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外周化学感受器驱动在人体运动性通气过度中的作用。

Contribution of peripheral chemoreceptor drive in exercise hyperpnea in humans.

作者信息

Kobayashi T, Sakakibara Y, Masuda A, Ohdaira T, Honda Y

机构信息

Health Science Center, Tokyo University of Mercantile Marine.

出版信息

Appl Human Sci. 1996 Nov;15(6):259-66. doi: 10.2114/jpa.15.259.

Abstract

The peripheral chemoreceptors play a dominant role in the respiratory compensation of lactic acidosis during heavy exercise of humans. Our object was to determine the contribution of peripheral chemoreceptors to exercise hyperpnea during mild to moderate and heavy exercise above the anaerobic threshold. We used a hyperoxic suppression test in six normal male subjects. Inspired gas was abruptly changed without the subject's knowledge from air to pure oxygen for 5 to 6 breaths. The maximal ventilatory depression after O2 breathing was 5.5 +/- 1.7 L/min (BTPS) at mild exercise, and the depression increased with increasing exercise intensity up to 12.8 +/- 4.1 L/min (BTPS). The relative contribution of the peripheral chemoreceptors to ventilation in terms of percentage of the maximal ventilatory depression was maintained, being 20% throughout the entire work ranges studied. The contribution of the peripheral chemoreceptors to total ventilation is hardly altered by lactic acidosis caused by heavy exercise above the anaerobic threshold according to our data. These results suggested that the peripheral chemoreceptors may not be solely responsible for excessive hyperventilation, or residual activities of peripheral chemoreceptors still exist after O2 breathing especially during heavy exercise above the anaerobic threshold.

摘要

在人类剧烈运动期间,外周化学感受器在乳酸酸中毒的呼吸代偿中起主导作用。我们的目的是确定在轻度至中度运动以及高于无氧阈值的剧烈运动期间,外周化学感受器对运动性通气过度的作用。我们对六名正常男性受试者进行了高氧抑制试验。在受试者不知情的情况下,将吸入气体突然从空气换成纯氧,持续呼吸5至6次。轻度运动时,吸氧后的最大通气量下降为5.5±1.7升/分钟(体温、气压、饱和水蒸气),随着运动强度增加,通气量下降增加,直至12.8±4.1升/分钟(体温、气压、饱和水蒸气)。在外周化学感受器对通气的相对贡献方面,以最大通气量下降的百分比表示,在整个研究的工作范围内保持为20%。根据我们的数据,高于无氧阈值的剧烈运动引起的乳酸酸中毒几乎不会改变外周化学感受器对总通气量的作用。这些结果表明,外周化学感受器可能并非过度通气的唯一原因,或者在吸氧后,尤其是在高于无氧阈值的剧烈运动期间,外周化学感受器仍存在残余活动。

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