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通气增加对阻力负荷辨别能力的影响。

The effect of increased ventilation on resistive load discrimination.

作者信息

Killian K J, Campbell E J, Howell J B

出版信息

Am Rev Respir Dis. 1979 Dec;120(6):1233-8. doi: 10.1164/arrd.1979.120.6.1233.

Abstract

The ability of normal subjects to detect the addition of external resistive loads was determined both at rest and when ventilation was increased to more than 30 L/min by CO2 administration or exercise. Tidal volume, flow, and mouth and transpulmonary pressures were recorded during resistive load discrimination using standard psychophysical techniques. The mean resistance detection threshold was 0.40 +/- 0.06 cm H2O/L/s at rest, 0.36 cm H2O/L/s during administration of CO2, and 0.44 cm H2O/L/s with exercise. The Weber fraction was 0.28 +/- 0.04 at rest, 0.29 +/- 0.08 with CO2, and 0.34 +/- 0.04 with exercise. The lack of change in the ability to detect resistive loads when ventilation was increased was surprising because changes in both pressure and flow were tripled. The findings were supportive of the hypothesis that resistance or something like it is perceived, rather than change in flow or pressure.

摘要

通过给予二氧化碳或运动使通气量增加至超过30L/min时以及静息状态下,测定了正常受试者检测外部阻力负荷增加的能力。在使用标准心理物理学技术进行阻力负荷辨别时,记录了潮气量、流量、口腔压力和跨肺压。静息时平均阻力检测阈值为0.40±0.06cmH₂O/L/s,给予二氧化碳时为0.36cmH₂O/L/s,运动时为0.44cmH₂O/L/s。韦伯分数在静息时为0.28±0.04,给予二氧化碳时为0.29±0.08,运动时为0.34±0.04。通气量增加时检测阻力负荷的能力未发生变化,这令人惊讶,因为压力和流量的变化都增加了两倍。这些发现支持了这样一种假设,即感知到的是阻力或类似的东西,而不是流量或压力的变化。

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