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通过单次呼吸法和强迫振荡法测量犬的呼吸阻力

Respiratory resistance in dogs by the single-breath and the forced oscillation methods.

作者信息

Harf A, Decramer M, Zin W, Milic-Emili J, Chang H K

出版信息

J Appl Physiol (1985). 1985 Jul;59(1):262-5. doi: 10.1152/jappl.1985.59.1.262.

Abstract

Total respiratory resistance (Rrs) was measured in six anesthetized dogs with two different methods: the single-breath (SB) method, which provides the time constant of the system during a relaxed expiration and the forced oscillation (FO) method, which uses a pseudorandom noise signal applied at the airway opening. The comparison was made in three conditions: before muscle paralysis (A), after muscle paralysis (B), and after tracheal banding (C). In conditions A and B the two computed resistances correlated very well with each other (r = 0.98). No systematic difference between Rrs values obtained with the two methods was found. In condition C the respiratory resistance was clearly nonlinear from the flow-volume curves during SB and could be described with Rohrer's equation: Rrs = K1 X V + K2 X V2, where K1 and K2 are Kohrer's constant and V is flow. Rrs measured with FO was not frequency dependent during tracheal banding (C) and was virtually equivalent to K1. Since the FO method uses low flows as the input of the respiratory system and K1 could be ascribed to laminar flow, the numerical matching appears reasonable and tends to reinforce the validity of both methods of measurement. We conclude that, for the normal respiratory system, FO and SB methods are approximately equivalent. In the presence of a markedly alinear central airway resistance with normal lungs, the SB method appears to provide a more adequate description of the flow-resistive properties of the system.

摘要

采用两种不同方法测量了6只麻醉犬的总呼吸阻力(Rrs):单呼吸(SB)法,该方法可在平静呼气时提供系统的时间常数;强迫振荡(FO)法,该方法在气道开口处施加伪随机噪声信号。在三种情况下进行了比较:肌肉麻痹前(A)、肌肉麻痹后(B)和气管结扎后(C)。在A和B情况下,两种计算得到的阻力彼此相关性非常好(r = 0.98)。未发现两种方法获得的Rrs值之间存在系统差异。在C情况下,SB期间流量-容积曲线显示呼吸阻力明显呈非线性,可用罗勒方程描述:Rrs = K1×V + K2×V2,其中K1和K2是罗勒常数,V是流量。在气管结扎(C)期间,用FO测量的Rrs与频率无关,实际上等同于K1。由于FO法使用低流量作为呼吸系统的输入,且K1可归因于层流,数值匹配似乎合理,这倾向于加强两种测量方法的有效性。我们得出结论,对于正常呼吸系统,FO法和SB法大致等效。在肺部正常但中央气道阻力明显呈非线性的情况下,SB法似乎能更充分地描述系统的流阻特性。

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