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外周氧扩散不影响离体原位犬肌肉中氧摄取动力学。

Peripheral O2 diffusion does not affect V(O2)on-kinetics in isolated insitu canine muscle.

作者信息

Grassi B, Gladden L B, Stary C M, Wagner P D, Hogan M C

机构信息

Department of Medicine, University of California, San Diego, La Jolla, California 92093-0623, USA.

出版信息

J Appl Physiol (1985). 1998 Oct;85(4):1404-12. doi: 10.1152/jappl.1998.85.4.1404.

Abstract

To test the hypothesis that muscle O2 uptake (V(O2)) on-kinetics is limited, at least in part, by peripheral O2 diffusion, we determined the V(O2) on-kinetics in 1) normoxia (Control); 2) hyperoxic gas breathing (Hyperoxia); and 3) hyperoxia and the administration of a drug (RSR-13, Allos Therapeutics), which right-shifts the Hb-O2 dissociation curve (Hyperoxia+RSR-13). The study was conducted in isolated canine gastrocnemius muscles (n = 5) during transitions from rest to 3 min of electrically stimulated isometric tetanic contractions (200-ms trains, 50 Hz; 1 contraction/2 s; 60-70% peak V(O2)). In all conditions, before and during contractions, muscle was pump perfused with constantly elevated blood flow (Q), at a level measured at steady state during contractions in preliminary trials with spontaneous Q x Adenosine was infused intra-arterially to prevent inordinate pressure increases with the elevated Q x Q was measured continuously, arterial and popliteal venous O2 concentrations were determined at rest and at 5- to 7-s intervals during contractions, and V(O2) was calculated as Q x arteriovenous O2 content difference. PO2 at 50% HbO2 saturation (P50) was calculated. Mean capillary PO2 (Pc(O2)) was estimated by numerical integration. P50 was higher in Hyperoxia+RSR-13 [40 +/- 1 (SE) Torr] than in Control and in Hyperoxia (31 +/- 1 Torr). After 15 s of contractions, Pc(O2) was higher in Hyperoxia (97 +/- 9 Torr) vs. Control (53 +/- 3 Torr) and in Hyperoxia+RSR-13 (197 +/- 39 Torr) vs. Hyperoxia. The time to reach 63% of the difference between baseline and steady-state V(O2) during contractions was 24.7 +/- 2.7 s in Control, 26.3 +/- 0.8 s in Hyperoxia, and 24.7 +/- 1.1 s in Hyperoxia+RSR-13 (not significant). Enhancement of peripheral O2 diffusion (obtained by increased PcO2 at constant O2 delivery) during the rest-to-contraction (60-70% of peak V(O2)) transition did not affect muscle V(O2) on- kinetics.

摘要

为了验证肌肉摄氧量(V(O2))的动力学至少部分受外周氧扩散限制这一假设,我们测定了以下三种情况下的V(O2)动力学:1)常氧(对照);2)高氧气体呼吸(高氧);3)高氧并给予一种药物(RSR - 13,Allos Therapeutics公司),该药物可使血红蛋白 - 氧解离曲线右移(高氧 + RSR - 13)。研究在离体犬腓肠肌(n = 5)中进行,肌肉从静息状态转变为3分钟的电刺激等长强直收缩(200毫秒串刺激,50赫兹;每2秒1次收缩;60 - 70%最大摄氧量峰值)。在所有条件下,收缩前和收缩期间,肌肉通过泵灌注使血流(Q)持续升高,该血流水平是在初步试验中收缩稳态时测得的。通过动脉内输注腺苷以防止因血流升高导致过度的压力增加。连续测量血流Q,在静息状态以及收缩期间每隔5 - 7秒测定动脉和腘静脉氧浓度,并计算V(O2)为血流Q与动静脉氧含量差的乘积。计算血红蛋白氧饱和度为50%时的氧分压(P50)。通过数值积分估算平均毛细血管氧分压(Pc(O2))。高氧 + RSR - 13组的P50[40 ± 1(标准误)托]高于对照组和高氧组(31 ± 1托)。收缩15秒后,高氧组的Pc(O2)(97 ± 9托)高于对照组(53 ± 3托),高氧 + RSR - 13组的Pc(O2)(197 ± 39托)高于高氧组。在从静息到收缩(60 - 70%最大摄氧量峰值)的转变过程中,通过在恒定氧输送量时增加PcO2来增强外周氧扩散,并未影响肌肉V(O2)的动力学。

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