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Breath-by-breath estimate of alveolar gas transfer variability in man at rest and during exercise.

机译:静息呼吸和运动中男子的肺泡气体转移变异性的逐次呼吸估计。

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摘要

1. Breath-by-breath (BB) oxygen and carbon dioxide transfer (VO2 and VCO2) at the mouth, together with respiratory pattern, were determined over sequences of 100 consecutive breaths in six subjects at rest and during cycloergometric exercise (75 W). 2. BBVO2 and VCO2 at alveolar level were calculated taking the changes of pulmonary gas stores throughout each single ith breath into account. This requires knowledge of the alveolar volume at the beginning of the breath (VA.i-1), which cannot be directly measured on a BB basis at present. Therefore a constant nominal value, ranging from 0 to 5 l, was attributed to VA,i-1. 3. It was found that: (i) all nominal VA.i-1 values employed for the estimate of steady-state alveolar gas exchange yield the same average value but greatly reduce BB variability with respect to gas exchange as determined at the mouth; (ii) no unequivocal criterion was identified to select the appropriate VA.i-1 value; and (iii) the apparent kinetics of alveolar VO2 after work onset may be influenced by the VA.i-1 value selected for the calculation, and by the change in lung volume at the onset of exercise. 4. It was concluded that: (i) as long as VA.i-1 cannot be measured for each single breath, 'true' alveolar gas exchange remains elusive; hence, (ii) it is not possible to establish the extent to which the alveolar gas exchange variability depends on physiological phenomena using available methods.
机译:1.确定了六名受试者在休息时和在肺量测运动(75 W)期间连续呼吸100次的序列,确定了口中的呼吸(BB)氧气和二氧化碳转移(VO2和VCO2)以及呼吸模式。 2.计算肺泡水平的BBVO2和VCO2时,应考虑到每次第i次呼吸中肺部气体存储量的变化。这就需要了解呼吸开始时的肺泡容积(VA.i-1),目前尚无法直接以BB为基础进行测量。因此,VA,i-1的取值范围为0至5 l。 3.发现:(i)用于估计稳态肺泡气体交换的所有标称VA.i-1值均产生相同的平均值,但大大降低了在口处确定的关于气体交换的BB变异性; (ii)没有明确选择合适的VA.i-1值的标准; (iii)工作开始后肺泡VO2的表观动力学可能受计算中选择的VA.i-1值以及运动开始时肺体积的变化的影响。 4.结论是:(i)只要不能在每次呼吸中都测量出VA.i-1,“真正的”肺泡气体交换仍然难以捉摸;因此,(ii)无法使用现有方法确定肺泡气体交换变异性取决于生理现象的程度。

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