Bennett F M, Fordyce W E
Respir Physiol. 1985 Jan;59(1):55-63. doi: 10.1016/0034-5687(85)90018-0.
Simple mathematical models were used to quantitatively examine a number of hypotheses concerning the nature of the exercise stimulus. The modelling demonstrated the following for an exercise intensity of 5 times the resting metabolic rate. (1) During the steady state, a deviation in the coupling between VE and metabolic rate by +/- 25% of the value necessary for isocapnia, results in a deviation of PaCO2 of +/- 2 torr from isocapnia. (2) In the transient phase, a mismatch between VE and Q (and thus CO2 flow) of 50% results in a change of PaCO2 of only 1 torr. (3) When resting PaCO2 is changed by 10 torr and it is assumed that the coupling between VE and VCO2 does not change, PaCO2 deviates from isocapnia by less than 2 torr. It is concluded that (1) to experimentally test hypotheses of the exercise stimulus requires resolution of small changes in PaCO2; (2) good regulation of PaCO2 does not necessarily imply precise coupling between VE and VCO2; (3) the ventilatory exercise stimulus need not be a precise function of metabolic rate; (4) in the steady state, the normal CO2 controller will be very effective in minimizing changes in PaCO2 due to a mismatch between ventilation and metabolic rate.
使用简单的数学模型对一些关于运动刺激本质的假设进行定量研究。该模型针对运动强度为静息代谢率5倍的情况得出以下结果。(1)在稳定状态下,若VE与代谢率之间的耦合偏离等碳酸血症所需值的±25%,则PaCO2相对于等碳酸血症会有±2托的偏差。(2)在过渡阶段,VE与Q(以及因此的CO2流量)之间50%的不匹配仅导致PaCO2变化1托。(3)当静息PaCO2改变10托且假设VE与VCO2之间的耦合不变时,PaCO2相对于等碳酸血症的偏差小于2托。得出以下结论:(1)要通过实验检验运动刺激的假设,需要分辨出PaCO2的微小变化;(2)对PaCO2的良好调节不一定意味着VE与VCO2之间存在精确耦合;(3)通气运动刺激不一定是代谢率的精确函数;(4)在稳定状态下,正常的CO2控制器在最小化因通气与代谢率不匹配导致的PaCO2变化方面将非常有效。