68dee0d2aa37/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/dc41868a68b2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/2325e0ef4d18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/653687c8feb2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/380d/10582470/68dee0d2aa37/gr3.jpg

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本文引用的文献

1
Last Word on Viewpoint: Lung mechanical constraints: the Achilles heel of excess exertional ventilation for prognosis assessment?观点的最后定论:肺机械限制:过度运动性通气用于预后评估的致命弱点?
J Appl Physiol (1985). 2023 Feb 1;134(2):385-386. doi: 10.1152/japplphysiol.00773.2022.
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Characterization of ventilatory efficiency during cardiopulmonary exercise testing in healthy athletes.健康运动员心肺运动测试期间通气效率的特征分析。
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Lung mechanical constraints: the Achilles' heel of excess exertional ventilation for prognosis assessment?
肺部机械性限制:过度运动性通气用于预后评估的致命弱点?
J Appl Physiol (1985). 2023 Feb 1;134(2):378-382. doi: 10.1152/japplphysiol.00059.2022. Epub 2022 Oct 13.
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Ventilatory efficiency in pulmonary vascular diseases.肺血管疾病中的通气效率。
Eur Respir Rev. 2021 Jul 20;30(161). doi: 10.1183/16000617.0214-2020. Print 2021 Sep 30.
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Ventilation/carbon dioxide output relationships during exercise in health.健康人群运动时的通气/二氧化碳输出关系。
Eur Respir Rev. 2021 Apr 13;30(160). doi: 10.1183/16000617.0160-2020. Print 2021 Jun 30.
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A new ventilatory efficiency index and accuracy for early lung diffusion impairment in non-COPD smokers.一种新的通气效率指数及其在非 COPD 吸烟者早期肺弥散功能障碍中的准确性。
Respir Physiol Neurobiol. 2021 Jul;289:103670. doi: 10.1016/j.resp.2021.103670. Epub 2021 Apr 1.
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Ventilatory inefficiency during graded exercise in COPD: A pragmatic approach.在 COPD 患者分级运动中通气效率低下:一种实用方法。
Clin Physiol Funct Imaging. 2021 Jan;41(1):103-109. doi: 10.1111/cpf.12674. Epub 2020 Nov 11.
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Measurement and Interpretation of Exercise Ventilatory Efficiency.运动通气效率的测量与解读
Front Physiol. 2020 Jun 25;11:659. doi: 10.3389/fphys.2020.00659. eCollection 2020.
9
Clinical and Hemodynamic Associations and Prognostic Implications of Ventilatory Efficiency in Patients With Preserved Left Ventricular Systolic Function.左心室收缩功能正常患者通气效率的临床和血液动力学相关性及其预后意义。
Circ Heart Fail. 2020 May;13(5):e006729. doi: 10.1161/CIRCHEARTFAILURE.119.006729. Epub 2020 May 4.
10
On the complexities of measuring exercise "ventilatory efficiency" in obstructive lung diseases.论阻塞性肺疾病中运动“通气效率”测量的复杂性。
Pediatr Pulmonol. 2020 Feb;55(2):280-282. doi: 10.1002/ppul.24556. Epub 2019 Nov 4.