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长期高氧不会降低男性的低氧通气敏感性(预测性研究V和VI)。

Hypoxic ventilatory sensitivity in men is not reduced by prolonged hyperoxia (Predictive Studies V and VI).

作者信息

Gelfand R, Lambertsen C J, Clark J M, Hopkin E

机构信息

Institute for Environmental Medicine, University of Pennsylvania Medical Center, Philadelphia 19104-6068, USA.

出版信息

J Appl Physiol (1985). 1998 Jan;84(1):292-302. doi: 10.1152/jappl.1998.84.1.292.

Abstract

Potential adverse effects on the O2-sensing function of the carotid body when its cells are exposed to toxic O2 pressures were assessed during investigations of human organ tolerance to prolonged continuous and intermittent hyperoxia (Predictive Studies V and VI). Isocapnic hypoxic ventilatory responses (HVR) were determined at 1.0 ATA before and after severe hyperoxic exposures: 1) continuous O2 breathing at 1.5, 2.0, and 2.5 ATA for 17.7, 9.0, and 5.7 h and 2) intermittent O2 breathing at 2.0 ATA (30 min O2-30 min normoxia) for 14.3 O2 h within 30-h total time. Postexposure curvature of HVR hyperbolas was not reduced compared with preexposure controls. The hyperbolas were temporarily elevated to higher ventilations than controls due to increments in respiratory frequency that were proportional to O2 exposure time, not O2 pressure. In humans, prolonged hyperoxia does not attenuate the hypoxia-sensing function of the peripheral chemoreceptors, even after exposures that approach limits of human pulmonary and central nervous system O2 tolerance. Current applications of hyperoxia in hyperbaric O2 therapy and in subsea- and aerospace-related operations are guided by and are well within these exposure limits.

摘要

在对人体器官耐受长时间持续和间歇性高氧的研究(预测性研究V和VI)中,评估了颈动脉体细胞暴露于毒性氧分压时对其氧传感功能的潜在不利影响。在严重高氧暴露前后,于1.0ATA下测定等碳酸血症性低氧通气反应(HVR):1)在1.5、2.0和2.5ATA下持续吸氧17.7、9.0和5.7小时,以及2)在2.0ATA下间歇性吸氧(30分钟吸氧 - 30分钟常氧),在30小时总时间内吸氧14.3小时。与暴露前对照相比,暴露后HVR双曲线的曲率未降低。由于呼吸频率的增加与氧暴露时间成正比而非氧分压成正比,双曲线暂时升高至比对照更高的通气水平。在人类中,即使在接近人体肺部和中枢神经系统氧耐受极限的暴露之后,长时间高氧也不会减弱外周化学感受器的低氧传感功能。目前高氧在高压氧治疗以及与海底和航空航天相关操作中的应用均遵循并完全在这些暴露极限范围内。

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