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支气管扩张剂对肺阻力和动态顺应性随呼吸频率变化的行为的影响。

Effects of bronchodilators on the behavior of pulmonary resistance and dynamic compliance as functions of respiratory frequency.

作者信息

Cutillo A, Perondi R, Turiel M, Watanabe S, Renzetti A D

出版信息

Respiration. 1982;43(2):88-94. doi: 10.1159/000194470.

Abstract

The effects of bronchodilator treatment (intravenous atropine or inhaled metaproterenol) on the behavior of pulmonary resistance (RL) and dynamic compliance (Cdyn) as functions of respiratory frequency were studied in patients with chronic obstructive pulmonary disease and in apparently normal smokers. No systematic changes in the frequency-dependent behavior of RL and Cdyn were observed after bronchodilator treatment; the degree of frequency dependence increased in some subjects, and decreased or remained unchanged in others. The present results suggest that the effects of bronchodilators on the relationships between lung mechanical properties and respiratory frequency are not based on a single mechanism, but probably reflect the interaction of multiple factors possibly associated with the bronchodilator treatment.

摘要

在慢性阻塞性肺疾病患者和表面上正常的吸烟者中,研究了支气管扩张剂治疗(静脉注射阿托品或吸入间羟异丙肾上腺素)对作为呼吸频率函数的肺阻力(RL)和动态顺应性(Cdyn)行为的影响。支气管扩张剂治疗后,未观察到RL和Cdyn频率依赖性行为的系统性变化;在一些受试者中,频率依赖性程度增加,而在另一些受试者中则降低或保持不变。目前的结果表明,支气管扩张剂对肺力学特性与呼吸频率之间关系的影响并非基于单一机制,而是可能反映了与支气管扩张剂治疗相关的多种因素的相互作用。

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