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对渐进性等碳酸血症性低氧的呼吸频率反应

Respiratory frequency response to progressive isocapnic hypoxia.

作者信息

Rebuck A S, Rigg J R, Saunders N A

出版信息

J Physiol. 1976 Jun;258(1):19-31. doi: 10.1113/jphysiol.1976.sp011404.

DOI:10.1113/jphysiol.1976.sp011404
PMID:940055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1308957/
Abstract
  1. Ventilatory, tidal volume and frequency responses to progressive isocapnic hypoxia have been measured in twenty-nine healthy subjects by a rebreathing technique. 2. A strong correlation was found between ventilatory response to hypoxia (deltaVI/DELTASaO2) and frequency response to hypoxia (deltaf/deltaSaO2) (r=0-82, P less than 0-001). There was a lesser correlation between deltaV1/deltaSaO2 and tidal volume response (deltaVT/deltaSaO2) (r=0-50, P less than 0-01). These findings suggest that the wide range of ventilatory response to hypoxia among subjects is mainly determined by differences in frequency response and contrast with previous findings in studies of the response to progressive hypercapnia. 3. The breathing pattern during progressive hypoxia and hypercapnia was compared in ten subjects. Ventilation/tidal volume plots were constructed and patterns of response were further analysed in terms of inspiratory duration (TI), expiratory duration (TE) and mean inspiratory flow rate (VI). 4. Increments in ventilation during hypoxia were achieved with a greater respiratory frequency and a smaller tidal volume than during hypercapnia in eight of the ten subjects studied. In two subjects no difference in breathing pattern during hypoxia and hypercapnia was observed. 5. Changes in respiratory frequency during progressive hypoxia were achieved in all subjects by a progressive shortening of TI and TE. By contrast, TI remained constant during hypercapnia until VT had increased to 3-5 times the eupnoeic value; during hypercapnia the increase in frequency was achieved mainly by a progressive shortening of TE. 6. It is concluded that different mechanisms may be involved in altering respiratory frequency when ventilation is driven progressively by these different chemical stimuli.
摘要
  1. 采用再呼吸技术,对29名健康受试者进行了通气、潮气量和频率对渐进性等碳酸血症性低氧的反应测定。2. 发现低氧通气反应(deltaVI/DELTASaO2)与低氧频率反应(deltaf/deltaSaO2)之间存在强相关性(r = 0 - 82,P小于0 - 001)。deltaV1/deltaSaO2与潮气量反应(deltaVT/deltaSaO2)之间的相关性较弱(r = 0 - 50,P小于0 - 01)。这些发现表明,受试者之间对低氧的广泛通气反应主要由频率反应的差异决定,这与先前对渐进性高碳酸血症反应的研究结果形成对比。3. 对10名受试者在渐进性低氧和高碳酸血症期间的呼吸模式进行了比较。构建了通气/潮气量图,并根据吸气持续时间(TI)、呼气持续时间(TE)和平均吸气流量率(VI)进一步分析了反应模式。4. 在研究的10名受试者中,有8名在低氧期间通气增加是通过比高碳酸血症期间更高的呼吸频率和更小的潮气量实现的。在两名受试者中,未观察到低氧和高碳酸血症期间呼吸模式的差异。5. 在所有受试者中,渐进性低氧期间呼吸频率的变化是通过TI和TE的逐渐缩短实现的。相比之下,在高碳酸血症期间,TI保持恒定,直到VT增加到平静呼吸值的3 - 5倍;在高碳酸血症期间,频率的增加主要是通过TE的逐渐缩短实现的。6. 得出的结论是,当通气由这些不同的化学刺激逐渐驱动时,改变呼吸频率可能涉及不同的机制。

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