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缺氧诱导速率对通气反应的影响。

Influence of rate of induction of hypoxia on the ventilatory response.

作者信息

Mahutte C K, Rebuck A S

出版信息

J Physiol. 1978 Nov;284:219-27. doi: 10.1113/jphysiol.1978.sp012537.

Abstract
  1. We have studied the influence of rate of induction of hypoxia on the duration of the phases of the respiratory cycle in seven conscious healthy subjects.2. Nine hypoxic procedures were performed on each subject, comprising three different rates of induction of hypoxia each at three different levels of P(CO2). Ventilation vs. arterial O(2) saturation plots were constructed and patterns of response were analysed in terms of ventilation vs. tidal volume and tidal volume vs. inspiratory duration (T(I)) and vs. expiratory duration (T(E)).3. The highest ventilatory responses were observed during steady-state hypoxia when P(CO2) was held at a level similar to the control mixed venous level; progressive hypoxia at this P(CO2) failed to stimulate ventilation to comparable levels. The ventilatory response was not influenced by rate of induction of hypoxia when P(CO2) was maintained at an end-tidal P(CO2) close to the control level.4. As tidal volume increased in response to hypoxia, T(I) and T(E) shortened. The progressive decrease in cycle duration occurred at all levels of P(CO2) and at all rates of induction of hypoxia, but was most marked under eucapnic conditions during steady state.5. It is concluded that steady-state hypoxia may produce a higher ventilatory response than progressive, non-steady-state hypoxia. Inspiratory time shortens as tidal volume increases irrespective of the rate of induction of hypoxia.
摘要
  1. 我们研究了低氧诱导速率对7名清醒健康受试者呼吸周期各阶段时长的影响。

  2. 对每名受试者进行了9次低氧程序,包括三种不同的低氧诱导速率,每种速率在三种不同的二氧化碳分压(P(CO2))水平下进行。绘制了通气量与动脉血氧饱和度的关系图,并根据通气量与潮气量、潮气量与吸气持续时间(T(I))以及与呼气持续时间(T(E))的关系分析了反应模式。

  3. 当P(CO2)维持在与对照混合静脉血水平相似的水平时,在稳态低氧期间观察到最高的通气反应;在此P(CO2)水平下的渐进性低氧未能将通气刺激到可比水平。当P(CO2)维持在接近对照水平的呼气末P(CO2)时,通气反应不受低氧诱导速率的影响。

  4. 随着潮气量因低氧而增加,T(I)和T(E)缩短。周期时长的逐渐缩短在所有P(CO2)水平和所有低氧诱导速率下均会发生,但在稳态等碳酸血症条件下最为明显。

  5. 得出的结论是,稳态低氧可能比渐进性、非稳态低氧产生更高的通气反应。无论低氧诱导速率如何,随着潮气量增加吸气时间都会缩短。

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Effects of CO2 breathing on ventilatory response to sustained hypoxia in normal adults.
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本文引用的文献

6
On the regulation of depth and rate of breathing.论呼吸深度与频率的调节。
J Physiol. 1972 Apr;222(2):267-95. doi: 10.1113/jphysiol.1972.sp009797.
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Ventilatory responses to transient hypoxia and hypercapnia in man.
Respir Physiol. 1973 Apr;17(3):302-14. doi: 10.1016/0034-5687(73)90005-4.

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