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人体在稳态二氧化碳吸入过程中潮气量与吸气和呼气时间的关系。

The relation between tidal volume and inspiratory and expiratory times during steady-state carbon dioxide inhalation in man.

作者信息

Gardner W N

出版信息

J Physiol. 1977 Nov;272(3):591-611. doi: 10.1113/jphysiol.1977.sp012062.

Abstract
  1. Ambiguities and discrepancies in the published descriptions of the patterns of breathing in man have been re-investigated.Steady-state hyperpnoea during rest was induced in normal subjects of both sexes by means of CO(2) inhalation, usually in high O(2), but sometimes in low (P(A, O2) approximately 200 and 55 torr respectively).2. The relations between mean tidal volume V(T) and mean times for inspiration T(I) and expiration T(E) were satisfactorily divided into lower and upper parts (ranges 1 and 2) in nineteen out of thirty-three experiments using an objective least-squares method, and polynomials were fitted separately to each of the following pairs of variables V(T,lower), T(I); V(T,lower), T(E); V(T,upper), T(I); V(T,upper), T(E).3. The breakpoints occurred when V(T) was about one third of vital capacity, but there was much variation between subjects.4. In range 2, V(T) was inversely related to both T(I) and T(E) and there appeared to be linkage between T(I) and T(E), all as described by Clark & Euler (1972). The relation suggested by Hey, Lloyd, Cunningham, Jukes & Bolton (1966) over range 2 was not confirmed.5. The main part of the relation described by Hey et al. (1966) is concerned with range 1. Here the relation between V(T) and T(I) was variable; slight, but significant negative correlation predominated. V(T) was, on the other hand, strongly and inversely related to T(E), and plots of (T(E) - T(I)) against V(T) over both ranges showed even less scatter. Hence (a) T(E) is probably related to V(T) through two mechanisms, one involving a link with T(I) and another prominent one being quite independent of T(I), (b) most changes of respiratory frequency in normal man are brought about by change of T(E) rather than of T(I), and (c) there is no region of constant frequency as implied by Clark & Euler (1972).
摘要
  1. 对已发表的关于人类呼吸模式描述中的模糊性和差异进行了重新研究。通过吸入二氧化碳,在通常为高氧环境(但有时为低氧环境,肺泡氧分压分别约为200和55托)下,诱导正常男女受试者在静息状态下出现稳态通气过度。

  2. 在33项实验中的19项实验里,采用客观的最小二乘法,平均潮气量V(T)与平均吸气时间T(I)和呼气时间T(E)之间的关系被令人满意地分为上下两部分(范围1和范围2),并且分别对以下每对变量进行多项式拟合:V(T,lower)、T(I);V(T,lower)、T(E);V(T,upper)、T(I);V(T,upper)、T(E)。

  3. 断点出现在V(T)约为肺活量的三分之一时,但个体之间存在很大差异。

  4. 在范围2中,V(T)与T(I)和T(E)均呈负相关,并且T(I)和T(E)之间似乎存在关联,这一切正如克拉克和欧拉(1972年)所描述的那样。海伊、劳埃德、坎宁安、朱克斯和博尔顿(1966年)在范围2中提出的关系未得到证实。

  5. 海伊等人(1966年)所描述的关系的主要部分涉及范围1。在此,V(T)与T(I)的关系是可变的;轻微但显著的负相关占主导。另一方面,V(T)与T(E)呈强烈的负相关,并且在两个范围内(T(E) - T(I))对V(T)的绘图显示出的离散度更小。因此,(a) T(E)可能通过两种机制与V(T)相关,一种涉及与T(I)的联系,另一种突出的机制与T(I)完全无关,(b) 正常男性呼吸频率的大多数变化是由T(E)的变化而非T(I)的变化引起的,并且(c) 不存在如克拉克和欧拉(1972年)所暗示的恒定频率区域。

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本文引用的文献

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The respiratory response to anoxaemia.对缺氧血症的呼吸反应。
J Physiol. 1919 May 20;52(6):420-32. doi: 10.1113/jphysiol.1919.sp001841.
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