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怀孕绵羊的运动反应:血气、体温与胎儿心血管系统

Exercise responses in pregnant sheep: blood gases, temperatures, and fetal cardiovascular system.

作者信息

Lotgering F K, Gilbert R D, Longo L D

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1983 Sep;55(3):842-50. doi: 10.1152/jappl.1983.55.3.842.

Abstract

In an effort to examine the effects of maternal exercise on the fetus we measured maternal and fetal temperatures and blood gases and calculated uterine O2 consumption in response to three different treadmill exercise regimens in 12 chronically catheterized near-term sheep. We also measured fetal catecholamine concentrations, heart rate, blood pressure, cardiac output, blood flow distribution, blood volume, and placental diffusing capacity. Maternal and fetal temperatures increased a mean maximum of 1.5 +/- 0.5 (SE) and 1.3 +/- 0.1 degrees C, respectively. We corrected maternal and fetal blood gas values for the temperatures in vivo. Maternal arterial partial pressure of O2 (PO2), near exhaustion during prolonged (40 min) exercise at 70% maximal O2 consumption, increased 13% to a maximum of 116.7 +/- 4.0 Torr, whereas partial pressure of CO2 (PCO2) decreased by 28% to 27.6 +/- 2.2 Torr. Fetal arterial PO2 decreased 11% to a minimum of 23.2 +/- 1.6 Torr, O2 content by 26% to 4.3 +/- 0.6 ml X dl -1, PCO2 by 8% to 49.6 +/- 3.2 Torr, but pH did not change significantly. Recovery was virtually complete within 20 min. During exercise total uterine O2 consumption was maintained despite the reduction in uterine blood flow because of hemoconcentration and increased O2 extraction. The decrease of 3 Torr in fetal arterial PO2 and 1.5 ml X dl -1 in O2 content did not result in major cardiovascular changes or catecholamine release. These findings suggest that maternal exercise does not represent a major stressful or hypoxic event to the fetus.

摘要

为了研究母体运动对胎儿的影响,我们对12只长期插管的近足月绵羊进行了三种不同的跑步机运动方案,测量了母体和胎儿的体温、血气,并计算了子宫耗氧量。我们还测量了胎儿儿茶酚胺浓度、心率、血压、心输出量、血流分布、血容量和胎盘弥散能力。母体和胎儿体温平均最高分别升高1.5±0.5(标准误)和1.3±0.1摄氏度。我们对体内温度校正了母体和胎儿的血气值。母体动脉血氧分压(PO2)在70%最大耗氧量下进行长时间(40分钟)运动接近耗竭时,增加了13%,最高达到116.7±4.0托,而二氧化碳分压(PCO2)下降了28%,至27.6±2.2托。胎儿动脉PO2下降11%,最低至23.2±1.6托,氧含量下降26%,至4.3±0.6毫升×分升-1,PCO2下降8%,至49.6±3.2托,但pH值无显著变化。恢复在20分钟内基本完成。运动期间,尽管由于血液浓缩和氧摄取增加导致子宫血流量减少,但子宫总耗氧量仍保持不变。胎儿动脉PO2下降3托和氧含量下降1.5毫升×分升-1并未导致主要的心血管变化或儿茶酚胺释放。这些发现表明,母体运动对胎儿而言并非重大的应激或缺氧事件。

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