Habib R H, Suki B, Bates J H, Jackson A C
Department of Biomedical Engineering, Boston University, Massachusetts 02215.
J Appl Physiol (1985). 1994 Aug;77(2):554-66. doi: 10.1152/jappl.1994.77.2.554.
We measured respiratory input impedance (Zin; 8-2,048 Hz) in five dogs (anesthetized, tracheostomized, vagotomized, and mechanically ventilated) during 80 s of apnea after a bolus intravenous injection of saline or histamine (5.0 mg). In the control case, three antiresonances in Zin were found in four of the dogs, whereas in the remaining dog only two were found. The magnitude and frequency of these antiresonances were significantly altered after bronchoconstriction. To interpret Zin, a model incorporating detailed airway geometry, asymmetrical branching, and nonrigid airway walls was developed. The model fit both the saline and histamine Zin data well and predicted a serial distribution of bronchoconstriction consistent with known effects of histamine; i.e., the diameters of the most peripheral airways were reduced (26% of their control values), whereas tracheal diameters were not significantly affected. The model provided estimates of tracheal diameters that were well correlated (r = 0.92) with direct measurements. Control estimates of soft tissue viscosity (1.63 +/- 0.42 cmH2O.s) and Young's modulus (406 +/- 125 cmH2O) compared closely with values in the literature. These results indicate that bronchoconstriction induced by histamine results in significant changes in Zin over this frequency range and that by using this data analysis approach definitive physiological parameters relative to airway geometry and wall mechanical properties can be obtained from measurements made at the airway opening.
我们在五只犬(麻醉、气管切开、迷走神经切断并机械通气)静脉注射生理盐水或组胺(5.0毫克)后80秒的呼吸暂停期间,测量了呼吸输入阻抗(Zin;8 - 2,048赫兹)。在对照情况下,四只犬的Zin中发现了三个反共振,而在其余一只犬中仅发现了两个。支气管收缩后,这些反共振的幅度和频率发生了显著变化。为了解释Zin,开发了一个包含详细气道几何形状、不对称分支和非刚性气道壁的模型。该模型很好地拟合了生理盐水和组胺的Zin数据,并预测了与组胺已知效应一致的支气管收缩的系列分布;即最外周气道的直径减小(降至其对照值的26%),而气管直径未受到显著影响。该模型提供的气管直径估计值与直接测量值高度相关(r = 0.92)。软组织粘度(1.63±0.42厘米水柱·秒)和杨氏模量(406±125厘米水柱)的对照估计值与文献中的值相近。这些结果表明,组胺诱导的支气管收缩在该频率范围内导致Zin发生显著变化,并且通过使用这种数据分析方法,可以从气道开口处的测量中获得与气道几何形状和壁机械性能相关的明确生理参数。