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吸入氧气和二氧化碳对下体负压释放及急性头低位倾斜时通气反应的影响。

Effects of inspired O2 and CO2 on ventilatory responses to LBNP-release and acute head-down tilt.

作者信息

Lawler J M, Cline C C, O'Kroy J A, Coast J R

机构信息

Eloise Beard Smith Human Performance Laboratories, Dept. of Health & Kinesiology, Texas A&M University, College Station 77843-4243, USA.

出版信息

Aviat Space Environ Med. 1995 Aug;66(8):751-6.

PMID:7487808
Abstract

Increases in blood flow and CO2 return to the heart and lungs at the onset of exercise have been proposed to initiate reflexive feedback which increases ventilation (VE), via mechanoreceptors in the heart and/or intrapulmonary CO2 flow receptors. Both lower body negative pressure (-40 mm Hg) release (LBNP-release) and acute head-down (-30 degrees) tilt (TILT) provide physiological models to focus upon the effects of increased venous return and CO2 flow on VE, without the confounding influence of limb afferents or the descending efferents associated with central command. We examined the ventilatory responses to LBNP-release and TILT while inhaling one of four gas mixtures: a) room air (R); b) 95% O2 (O); c) 95% O2, 1.25% CO2 (LC); and d) 95% O2, 2.25% CO2 (HC). Breath-by-breath measurements for VE end-tidal CO2 (PETCO2), tidal volume (VT), and breathing frequency (fB) were taken. VE and VT for HC were significantly higher (p < 0.05) than those for R, O, and LC throughout the test session, while fB and PETCO2 were not significantly different among the gas treatments. VE increased (p < 0.05) above resting baseline with LBNP-release and TILT for R, O, LC, and HC primarily through an elevation of fB. Further, the maximal change in VE following LBNP-release or TILT were not different among inhaled gas mixtures. However, area under the VE curve following LBNP-release and TILT was higher for HC compared to the other gas mixtures. We conclude that these results are inconsistent with the theory that carotid bodies are essential in driving VE with these models.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

运动开始时,血液流动增加以及二氧化碳回流至心脏和肺部,有人提出这会引发反射性反馈,通过心脏中的机械感受器和/或肺内二氧化碳流动感受器增加通气量(VE)。下身负压(-40毫米汞柱)释放(LBNP释放)和急性头低位(-30度)倾斜(TILT)提供了生理模型,以便关注静脉回流增加和二氧化碳流动对VE的影响,而不受肢体传入神经或与中枢指令相关的下行传出神经的混杂影响。我们在吸入四种气体混合物之一时,研究了对LBNP释放和TILT的通气反应:a)室内空气(R);b)95%氧气(O);c)95%氧气、1.25%二氧化碳(LC);d)95%氧气、2.25%二氧化碳(HC)。逐次测量VE、呼气末二氧化碳(PETCO2)、潮气量(VT)和呼吸频率(fB)。在整个测试过程中,HC组的VE和VT显著高于R、O和LC组(p<0.05),而fB和PETCO2在不同气体处理之间无显著差异。对于R、O、LC和HC组,LBNP释放和TILT使VE高于静息基线(p<0.05),主要是通过fB的升高。此外,LBNP释放或TILT后VE的最大变化在吸入气体混合物之间无差异。然而,与其他气体混合物相比,HC组LBNP释放和TILT后VE曲线下面积更高。我们得出结论,这些结果与颈动脉体在这些模型中驱动VE必不可少的理论不一致。(摘要截断于250字)

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