Silbaugh S A, Mauderly J L
J Appl Physiol Respir Environ Exerc Physiol. 1984 Jun;56(6):1666-9. doi: 10.1152/jappl.1984.56.6.1666.
Tidal volume measured by the barometric method is very sensitive to increases in compression and expansion of alveolar gas, such as would be expected to occur during airway narrowing or closure. By comparing a barometric method tidal volume signal (VT') with a reference tidal volume (VT) obtained with a head-out pressure plethysmograph, a simple index related to gas compressibility effects was calculated (VT/VT'). Changes in this index were compared with decreases in dynamic compliance (Cdyn) during histamine aerosol challenge of 15 Charles River Hartley guinea pigs. Decreases in VT/VT' occurred during all aerosol challenges and were correlated with decreases in Cdyn (r = 0.84, P less than 0.001). Decreases in VT/VT' were most marked at Cdyn values of less than 50% of base line. At Cdyn of less than 15% of base line, VT' was 3.1-4.8 times the VT reference signal. No increase in total pulmonary resistance was noted, and Cdyn and VT/VT' returned to base line after histamine exposure was stopped. We conclude that gas compressibility effects become substantial during histamine-induced airway constriction in the guinea pig and that the VT/VT' ratio appears to provide a simple noninvasive method of detecting these changes.
通过气压法测量的潮气量对肺泡气体压缩和膨胀的增加非常敏感,例如在气道变窄或关闭期间预期会发生的情况。通过将气压法潮气量信号(VT')与用头出式压力体积描记器获得的参考潮气量(VT)进行比较,计算出一个与气体可压缩性效应相关的简单指数(VT/VT')。将该指数的变化与15只查尔斯河哈特利豚鼠在组胺气雾剂激发期间动态顺应性(Cdyn)的降低进行比较。在所有气雾剂激发期间,VT/VT'均降低,并且与Cdyn的降低相关(r = 0.84,P < 0.001)。在Cdyn值低于基线的50%时,VT/VT'的降低最为明显。在Cdyn低于基线的15%时,VT'是VT参考信号的3.1 - 4.8倍。未观察到总肺阻力增加,并且在停止组胺暴露后,Cdyn和VT/VT'恢复到基线水平。我们得出结论,在豚鼠组胺诱导的气道收缩期间,气体可压缩性效应变得显著,并且VT/VT'比值似乎提供了一种检测这些变化的简单非侵入性方法。