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代谢性二氧化碳产生在稳态运动通气反应中的作用。

Role of metabolic CO2 production in ventilatory response to steady-state exercise.

作者信息

Phillipson E A, Bowes G, Townsend E R, Duffin J, Cooper J D

出版信息

J Clin Invest. 1981 Sep;68(3):768-74. doi: 10.1172/jci110313.

Abstract

We examined the role of metabolic CO2 production in the hyperpnea of muscular exercise by comparing the response of alveolar ventilation to moderate levels of exercise with the response to venous infusion of CO2 at rest. Studies were performed in four awake sheep that were trained to run on a treadmill. The sheep had been cannulated for veno-venous extracorporeal perfusion so that CO2 could be infused into the peripheral venous blood through membrane lungs in the perfusion circuit. The sheep breathed room air through an endo-tracheal tube inserted through a tracheostomy, and samples of expired gas were collected for measurement of the rates of CO2 production and O2 consumption. All measurements were made in the steady state. In each of the four sheep, the relationship between alveolar ventilation and the rate of CO2 production could be described by a single linear function (r greater than 0.99; P less than 0.001), regardless of whether CO2 production was increased by exercise, venous CO2 infusion, or combinations of both procedures. This relationship applied for values of CO2 production up to 350% of control. In contrast, no unique relationship was found between the rate of alveolar ventilation and either the rate of O2 consumption, cardiac output, or mixed venous blood gas pressures. The findings indicate that the hyperpnea of mild to moderate steady-state exercise can be attributed to the associated increase in the rate of CO2 production. Therefore, there is no need to invoke obligatory nonmetabolic stimuli to account for the ventilatory response to steady-state exercise.

摘要

我们通过比较在静息状态下肺泡通气对适度运动水平的反应与静脉输注二氧化碳后的反应,研究了代谢性二氧化碳产生在肌肉运动引起的呼吸增强中的作用。实验在四只经过训练可在跑步机上奔跑的清醒绵羊身上进行。这些绵羊已进行了静脉 - 静脉体外灌注插管,以便能够通过灌注回路中的膜肺将二氧化碳注入外周静脉血。绵羊通过经气管切开术插入的气管内导管呼吸室内空气,并收集呼出气体样本以测量二氧化碳产生率和氧气消耗率。所有测量均在稳态下进行。在这四只绵羊中的每一只中,无论二氧化碳产生是通过运动、静脉输注二氧化碳还是两种方法联合增加,肺泡通气与二氧化碳产生率之间的关系都可以用单一的线性函数来描述(r大于0.99;P小于0.001)。这种关系适用于二氧化碳产生量高达对照值350%的情况。相比之下,在肺泡通气率与氧气消耗率、心输出量或混合静脉血气压力之间未发现独特的关系。这些发现表明,轻度至中度稳态运动引起的呼吸增强可归因于伴随的二氧化碳产生率增加。因此,无需引入强制性非代谢刺激来解释对稳态运动的通气反应。

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