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在进行短时间剧烈运动后,人体静息状态下的通气化学反射。

Ventilatory chemoreflexes at rest following a brief period of heavy exercise in man.

作者信息

Clement I D, Pandit J J, Bascom D A, Robbins P A

机构信息

University Laboratory of Physiology, Oxford, UK.

出版信息

J Physiol. 1996 Sep 15;495 ( Pt 3)(Pt 3):875-84. doi: 10.1113/jphysiol.1996.sp021639.

Abstract
  1. Ventilatory chemoreflex responses have been studied at rest during the recovery from a brief period of heavy exercise. 2. Six young, healthy male subjects each undertook four experimental studies. In each study measurements were made at rest during recovery from an exhaustive 1-2 min sprint on a bicycle ergometer with a workload of 400 W. Three levels of end-tidal O2 pressure (Po2) were employed. Continuous ventilatory measurements were made during euoxia (end-tidal Po2, 100 Torr), hypoxia (end-tidal Po2, 50 Torr) and hyperoxia (end-tidal Po2, 300 Torr). Arterialized venous blood samples were drawn during each of the measurement periods for the estimation of arterial pH. In two of the studies, end-tidal CO2 pressure (Pco2) was maintained throughout at 1-2 Torr above the eucapnic level that existed prior to exercise (isocapnic post-exercise protocol, IPE). In the other two studies, end-tidal Pco2 was allowed to vary (poikilocapnic post-exercise protocol, PPE). Data from a previously published study on the same subjects involving an infusion of hydrochloric acid were used to provide control data with a varying level of metabolic acidosis, but with no prior exercise. 3. Ventilation-pH slopes in the IPE protocol were no different from control. Ventilation-pH slopes in the PPE protocol were significantly lower than in the IPE and control protocols (P < 0.05, ANOVA). This difference may be due to the progressive change in end-tidal Pco2 in the PPE protocol compared with the constant end-tidal Pco2 in the IPE and control protocols. 4. An arterial pH value of 7.35 was attained 30.4 +/- 2.7 min (mean +/- S.E.M.) after the end of exercise in the IPE protocol and 17.1 +/- 1.4 min after the end of exercise in the PPE protocol. 5. Hypoxic sensitivities at an arterial pH of 7.35 were not significantly different between the IPE, PPE and control protocols (ANOVA). 6. Euoxic ventilation at an arterial pH 7.35 was significantly greater than control for the IPE protocol (P < 0.001, Student's paired t test) and no different from control for the PPE protocol. 7. The results suggest that 30 min after heavy exercise, ventilation remains stimulated by processes other than the post-exercise metabolic acidosis, and that changes in peripheral chemoreflex sensitivity to hypoxia and acid are not implicated in this.
摘要
  1. 在短时间剧烈运动恢复期间的静息状态下,对通气化学反射反应进行了研究。2. 六名年轻、健康的男性受试者每人进行了四项实验研究。在每项研究中,在从自行车测力计上进行1 - 2分钟力竭性冲刺(工作负荷400瓦)恢复的静息状态下进行测量。采用了三种终末潮气氧分压(Po2)水平。在常氧(终末潮气Po2,100托)、低氧(终末潮气Po2,50托)和高氧(终末潮气Po2,300托)状态下进行连续通气测量。在每个测量期间采集动脉化静脉血样以估计动脉pH值。在两项研究中,整个过程中将终末潮气二氧化碳分压(Pco2)维持在比运动前存在的正常二氧化碳水平高1 - 2托(运动后等碳酸血症方案,IPE)。在另外两项研究中,允许终末潮气Pco2变化(运动后变碳酸血症方案,PPE)。来自先前发表的关于同一受试者的一项涉及输注盐酸的研究数据被用于提供具有不同程度代谢性酸中毒但无先前运动的对照数据。3. IPE方案中的通气 - pH斜率与对照无差异。PPE方案中的通气 - pH斜率显著低于IPE和对照方案(P < 0.05,方差分析)。这种差异可能是由于与IPE和对照方案中恒定的终末潮气Pco2相比,PPE方案中终末潮气Pco2的逐渐变化。4. 在IPE方案中运动结束后30.4 +/- 2.7分钟(均值 +/- 标准误)达到动脉pH值7.35,在PPE方案中运动结束后17.1 +/- 1.4分钟达到该值。5. 在动脉pH值为7.35时,IPE、PPE和对照方案之间的低氧敏感性无显著差异(方差分析)。6. 在动脉pH值为7.35时,IPE方案的常氧通气显著大于对照(P < 0.001,学生配对t检验),而PPE方案与对照无差异。7. 结果表明,剧烈运动30分钟后,通气仍受到运动后代谢性酸中毒以外的其他过程的刺激,并且外周化学反射对低氧和酸的敏感性变化与此无关。

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