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对人体在稳态二氧化碳吸入过程中的呼吸模式进行定量描述,特别强调呼气过程。

A quantitative description of the pattern of breathing during steady-state CO2 inhalation in man, with special emphasis on expiration.

作者信息

Cunningham D J, Gardner W N

出版信息

J Physiol. 1977 Nov;272(3):613-32. doi: 10.1113/jphysiol.1977.sp012063.

Abstract
  1. Quantitative data on the pattern of breathing in normal men and women (Gardner, 1977) have been used to derive expressions that are based on known physiological mechanisms.2. The relations between the applied chemical drive to breathing (expressed as DeltaP(A, CO2) in high O(2)) and the several components of the volume-time patterns described in the companion paper were examined. Neither mean tidal volume (V(T)), nor mean inspiratory nor mean expiratory times (T(I), T(E)) were uniquely related to the chemical drive across the breakpoint, which could be demonstrated in two and suspected in the third of these plots.3. Mean inspiratory flow (V(T)/T(I)) was linearly related to P(A, CO2) over the whole range and, like minute ventilation (V), showed no breakpoint. The mean relation was V(T)/T(I) = 0.11 (P(A, CO2) - 35.2). V(T)/T(I) was highly correlated with V; in individuals with healthy lungs and under relatively stable conditions of compliance and resistance it may be accepted as a wholly inspiratory alternative to V as an index, on the efferent side, of the total prevailing chemical drive.4. The description of the relation between T(I) and V(T) was essentially the same as that of Clark & Euler (1972): in range 1, T(I) = either 1.29 - 0.07 V(T)or the constant 1.24 sec, and in range 2, T(I) = 0.65/(V(T) - 0.88) + 0.59.5. Expiration was described by an equation based on the inverse linkage between T(E) and chemical drive and the direct link between both mean and breath-by-breath values of T(I) and T(E): T(E) = pT(I) + q/(drive - r) in which p was 0.64 +/- 0.09, q was 11.1 +/- 2.64 sec. (torr CO(2))(-1) and r was -2.73 +/- 1.09 torr CO(2). All three parameters were necessary for an adequate description.6. It is argued that the first term of the T(E) equation represents influences related to lung volume exerted through the vagus, and that the second represents the effects of over-all chemical stimulation exerted through other pathways.
摘要
  1. 关于正常男性和女性呼吸模式的定量数据(加德纳,1977年)已被用于推导基于已知生理机制的表达式。

  2. 研究了施加于呼吸的化学驱动(在高氧条件下表示为ΔP(A,CO₂))与随附论文中描述的容积-时间模式的几个组成部分之间的关系。无论是平均潮气量(V(T))、平均吸气时间还是平均呼气时间(T(I)、T(E)),在整个转折点上与化学驱动都没有唯一的关联,这在其中两张图中得到了证实,在第三张图中存在怀疑。

  3. 平均吸气流量(V(T)/T(I))在整个范围内与P(A,CO₂)呈线性相关,并且与分钟通气量(V)一样,没有转折点。平均关系为V(T)/T(I)=0.11(P(A,CO₂)-35.2)。V(T)/T(I)与V高度相关;在肺部健康且顺应性和阻力相对稳定的个体中,它可以作为V的完全吸气替代指标,从传出方面反映总的主要化学驱动。

  4. T(I)与V(T)之间关系的描述与克拉克和欧拉(1972年)的基本相同:在范围1中,T(I)=1.29 - 0.07V(T)或常数1.24秒,在范围2中,T(I)=0.65/(V(T)-0.88)+0.59。

  5. 呼气由一个基于T(E)与化学驱动之间的反向联系以及T(I)和T(E)的平均值和逐次呼吸值之间的直接联系的方程描述:T(E)=pT(I)+q/(驱动 - r),其中p为0.64±0.09,q为11.1±2.64秒·(托CO₂)⁻¹,r为-2.73±1.09托CO₂。所有三个参数对于充分描述都是必要的。

  6. 有人认为,T(E)方程的第一项代表通过迷走神经施加的与肺容积相关的影响,第二项代表通过其他途径施加的总体化学刺激的影响。

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