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人类呼吸系统对肺泡二氧化碳和低氧正弦波的通气反应。

The ventilatory response of the human respiratory system to sine waves of alveolar carbon dioxide and hypoxia.

作者信息

Robbins P A

出版信息

J Physiol. 1984 May;350:461-74. doi: 10.1113/jphysiol.1984.sp015212.

Abstract

Sine waves of alveolar CO2 at constant high alveolar O2, and sine waves of alveolar hypoxia (1/(PA, O2 -C), C congruent to 32 torr) at constant alveolar CO2 have been administered to three subjects in each case. Sine waves of six different periods were studied, ranging between 900 and 30 s for the CO2 sine waves and 300 and 20 s for the hypoxic sine waves. The sinusoidal variations in ventilation produced by these manoeuvres, expressed as amplitudes and phase shifts, were compared with values predicted from the dynamic responses to alveolar steps of gas tension already to be found in the literature. For the CO2 sine waves, the amplitudes of response agreed well with those predicted at the higher frequencies, but were less than predicted at the lower frequencies. For the hypoxic sine waves, the amplitude of response varied less with frequency than was predicted. For both the CO2 and the hypoxic sine waves, the phase shift of response was less than expected at the higher frequencies. An attempt was made to fit parameters to a simple model, based on the wash-in and wash-out of respiratory gases into and out of a tissue compartment, and used in the literature for describing the responses to step changes. No satisfactory fit was found. It is concluded that the simple model is unsatisfactory by itself for describing the responses to sinusoidal chemical stimulation; features additional to those included in the model are required to explain fully the responses seen. The possibilities for chemoreception at the higher frequencies are discussed in the light of the low phase shifts.

摘要

在恒定高肺泡氧分压条件下给予肺泡二氧化碳的正弦波,以及在恒定肺泡二氧化碳条件下给予肺泡缺氧(1/(肺泡氧分压 - C),C 约为 32 托)的正弦波,每种情况均对三名受试者进行了测试。研究了六个不同周期的正弦波,二氧化碳正弦波的周期范围为 900 至 30 秒,缺氧正弦波的周期范围为 300 至 20 秒。将这些操作引起的通气的正弦变化,以振幅和相移表示,与根据文献中已有的对气体张力肺泡阶跃的动态反应预测值进行比较。对于二氧化碳正弦波,在较高频率下反应的振幅与预测值吻合良好,但在较低频率下小于预测值。对于缺氧正弦波,反应的振幅随频率的变化小于预测值。对于二氧化碳和缺氧正弦波,在较高频率下反应的相移均小于预期。尝试将参数拟合到一个基于呼吸气体进出组织隔室的洗入和洗出的简单模型,该模型在文献中用于描述对阶跃变化的反应。但未找到令人满意的拟合。结论是,该简单模型本身不足以描述对正弦化学刺激的反应;需要模型中未包含的其他特征来充分解释所观察到的反应。根据低相移讨论了高频下化学感受的可能性。

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