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急性高碳酸血症期间的寒战产热

Shivering thermogenesis during acute hypercapnia.

作者信息

Lun V, Sun J C, Giesbrecht G G, Mekjavić I B

机构信息

School of Kinesiology, Simon Fraser University, Burnaby, BC, Canada.

出版信息

Can J Physiol Pharmacol. 1994 Mar;72(3):238-42. doi: 10.1139/y94-037.

Abstract

The effects of acute hypercapnia on human thermoregulation during cold exposure were investigated by immersion of eight male subjects to the neck in a 15 degrees C water bath until their core temperatures dropped to 35 degrees C or until 1 h of immersion had elapsed. Air was inspired throughout each experiment, with the exception of a 15-min period commencing with the attainment of an esophageal temperature (Tes) of 36.5 degrees C, during which subjects inspired a gas mixture containing 4% CO2, 20% O2, and 76% N2. Oxygen uptake (VO2, L.min-1), inspired minute ventilation (Vi, L.min-1), esophageal temperature (Tes, degrees C), rectal temperature (Tre, degrees C), mean unweighted skin temperature (Tsk, degrees C), mean heat flux (Q, W.m-2), and electromyographic activity (EMG, mV) of the trapezius and masseter muscles were recorded continuously. VO2 and integrated EMG activity (IEMG) were used as the primary indicators of shivering thermogenesis. Shivering EMG was attenuated immediately following the switch of the inhaled gas mixture from air to 4% CO2. For both the masseter and trapezius muscles the IEMG was significantly suppressed (p < 0.05) during the hypercapnic period. The IEMG values preceding the switch to the hypercapnic mixture were 15% greater than those during the CO2 period. Similarly, IEMG values in the post-CO2 period were 55% greater than during the CO2 period. It is concluded that acute periods of hypercapnia during cold exposure may result in transient suppression of shivering tremor, but this does not appear to affect thermal balance, as reflected in the absence of any significant effect on Tes.

摘要

通过将八名男性受试者颈部以下浸入15摄氏度的水浴中,直至其核心体温降至35摄氏度或浸泡1小时,研究了急性高碳酸血症对冷暴露期间人体体温调节的影响。在每个实验过程中,除了从食管温度(Tes)达到36.5摄氏度开始的15分钟时间段外,受试者全程吸入空气,在该15分钟时间段内,受试者吸入含有4%二氧化碳、20%氧气和76%氮气的混合气体。连续记录氧气摄取量(VO2,升/分钟)、每分钟吸入通气量(Vi,升/分钟)、食管温度(Tes,摄氏度)、直肠温度(Tre,摄氏度)、平均非加权皮肤温度(Tsk,摄氏度)、平均热通量(Q,瓦/平方米)以及斜方肌和咬肌的肌电图活动(EMG,毫伏)。VO2和综合肌电图活动(IEMG)被用作寒颤产热的主要指标。在吸入气体混合物从空气切换为4%二氧化碳后,寒颤肌电图立即减弱。对于咬肌和斜方肌,在高碳酸血症期间IEMG均受到显著抑制(p<0.05)。切换至高碳酸血症混合气体之前的IEMG值比二氧化碳期间的IEMG值高15%。同样,二氧化碳后期间的IEMG值比二氧化碳期间高55%。得出的结论是,冷暴露期间的急性高碳酸血症可能会导致寒颤震颤的短暂抑制,但这似乎并不影响热平衡,这一点从对Tes没有任何显著影响可以看出。

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