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运动期间以及通过增加阻力进行呼吸时,二氧化碳对通气和屏气的影响。

The effect of CO2 on ventilation and breath-holding during exercise and while breathing through an added resistance.

作者信息

Clark T J, Godfrey S

出版信息

J Physiol. 1969 May;201(3):551-66. doi: 10.1113/jphysiol.1969.sp008772.

DOI:10.1113/jphysiol.1969.sp008772
PMID:5767882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1351410/
Abstract
  1. Ventilation was measured while subjects were made to rebreathe from a bag containing CO(2) and O(2) in order to expose them to a steadily rising CO(2) tension (P(CO2)). The object of the experiments was to determine the effect of a variety of stimuli upon the increase in ventilation and fall in breath-holding time which occurs in response to the rising P(CO2).2. Steady-state exercise at 200 kg.m/min resulted in a small fall in the slope of the ventilation-CO(2) response curve (S(V)) and a small, though not statistically significant, fall in the P(CO2) at which ventilation would be zero by extrapolation (B(V)). There was a marked fall in the slope of the breath-holding-CO(2) response curve (S(BH)) and an increase in the P(CO2) at which breath-holding time became zero by extrapolation (B(BH)).3. These results have been interpreted with the aid of a model of the control of breath-holding and it is suggested that there is no change in CO(2) sensitivity on exercise, either during rebreathing or breath-holding.4. An increase in the resistance to breathing caused a marked reduction in S(V) and B(V), but no change in the breath-holding-CO(2) response curve. These findings suggest that the flattening of the ventilation-CO(2) response curve is mechanical in origin and acute airway obstruction produces no change in CO(2) sensitivity.5. On the basis of these results, we suggest that more information about CO(2) sensitivity can be obtained by a combination of ventilation and breath-holding-CO(2) response curves.
摘要
  1. 让受试者从装有二氧化碳(CO₂)和氧气(O₂)的袋子中进行重复呼吸,以此来测量通气情况,目的是使他们暴露于持续上升的二氧化碳分压(P(CO₂))环境中。实验的目的是确定各种刺激因素对因P(CO₂)上升而出现的通气增加和屏气时间缩短的影响。

  2. 以200千克·米/分钟的强度进行稳态运动,导致通气-CO₂反应曲线(S(V))的斜率略有下降,通过外推法得出通气量为零时的P(CO₂)(B(V))也有小幅下降,不过无统计学意义。屏气-CO₂反应曲线(S(BH))的斜率显著下降,通过外推法得出屏气时间为零时的P(CO₂)(B(BH))则有所增加。

  3. 借助屏气控制模型对这些结果进行了解释,结果表明,无论是在重复呼吸还是屏气过程中,运动时对CO₂的敏感性均未发生变化。

  4. 呼吸阻力增加导致S(V)和B(V)显著降低,但屏气-CO₂反应曲线未发生变化。这些发现表明,通气-CO₂反应曲线变平源于机械因素,急性气道阻塞并未导致CO₂敏感性改变。

  5. 根据这些结果,我们认为通过结合通气和屏气-CO₂反应曲线,可以获得更多关于CO₂敏感性的信息。

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本文引用的文献

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The regulation of respiration and circulation during the initial stages of muscular work.肌肉工作初始阶段的呼吸与循环调节
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Role of mixed venous blood PCO2 in respiratory control.混合静脉血二氧化碳分压在呼吸控制中的作用。
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Mathematical analysis of the time course of alveolar carbon dioxide.肺泡二氧化碳时间进程的数学分析
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Effect of mechanical factors on respiratory work and ventilatory responses to carbon dioxide.机械因素对呼吸功及二氧化碳通气反应的影响。
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Breath holding during and after muscular exercise.肌肉运动期间及之后的屏气。
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[Regulation of ventilation during muscular exercise in man].[人体肌肉运动期间的通气调节]
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The relation between alveolar oxygen pressure and the respiratory response to carbon dioxide in man.人体肺泡氧分压与对二氧化碳呼吸反应之间的关系。
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Evidence against the existence of specific ventilatory chemoreceptors in the legs.
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Ventilatory response to CO2 during work at normal and at low oxygen tensions.在正常和低氧张力条件下工作时对二氧化碳的通气反应。
Acta Physiol Scand. 1957 Apr 10;39(1):27-35. doi: 10.1111/j.1748-1716.1957.tb01406.x.