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肌肉血流及分布决定收缩肌肉的最大摄氧量。

Muscle blood flow and distribution determine maximal VO2 of contracting muscle.

作者信息

Stainsby W N, Brechue W F, Ameredes B T

机构信息

Department of Physiology, College of Medicine, University of Florida, Gainesville 32610.

出版信息

Med Sci Sports Exerc. 1995 Jan;27(1):43-6.

PMID:7898336
Abstract

During repetitive contractions, the VO2 of the dog gastrocnemius-plantaris muscle rose with the contraction frequency up to a maximal value and then decreased as contraction frequency was increased further. PVO2 was constant over most of the contraction frequency range. Reducing perfusion pressure/blood flow reduced VO2max with a constant PVO2. During these maneuvers the diffusion conductance, DCO2 (VO2/PVO2), changed with VO2. Raising the perfusion pressure/flow with a pump increased VO2 with a small rise in PVO2 so that DCO2 also increased. Removing tension from the muscle between contractions elevated VO2 and DCO2 without a change in perfusion pressure. Hypoxemia decreased VO2 with a decrease in PVO2; DCO2 remained constant. A three-compartment mathematical model, based on microsphere measurements of regional flow, was used to illustrate how regional flow variations may exist, and how they are poorly revealed in the mixed whole-muscle venous blood. The model shows VO2.g-1 strongly related to flow. As VO2.g-1 increased as Q.g-1 increased, extraction decreased, and DCO2 increased.

摘要

在重复性收缩过程中,犬腓肠肌 - 比目鱼肌的耗氧量随收缩频率升高至最大值,然后随着收缩频率进一步增加而降低。在大多数收缩频率范围内,静脉血氧分压保持恒定。降低灌注压力/血流量会在静脉血氧分压恒定的情况下降低最大耗氧量。在这些操作过程中,扩散传导率DCO2(耗氧量/静脉血氧分压)随耗氧量而变化。用泵提高灌注压力/血流量会使耗氧量增加,静脉血氧分压略有升高,因此DCO2也增加。在收缩间隙消除肌肉张力会使耗氧量和DCO2升高,而灌注压力不变。低氧血症会使耗氧量降低,静脉血氧分压也降低;DCO2保持恒定。基于微球测量区域血流量的三室数学模型,用于说明区域血流变化可能如何存在,以及它们在混合的全肌肉静脉血中如何难以显现。该模型显示,每克耗氧量与血流量密切相关。随着每克血流量增加,每克耗氧量增加,提取率降低,DCO2增加。

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