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热环境中的运动:生理盐水或碳酸氢盐输注的影响。

Exercise in the heat: effects of saline or bicarbonate infusion.

作者信息

Francesconi R, Hubbard R

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1984 Sep;57(3):733-8. doi: 10.1152/jappl.1984.57.3.733.

Abstract

Adult male rats (n = 17/group, 300-320 g, physically untrained) were exercised (9.14 m/min) in the heat (35 degrees C) to hyperthermic exhaustion (rectal temperature 43 degrees C) after infusion of 2 ml of 7.5% sodium bicarbonate (BIC) or 2 ml of 0.9% sodium chloride (SAL). Rats receiving BIC or SAL had no effects on endurance when compared with rats receiving no exogenous fluid [control (CON]), whereas the rate of heat gain, was significantly increased in the BIC-treated group. After exercise, the BIC group manifested significantly decreased hematocrit and plasma protein levels but exaggerated increments in plasma osmolality. Lactate levels were significantly increased in all three groups with no notable intergroup differences. Although venous blood pH and bicarbonate levels were decreased after exercise in the SAL and CON groups, they were unchanged in the BIC group. Although venous PCO2 was unaffected by fluid administration in all three groups, venous PO2 was significantly increased after exercise in the heat in all groups. We concluded from these experiments that even though BIC infusion prevented the acidosis and hypobicarbonatemia induced by exercise in the heat to hyperthermic exhaustion, the hypertonicity and Na+ content of the bicarbonate solution may have increased the rate of heat gain and precluded beneficial effects on physical performance.

摘要

成年雄性大鼠(每组17只,体重300 - 320克,未经体育训练)在输注2毫升7.5%碳酸氢钠(BIC)或2毫升0.9%氯化钠(SAL)后,于35摄氏度的高温环境中以9.14米/分钟的速度运动至热衰竭(直肠温度43摄氏度)。与未接受外源液体的大鼠[对照组(CON)]相比,接受BIC或SAL的大鼠耐力无变化,而BIC治疗组的热蓄积率显著增加。运动后,BIC组的血细胞比容和血浆蛋白水平显著降低,但血浆渗透压的升高更为明显。所有三组的乳酸水平均显著升高,组间无显著差异。尽管SAL组和CON组运动后静脉血pH值和碳酸氢盐水平降低,但BIC组无变化。尽管三组中静脉血PCO2不受液体输注的影响,但所有组在高温环境下运动后静脉血PO2均显著升高。我们从这些实验得出结论,尽管输注BIC可预防热环境中运动至热衰竭所诱导的酸中毒和低碳酸氢盐血症,但碳酸氢盐溶液的高渗性和Na +含量可能增加了热蓄积率,并排除了对体能的有益影响。

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