Pulmonary O2 uptake (V(O₂p)) and leg blood flow (LBF) kinetics were examined at the onset of moderate-intensity exercise, during hyperventilation with and without associated hypocapnic alkalosis. Seven male subjects (25 ± 6 years old; mean ± SD) performed alternate-leg knee-extension exercise from baseline to moderate-intensity exercise (80% of estimated lactate threshold) and completed four to six repetitions for each of the following three conditions: (i) control [CON; end-tidal partial pressure of CO2 (P(ET, CO₂)) ~40 mmHg], i.e. normal breathing with normal inspired CO2 (0.03%); (ii) hypocapnia (HYPO; P(ET, CO₂) ~20 mmHg), i.e. sustained hyperventilation with normal inspired CO2 (0.03%); and (iii) normocapnia (NORMO; P(ET, CO₂) ~40 mmHg), i.e. sustained hyperventilation with elevated inspired CO2 (~5%). The V(O₂p) was measured breath by breath using mass spectrometry and a volume turbine. Femoral artery mean blood velocity was measured by Doppler ultrasound, and LBF was calculated from femoral artery diameter and mean blood velocity. Phase 2 V(O₂p) kinetics (τV(O₂p)) was different (P < 0.05) amongst all three conditions (CON, 19 ± 7 s; HYPO, 43 ± 17 s; and NORMO, 30 ± 8 s), while LBF kinetics (τLBF) was slower (P < 0.05) in HYPO (31 ± 9 s) compared with both CON (19 ± 3 s) and NORMO (20 ± 6 s). Similar to previous findings, HYPO was associated with slower V(O₂p) and LBF kinetics compared with CON. In the present study, preventing the fall in end-tidal P(CO₂) (NORMO) restored LBF kinetics, but not V(O₂p) kinetics, which remained 'slowed' relative to CON. These data suggest that the hyperventilation manoeuvre itself (i.e. independent of induced hypocapnic alkalosis) may contribute to the slower V(O₂p) kinetics observed during HYPO.

译文

:在中等强度运动开始时,无论是否伴有低碳酸血症性碱中毒,均应在中等强度运动开始时检查肺中的氧气摄入量(V(O 2 p))和腿血流量(LBF)动力学。 7名男性受试者(25±6岁;平均数±SD)从基线运动到中等强度的运动(估计的乳酸阈值的80%)进行了交替的双腿伸直运动,并针对以下三种情况中的每一种完成了4至6次重复:(i)控制[CON; CO2的潮气末分压(P(ET,CO 2))〜40 mmHg],即正常呼吸和正常吸入CO2(0.03%); (ii)低碳酸血症(HYPO; P(ET,CO 2)〜20 mmHg),即持续通气过度,正常吸入二氧化碳(0.03%); (iii)正常碳酸血症(NORMO; P(ET,CO 2)〜40 mmHg),即持续通气过度,吸入的CO2升高(〜5%)。使用质谱仪和容积涡轮机通过呼吸来测量V(O 2 p)。通过多普勒超声测量股动脉平均血流速度,并根据股动脉直径和平均血流速度计算LBF。在所有三个条件下(CON,19±7 s; HYPO,43±17 s; NORMO,30±8 s),第二阶段的V(O 2 p)动力学(τV(O 2 p))不同(P <0.05)。与CON(19±3 s)和NORMO(20±6 s)相比,HYPO(31±9 s)的动力学动力学(τLBF)较慢(P <0.05)。与以前的发现相似,与CON相比,HYPO与更慢的V(O 2p)和LBF动力学有关。在本研究中,防止潮气末P(CO 2)(NORMO)下降,恢复了LBF动力学,但不恢复V(O 2 p)动力学,相对于CON,V(O 2 p)动力学仍然“减慢”。这些数据表明过度换气动作本身(即独立于诱发的低碳酸血症性碱中毒)可能有助于在HYPO期间观察到较慢的V(O 2 p)动力学。

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