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在3.7兆帕环境压力下对呼吸干燥气体的支气管反应。

Bronchial response to breathing dry gas at 3.7 MPa ambient pressure.

作者信息

Rønnestad I, Thorsen E, Segadal K, Hope A

机构信息

Norwegian Underwater Technology Centre A/S, Ytre Laksevåg.

出版信息

Eur J Appl Physiol Occup Physiol. 1994;69(1):32-5. doi: 10.1007/BF00867924.

Abstract

In diving, pulmonary mechanical function is limited by the increased density of the gas breathed. Breathing cold and dry gas may cause an additional increase in airways resistance. We have measured forced vital capacity, forced expired volume in 1 s (FEV1) and forced midexpiratory flow rate (FEF25%-75%) before and after breathing dry or humid gas at 29-32 degrees C during a standardized exercise intensity on a cycle ergometer at an ambient pressure of 3.7 MPa. The atmosphere was a helium and oxygen mixture with a density of 6.8 kg.m-3. Six professional saturation divers aged 26-37 years participated in the study. There were no significant differences in convective respiratory heat loss between the exposures. The mean evaporative heat loss was 67 W (range 59-89) breathing dry gas and 37 W (range 32-43) breathing humid gas, corresponding to water losses of 1.7 g.min-1 (range 1.5-2.2) and 0.9 g.min-1 (range 0.8-1.1), respectively. There was a significant reduction in FEV1 of 4.6 (SD 3.6)% (P < 0.05), and in FEF25%-75% of 5.8 (SD 4.7)% (P < 0.05) after breathing dry gas. There were no changes after breathing humid gas. By warming and humidifying the gas breathed in deep saturation diving bronchoconstriction may be prevented.

摘要

在潜水过程中,肺部机械功能受到所呼吸气体密度增加的限制。呼吸寒冷干燥的气体会导致气道阻力进一步增加。我们在3.7兆帕的环境压力下,于自行车测力计上以标准化运动强度,测量了在29 - 32摄氏度下呼吸干燥或潮湿气体前后的用力肺活量、1秒用力呼气量(FEV1)和用力呼气中期流速(FEF25%-75%)。气体环境为氦氧混合气体,密度为6.8千克·米-3。6名年龄在26 - 37岁的专业饱和潜水员参与了该研究。不同暴露条件下的对流呼吸热损失无显著差异。呼吸干燥气体时平均蒸发热损失为67瓦(范围59 - 89),呼吸潮湿气体时为37瓦(范围32 - 43),分别对应水流失1.7克·分钟-1(范围1.5 - 2.2)和0.9克·分钟-1(范围0.8 - 1.1)。呼吸干燥气体后,FEV1显著降低4.6(标准差3.6)%(P < 0.05),FEF25%-75%显著降低5.8(标准差4.7)%(P < 0.05)。呼吸潮湿气体后无变化。在深度饱和潜水中,通过对所呼吸的气体进行加热和加湿,可预防支气管收缩。

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