Hudgel D W, Kinsman R A
Am Rev Respir Dis. 1983 Aug;128(2):246-8. doi: 10.1164/arrd.1983.128.2.246.
We previously demonstrated that specific behavioral styles influenced recognition of resistive loads to breathing. However, the basis for this finding remained unclear. Because others have found a relationship between behavioral style and ventilatory drive, we evaluated the relationships among resting ventilatory drive, behavioral style, and recognition of loads to breathing. Twelve healthy subjects were divided into 3 behavioral style groups by the MMPI Panic-Fear Scale. Inspiratory neuromuscular activity, detected by mouth occlusion in relaxed subjects, served as an index of resting ventilatory drive, and the resistance added to inspiration recognized during 50% of the applications was termed threshold resistance. Across all subjects, there was a significant inverse correlation between resting inspiratory neuromuscular activity and the amount of added resistance required for recognition. The higher the ventilatory drive the lower the added resistance needed for recognition. Anxious, dependent subjects had lower resting ventilatory drive and lower mean inspiratory flow rates. They required more added resistance for recognition than generally adaptive or rigidly independent subjects who had higher resting neuromuscular activity and lower detection thresholds. We conclude: (1) that the level of resting ventilatory drive may play a role in the ability to recognize added resistive loads to breathing, and (2) that behavioral style and level of resting ventilatory drive appear related.
我们之前证明了特定的行为方式会影响对呼吸阻力负荷的识别。然而,这一发现的基础仍不清楚。由于其他人发现行为方式与通气驱动之间存在关联,我们评估了静息通气驱动、行为方式和对呼吸负荷的识别之间的关系。通过明尼苏达多相人格调查表惊恐-恐惧量表将12名健康受试者分为3个行为方式组。在放松的受试者中通过闭口检测到的吸气神经肌肉活动作为静息通气驱动的指标,在50%的应用过程中识别出的吸气时增加的阻力称为阈值阻力。在所有受试者中,静息吸气神经肌肉活动与识别所需的增加阻力量之间存在显著的负相关。通气驱动越高,识别所需的增加阻力越低。焦虑、依赖型受试者的静息通气驱动较低,平均吸气流量也较低。与静息神经肌肉活动较高且检测阈值较低的一般适应性或严格独立型受试者相比,他们识别需要更多的增加阻力。我们得出结论:(1)静息通气驱动水平可能在识别呼吸时增加的阻力负荷的能力中起作用,(2)行为方式和静息通气驱动水平似乎相关。