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镇静新生仔猪急性缺氧时通气和氧消耗的变化

Changes in ventilation and oxygen consumption during acute hypoxia in sedated newborn piglets.

作者信息

Suguihara C, Bancalari E, Hehre D, Duara S, Gerhardt T

机构信息

Department of Pediatrics, University of Miami School of Medicine, Florida 33101.

出版信息

Pediatr Res. 1994 May;35(5):536-40.

PMID:8065834
Abstract

The purpose of this study was to evaluate the relationship between changes in minute ventilation (VE) and oxygen consumption (VO2) in response to acute hypoxia in the newborn piglet. Twenty-five (mean +/- SD; age, 4.7 +/- 1.1 d; weight, 1451 +/- 320 g) sedated, spontaneously breathing newborn piglets were studied. VE was measured by pneumotachography, and VO2 was measured by the open-circuit technique. Measurements were performed while the animals breathed room air and repeated after 10 min of hypoxia, which was induced by breathing 10% oxygen. Although the mean VE values during hypoxia displayed a typical biphasic ventilatory response, the individual pattern of this ventilatory response to hypoxia was variable. Thirteen animals sustained VE above baseline after 10 min of hypoxia, whereas the 12 remaining animals decreased VE after 10 min of hypoxia to values below their room air baseline. The VO2 values did not differ between groups during normoxia, and a similar decrease in VO2 occurred in both groups after 10 min of hypoxia. Furthermore, no correlation was observed between changes in VE and VO2 during hypoxia either in absolute values or in the percent change from room air baseline. Arterial PO2 decreased similarly in both groups, but PACO2 decreased significantly only in the group that sustained VE above baseline after 10 min of hypoxia. These data demonstrate that in this animal model the hypoxic ventilatory depression is not determined by the decrease in VO2 that occurs during hypoxia.

摘要

本研究的目的是评估新生仔猪对急性低氧反应时分钟通气量(VE)变化与氧耗量(VO₂)之间的关系。对25只(平均±标准差;年龄,4.7±1.1天;体重,1451±320克)处于镇静状态、自主呼吸的新生仔猪进行了研究。通过呼吸流速仪测量VE,通过开路技术测量VO₂。在动物呼吸室内空气时进行测量,并在呼吸10%氧气诱导低氧10分钟后重复测量。尽管低氧期间的平均VE值显示出典型的双相通气反应,但这种对低氧的通气反应的个体模式是可变的。13只动物在低氧10分钟后VE维持在基线以上,而其余12只动物在低氧10分钟后VE降至低于其室内空气基线的值。在常氧期间两组的VO₂值无差异,且两组在低氧10分钟后VO₂均出现类似下降。此外,在低氧期间,无论是绝对值还是相对于室内空气基线的百分比变化,VE和VO₂的变化之间均未观察到相关性。两组的动脉血氧分压(PO₂)均出现类似下降,但仅在低氧10分钟后VE维持在基线以上的组中,动脉血二氧化碳分压(PACO₂)显著下降。这些数据表明,在该动物模型中,低氧通气抑制并非由低氧期间VO₂的下降所决定。

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