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缺血期间骨骼肌力量发展的最初下降与氧气供应有关。

Initial fall in skeletal muscle force development during ischemia is related to oxygen availability.

作者信息

Hogan M C, Richardson R S, Kurdak S S

机构信息

Department of Medicine, University of California at San Diego, La Jolla 92093-0623.

出版信息

J Appl Physiol (1985). 1994 Nov;77(5):2380-4. doi: 10.1152/jappl.1994.77.5.2380.

DOI:10.1152/jappl.1994.77.5.2380
PMID:7868458
Abstract

We examined the hypothesis that the initial decline (first 1-2 min) in force development that occurs in working muscle when blood flow is halted is caused by O2 availability and not another factor related to blood flow. This was tested by reducing O2 delivery (muscle blood flow X arterial O2 content) to working muscle by either stopping blood flow [ischemia (I)] or maintaining blood flow with low arterial O2 content [hypoxemia (H)]. If initial decline in force development were similar between these two methods of reducing O2 delivery, it would suggest O2 availability as the common pathway. Isolated dog gastrocnemius muscle was stimulated at approximately 60-70% of maximal O2 uptake (1 isometric tetanic contraction every 2 s) until steady-state conditions of muscle blood flow and developed force were attained (approximately 3 min). Two conditions were then sequentially imposed on the working muscle: I, induced by shutting off pump controlling arterial perfusion of the muscle and clamping venous outflow, and H, induced by perfusing the muscle with deoxygenated blood (collected before testing while animal breathed N2) at steady-state blood flow level. Rates of the fall in force production in 17 matched conditions of H and I (approximately 40 s for each condition) were compared in 6 muscles tested. The blood perfusing the muscle during H had arterial PO2 = 8 +/- 1 (SE) Torr, arterial PCO2 = 37 +/- 1 Torr, and arterial pH = 7.39 +/- 0.03. The rate of decline in developed force was not significantly different (P = 0.46) between the 17 matched conditions of H (0.66 +/- 0.10 g force.g mass-1.s-1) and I (0.79 +/- 0.15 g force.g mass-1.s-1). These findings suggest that the initial fall in developed force in working skeletal muscle that occurs with ischemia is related to O2 availability.

摘要

我们检验了这样一个假设

当血流停止时,工作肌肉中力量发展的最初下降(最初1 - 2分钟)是由氧气供应引起的,而非与血流相关的其他因素。通过以下两种方式减少工作肌肉的氧气输送(肌肉血流量×动脉血氧含量)来对此进行测试:停止血流[缺血(I)]或在动脉血氧含量较低的情况下维持血流[低氧血症(H)]。如果这两种减少氧气输送的方法导致力量发展的最初下降相似,那就表明氧气供应是共同途径。对分离的犬腓肠肌以大约最大摄氧量的60 - 70%进行刺激(每2秒进行1次等长强直收缩)直至达到肌肉血流和所产生力量的稳态条件(大约3分钟)。然后依次对工作肌肉施加两种条件:I,通过关闭控制肌肉动脉灌注的泵并钳夹静脉流出道来诱导;H,通过在稳态血流水平下用脱氧血液(在测试前动物呼吸氮气时采集)灌注肌肉来诱导。在6块受试肌肉中,比较了17组匹配的H和I条件下(每组条件约40秒)力量产生下降的速率。H期间灌注肌肉的血液动脉血氧分压 = 8 ± 1(标准误)托[1],动脉血二氧化碳分压 = 37 ± 1托,动脉血pH = 7.39 ± 0.03。在17组匹配的H条件(0.66 ± 0.10克力·克质量-1·秒-1)和I条件(0.79 ± 0.15克力·克质量-1·秒-1)下,所产生力量下降的速率无显著差异(P = 0.46)。这些发现表明,缺血时工作骨骼肌中所产生力量的最初下降与氧气供应有关。 [1]托(Torr):压力单位,1托约等于133.322帕斯卡

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