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通过呼吸冷空气降低对二氧化碳的通气反应。

Reducing ventilatory response to carbon dioxide by breathing cold air.

作者信息

Burgess K R, Whitelaw W A

出版信息

Am Rev Respir Dis. 1984 May;129(5):687-90. doi: 10.1164/arrd.1984.129.5.687.

Abstract

To study the effect of cooling of nasal receptors on breathing we had 10 normal male volunteers rebreathe through their noses 8% CO2 in oxygen at "warm" (23 to 30 degrees C) and at "cold" (-4 to 10 degrees C) temperatures. In order to further examine the effect of nasal receptors on the control of breathing, 11 subjects had their nasal response to CO2 measured at the warm temperature before and after topical nasal anesthesia. To exclude an increase in nasal resistance as the cause of the reduced response to CO2, 10 subjects had their nasal resistance measured before and after nasal rebreathing of cold 8% CO2 in oxygen. To also exclude increased bronchial resistance, forced expiratory volume in one second (FEV1) was measured in 12 subjects before and after nasal breathing of cold oxygen for 3 min. The mean ventilatory response to CO2 was reduced from 3.0 +/- 1.6 L/min/mmHg to 2.5 +/- 1.1 L/min/mmHg (p less than 0.05) by the cold air. Topical nasal anesthesia increased the response to CO2 at the warm temperature from 2.4 +/- 0.7 to 2.7 +/- 0.9 L/min/mmHg. The effect of nasal breathing of 8% CO2 in oxygen at the cold temperature was to reduce nasal inspiratory resistance at 1 L/s from 4.3 +/- 3.0 cm H2O L/s to 2.6 +/- 1.0 cm H2O L/s (p less than 0.05). Expiratory resistance at 1 L/s fell from 3.7 +/- 1.5 cm H2O L/s to 2.4 +/- 0.7 cm H2O L/s (p less than 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为研究鼻腔感受器冷却对呼吸的影响,我们让10名正常男性志愿者在“温暖”(23至30摄氏度)和“寒冷”(-4至10摄氏度)温度下通过鼻子重新吸入含8%二氧化碳的氧气。为进一步研究鼻腔感受器对呼吸控制的影响,11名受试者在局部鼻腔麻醉前后于温暖温度下测量其对二氧化碳的鼻腔反应。为排除鼻腔阻力增加作为对二氧化碳反应降低的原因,10名受试者在经鼻腔重新吸入冷的含8%二氧化碳的氧气前后测量其鼻腔阻力。为排除支气管阻力增加,对12名受试者在经鼻腔呼吸冷氧气3分钟前后测量其一秒用力呼气量(FEV1)。冷空气使对二氧化碳的平均通气反应从3.0±1.6升/分钟/毫米汞柱降至2.5±1.1升/分钟/毫米汞柱(p<0.05)。局部鼻腔麻醉使温暖温度下对二氧化碳的反应从2.4±0.7升/分钟/毫米汞柱增加至2.7±0.9升/分钟/毫米汞柱。在寒冷温度下经鼻腔呼吸含8%二氧化碳的氧气的作用是使1升/秒时的鼻腔吸气阻力从4.3±3.0厘米水柱/升/秒降至2.6±1.0厘米水柱/升/秒(p<0.05)。1升/秒时的呼气阻力从3.7±1.5厘米水柱/升/秒降至2.4±0.7厘米水柱/升/秒(p<0.02)。(摘要截短于250字)

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