5km高度呼吸和循环反应及它们的关系

探讨呼吸和循环指标在急性缺氧条件下的变化以及它们之间的关系,对于个体急性缺氧耐力的评价和研究提高急性缺氧耐力的方法都有实际意义。 对26名18～33岁的男性健康人,进行了52人次(每人2次)低压舱5km模拟高度(上升速度为10m/s)停留20min的实验。受试者在实验中取安静坐位,戴呼吸面罩吸舱内空气。用呼吸流速仪和呼吸质谱仪监测了被试者的肺通气量(_E)、潮气量、呼吸频率、潮气末O_2分压(P_(ETO_2)和潮气末CO_2分压(P_(ETO_2);用WATERS     

急性缺氧性缺氧时心脏功能的改变

F_(IO_2)(吸入气氧浓度)为12.35、9.87及7.7l％,分别吸入10、8及5min时,心功能呈代偿性增强改变。F_(IO_2)为9.37％、吸入20min时心功能的变化趋势与9.87％8min时仍基本相同。继发性缺二氧化碳对缺氧引起的心功能代偿性增强,在一定程度上起抵消作用。F_(IO_2)为9.87％时的缺氧程度约相当于18km高空加压供氧总压值为15.3kPa(115mmHg)时的缺氧。单纯从缺氧因素考虑,将总压值由常用的17.3kPa(130mmHg)降低为15.3kPa是可允许的。     

人体急性缺氧性意识障碍

实验分为低压组(低压舱7,000米)与常压组(吸入7.6％低氧混合气),每组受试者各为12名,有7名参加了两组实验。每组各有4名平均经15分23秒发生了意识模糊或丧失(通称意识障碍)。障碍者的肺泡氧分压为29.9±0.8mmHg。障碍发生前,呈现严重无力,觉醒度降低,反应迟钝,脑波特征是高幅6波(100-300μV)占优势。障碍发生时,高幅δ波丧失节律,幅度衰减,波型不规则,额枕失同步;呼吸循环代偿功能增强程度明显高于障碍前。本工作对于预测和评价人体急性缺氧引起的意识障碍有意义。     

安静状态人对急性缺氧的呼吸反应

为研究急性缺氧时的呼吸反应类型,以17名健康男性青年为受试者,在低压舱模拟3000～7000m高度上进行了45人次缺氧暴露实验。在3000～5000m高度,肺通气量(V_E)增加主要取决于潮气量(V_T),呼吸频率(f)无明显变化。在5000m,4例出现周期性呼吸,1例发生通气抑制反应。在7000m,所见呼吸反应有三种类型:(1)f持续增加,V_T减小,此型受试者均有脑功能失调症状(5例),(2)V_T和f均增加(4例);(8)V_T增加,f相对稳定(2例),该型缺氧耐力较好。     

高空急性缺氧的呼吸反应和P_ΛO_2数学模型

本文的目的是研究短时间高空急性缺氧呼吸反应的规律性。10名健康男性受试者,年龄18～21岁,在低压舱模拟3000～7000米高度上进行两种状态缺氧暴露:安静坐位和25瓦自行车功量计活动(VO_2=700～750ml/min;代谢率为3.3～3.6kcal/min)。在低压舱“上升”条件下P_AO_2和P_B(大气压力)呈正相关,安静状态P_AO_2=0.159×PB-17.315(r=0.999,P<0.01);25瓦活动状态P_AO_2=0.160×P_B-21.961(r=0.998,P<0.01),两者有显著的差异。随着高度上升,V_E、V_T和HR(心率)的增加均和P_AO_2呈指数型相关。可以用传递函数G(S)=K·e-τ·s/(TS 1)来描述安静和轻度活动状态下阶跃性缺氧时P_AO_2和P_B间关系。模型参数K和T存在着个体差异,同时观察到在活动状态下K值减小和T值缩短,本文对K、T值的生理意义进行了讨论。     

慢性缺氧的猪肺动脉内皮细胞在急性缺氧时PDGF-B链mRNA的表达

采用原位杂交技术结合图象分析检测常氧(PO2±21.3kPa)及慢性缺氧(P025.3±0.7kPa)培养的猪肺动脉内皮细胞PDGF-BmRNA的表达及其对急性缺氧刺激的反应.结果常氧及慢性缺氧培养的肺动脉内皮细胞(PAEC)在急性缺氧后PDGF-BmRNA表达均增加(P＜0.05),以第4、6代慢性缺氧组升高的幅度更大.结果表明慢性缺氧可增强PAEC在急性缺氧时PDGF-BmRNA的表达,可能促进肺血管改建和肺动脉高压的发展.     

3.6MPa氦氧饱和潜水对潜水员心功能的影响

为了使我国大深度饱和潜水向纵深发展,适应未来海洋开发的需要,我所建成了500m饱和潜水设备系统,结合验收该设备的性能,进行了3.6MPa(350m)氦氧饱和潜水模拟实验的医学保障研究,心血管功能监测是实验研究的一部分。 1 材料和方法 500m(5.1MPa)饱和潜水设备系统由居住舱(17m~3)、过渡舱(8m~3)和巡潜水舱(19m~3)三部分组成。本次实验的模拟压力为3.6MPa。呼吸氦氧混合气,其中Po_2为40±2kPa,P_(N2)为90kPa,P_(co2)—     

17β-雌二醇抑制雄性大鼠颈动脉窦压力感受器反射

采用隔离灌流麻醉雄性大鼠颈动脉窦技术 ,观察了 17β 雌二醇 (E2 )对颈动脉窦压力感受器反射的影响。结果如下 :(1)以E2 (10 μmol/L)隔离灌流颈动脉窦区时 ,压力感受器机能曲线向右上方移位 ,曲线最大斜率(peakslope,PS)由 0 49± 0 0 3降至 0 2 5± 0 0 1(P <0 0 1) ,反射性血压下降幅度 (reflexdecrease,RD)由 7 37± 0 42kPa降至 3 49± 0 2 0kPa (P <0 0 0 1) ,阈压 (thresholdpressure ,TP)和饱和压 (saturationpressure ,SP)分别由 9 5 2±0 6 8kPa和 2 4 5 3± 0 48kPa增至 13 3± 0 11kPa (P <0 0 0 1)和 2 7 5 2± 0 2 0kPa (P <0 0 1) ,其中PS、RD、TP和SP呈明显的剂量依赖性 ;(2 )用雌激素受体阻断剂tamoxifen (1、5、10、30 μmol/L)预处理后 ,不能阻断E2 对压力感受器反射的抑制作用 ;(3)预先灌流NO合酶阻断剂 (L NAME ,10 0 μmol/L) ,可完全消除E2 (10 μmol/L)对压力感受器反射的抑制效应。以上结果表明 ,17β 雌二醇可通过非基因组机制抑制大鼠颈动脉窦压力感受器反射 ,其效应系E2 引起血管内皮细胞释放NO所致。     

急性轻中度缺氧EEG信号的复杂度研究

建立了一个急性高空缺氧实验模型,记录了四种不同高度条件下从缺氧前(正常呼吸)到缺氧后30分钟时的EEG,分析了其复杂度。发现缺氧引起复杂度明显变化,随时间和高度增加,一定程度缺氧可使EEG复杂度低于正常。表明EEG复杂度对脑缺氧较为敏感,可用于缺氧程度进行评估,有望成为临床诊断的一个指标。     

轻,中度体力负荷条件下外加吸气阻力的感觉阈限

以10名健康男青年为被试者,分别于静坐及轻、中度(200、600Kg.m.min~(-1))体力活动条件下观察了外加吸气阻力负荷所引起的面罩腔压力(P)及外呼吸功(w)变化;并采用辨别阈梯级(JND)与多级估量量表(MES)相结合的方法测出了不同体力负荷条件下的呼吸阻力感觉阈限。结果表明:(1)面罩腔压力与外呼吸功分别与呼吸感觉量值呈高度相关关系(P<0.01)但又以压力指标相关程度更为密切,故选用面罩腔压力波动幅度()作为反映呼吸感觉程度的客观生理指标较外吸气功率更为适宜。(2)体力负荷与外加吸气阻力对面罩腔压力、外呼吸功及感觉量值均具有协同的增强效应。(3)随体力负荷的增强,呼吸阻力感觉的阈限值也相应升高。在轻度体力负荷下能引起轻、中度呼吸阻力感觉的面罩腔压力波动幅度阈限值分别为(60、100mmH_2O);在中度体力负荷下,则分别为80、130mmH_2O。述结果对制订航空供氧装备附加呼吸阻力生理学标准具有实际意义。     

模拟高原低氧对新生大鼠肾上腺皮质功能发育的影晌

本文探讨新生大鼠肾上腺皮质对高原低氧的应答及模拟高原低氧对其功能发育的影响。结果表明,当不同日龄大鼠暴露于５ｋｍ及７ｋｍ海拔２４ｈ,７ｄ、１４ｄ龄大鼠肾上腺皮质无明显应答反应。２１ｄ及２８ｄ龄大鼠肾上腺皮质酮水平随海拔增高而增加,血浆皮质酮表现为抑制作用。当１ｄ龄新生大鼠在５ｋｍ海拔高度发育３ｄ和７ｄ,其肾上腺皮质功能无异于正常发育大鼠;但发育１４ｄ、２１ｄ及２８ｄ,其血液及肾上腺中皮质酮含量均明显低于对照组,肾上腺皮质功能发育严重受抑     

Variability of photosynthesis-irradiance curves and ecosystem respiration in a small river

• 1 We investigated photosynthesis‐irradiance relationships (P‐I curves; P = oxygen production rate due to photosynthesis, I = light irradiance rate at the water surface) and ecosystem respiration in a 9 km long reach of a river that is characterised by light conditions favouring primary production, high ambient nutrient concentrations, a high re‐aeration rate, and frequent spates. We addressed the question of how disturbances (spates) and season influence photosynthesis and ecosystem respiration.
• 2 We used an oxygen mass‐balance model of the river to identify ecosystem respiration rates and the two parameters of a hyperbolic P‐I function (P_max = maximum oxygen production rate due to photosynthesis, α = the initial slope of the P‐I function). The model was fitted to dissolved oxygen concentrations quasi‐continuously recorded at the end of the reach. We estimated parameters for 137 three‐day periods (during the years 1992–97) and subsequently explored the potential influence of season and disturbances (spates) on P_max, α and ecosystem respiration using stepwise regression analysis.
• 3 Photosynthesis‐irradiance relationships and ecosystem respiration were subject to distinct seasonal variation. Only a minor portion of the variability of P‐I curves could be attributed to disturbance (spates), while ecosystem respiration did not correlate with disturbance related parameters. Regular seasonal variation in photosynthesis and ecosystem respiration apparently prevailed due to the absence of severe disturbances (a lack of significant bedload transport during high flow).

     

Effect of sojourn at 4,300 m altitude on electroencephalogram and visual evoked response.

The purpose of the present study was to determine the effect of sojourn at high altitude on cerebral electrical activity. Electroencephalographic (EEG) and visual evoked responses (VER) were recorded from seven healthy males under the following conditions: 1) during the first 2-3 h at 4,300 m altitude when Pao2 was maintained at 90 mmHg (control condition), 2) during the first 2-3 h of hypoxia (Pao2 = 40 mmHg), and 3) at 24- to 48-h intervals during the first 9-12 days of hypoxia. Electrode placement was according to the 10-20 International Electrode System. The VER was recorded from an electrode at the inion referred to the left ear. We found no significant changes from control cerebral electrical activity during the first 2-3 h of hypoxia. One subject's VER amplitude was greater than control on the 2nd and 3rd days of hypoxia and a similar change from control was consistently evident in a second subject beginning the 5th day of hypoxia. These changes suggest cortical depression. After the 5th day changes occurred in the remaining subjects which would be consistent with cortical excitation. In three subjects, EEG frequency was increased, amplitude decreased, and/or spiking became evident. In four subjects VER amplitude was reduced. Our findings provide support for the hypothesis that certain behavioral and physiological changes induced by sojourn at altitude could be caused by alterations in central nervous system function.     

Pulmonary gas exchange in humans exercising at sea level and simulated altitude

In a previous study of normal subjects exercising at sea level and simulated altitude, ventilation-perfusion (VA/Q) inequality and alveolar-end-capillary O2 diffusion limitation (DIFF) were found to increase on exercise at altitude, but at sea level the changes did not reach statistical significance. This paper reports additional measurements of VA/Q inequality and DIFF (at sea level and altitude) and also of pulmonary arterial pressure. This was to examine the hypothesis that VA/Q inequality is related to increased pulmonary arterial pressure. In a hypobaric chamber, eight normal subjects were exposed to barometric pressures of 752, 523, and 429 Torr (sea level, 10,000 ft, and 15,000 ft) in random order. At each altitude, inert and respiratory gas exchange and hemodynamic variables were studied at rest and during several levels of steady-state bicycle exercise. Multiple inert gas data from the previous and current studies were combined (after demonstrating no statistical difference between them) and showed increasing VA/Q inequality with sea level exercise (P = 0.02). Breathing 100% O2 did not reverse this increase. When O2 consumption exceeded about 2.7 1/min, evidence for DIFF at sea level was present (P = 0.01). VA/Q inequality and DIFF increased with exercise at altitude as found previously and was reversed by 100% O2 breathing. Indexes of VA/Q dispersion correlated well with mean pulmonary arterial pressure and also with minute ventilation. This study confirms the development of both VA/Q mismatch and DIFF in normal subjects during heavy exercise at sea level. However, the mechanism of increased VA/Q mismatch on exercise remains unclear due to the correlation with both ventilatory and circulatory variables and will require further study.     

Incomplete compensation of CSF [H+] in man during acclimatization to high altitude (48300 M).

This study has assessed the regulation of arterial blood and cerebrospinal fluid acid-base status in seven healthy men, at 250 m altitude and after 5 and 10-11 days sojourn at 4,300 m altitude (PaO2 = 39 mmHg day 1 to 48 mmHg day 11). We assumed that observed changes in lumbar spinal fluid acid-base status paralleled those in cisternal CSF, under these relatively steady-state conditions. Ventilatory acclimatization during the sojourn (-14 mmHg PaCO2 at day 11) was accompanied by: 1) reductions in [HCO3-] (-5 to -7 meq/1) which were similar in arterial blood and CSF; 2) substantial, yet incomplete, compensation (70-75%) of both CSF and blood pH; and 3) a level of CSF pH which was maintained significantly alkaline (+0.05 +/- 0.01) to normoxic control values. These data at 4,300 m confirmed and extended our previous findings for more moderate conditions of chronic hypoxia. It was postulated that the magnitude and time course of pH compensation in the CSF during chronic hypoxia and/or hypocapnia are determined by corresponding changes in plasma [HCO2-].     

Daytime blood pressure elevation after nocturnal hypoxia.

The purpose of this study was to investigate whether nocturnal hypoxia causes daytime blood pressure (BP) elevation. We hypothesized that overnight exposure to hypoxia leads the next morning to elevation in BP that outlasts the hypoxia stimulus. We studied the effect on BP of two consecutive night exposures to hypobaric hypoxia in 10 healthy normotensive subjects. During the hypoxia nights, subjects slept for 8 h in a hypobaric chamber at a simulated altitude of 4,000 m (barometric pressure = 462 mmHg). Arterial O(2) saturation and electrocardiogram were monitored throughout the night. For 30 min before the nocturnal simulated ascent and for 4 h after return to baseline altitude the next morning, BP was measured every 5 min while the subject was awake. The same measurements were made before and after 2 normoxic nights of sleep in the hypobaric chamber at ambient barometric pressure (745 mmHg). Principal components analysis was applied to evaluate patterns of BP response after the second night of hypoxia and normoxia. A distinct pattern of diastolic BP (DBP) elevation was observed after the hypoxia night in 9 of the 10 subjects but in none after the normoxia night. This pattern showed a mean increase of 4 mmHg in DBP compared with the presleep-awake baseline in the first 60 min and a return to baseline by 90 min. We conclude that nocturnal hypoxia leads to a carryover elevation of daytime DBP.     

Approach for a Vegetation Index Resistant to Atmospheric Effect

Estimation of vegetation information at the regional scales using remote sensing data has been a subject of considerable research and development in view of the importance of land-atmosphere interactions in global climate change. The normalized difference vegetation index (NDVI) approach has been a popular method. Many experiments on the' ground had indicated that NDVI was closely correlated to the leaf area index (LAI) and photosynthetically active radiation (PAR). In order to determine LAI and PAR accurately in a region by means of NDVI from available satellite inages, atmospheric effects must be largely elucidated. Although substantial progress has been made to improve the NDVI method, removal of the atmospheric effects has not been completely satisfactory. The atmospheric effect on NDVI has been contemplated in the experiments conducted at Yucheng Experimental Comprehensive Station, China. Kaufman and his colleagues also had verified the atmospheric effect on NDVI even the effect still existed after using 5s algorithm to remove rayleigh scattering and ozone absorption. For this reason they presented an atmosphere resistant vegetation index (ARVI) which was based on correlation between blue and red wave bands of the atmo. The authors also proposed the values for calculating IAVI in absence of the gound-based spectrum-radiometer measurements to approximately correct the atmosphere effect. For summer condition: γ↑=0. 656–0.006 sinθ+0.124 Sin2θ for rural area, visibility〉22 km γ↑=0. 656–0. 018 sinθ+0. 106 Sin2θ for urban area, Visibility〉22 km γ↑ =0. 722–0. 011 sinθ+0.165 sin2θ for rural area, 7 km〈visibility〈20 km γ↑=0. 646–0.002 sinθ+0, 140 sin2θ for urban area, 7 km〈visibility〈20 km γ↑ =0. 788+0. 015 sinθ+0. 206 sin2θ for rural area, visibility<5 km γ↑ =0. 643+0. 007 sinθ+0. 174 sin2θ for urban area, visibility〈5 km For winter condition γ↑ =0. 677+0. 019 sinθ+0. 200 sin2θ for rural area, visibility>22 km γ↑ =0. 642-0. 009 sinθ+0. 196 sin2θ for urban area, visibility>22 km γ↑ =0. 785+0, 040 sinθ+0. 237 sin2θ for rural area, 7 km〈visibility〈20 km γ↑ =0. 664+0. 021 sinθ+0.223 sin2θ for urban area, 7 km〈visibility〈20 km γ↑ =0. 893+0.060 sinθ+0. 273 sin2θ for rural area, visibility〈5 km γ↑ =0. 686+0. 051 sinθ+0. 249 sin2θ for urban area, visibility〈5 km The correction factor γ↑ was a crucial parameter for upward path radiance. It varied with atmosphere aerosol co ndition and viewing angles and was deviated from 1. Based on the above analysis: the range of γ↑ was from 0.65 to 1.21. For hazy atmosphere conditions it varied more significantly with aerosol type and viewing angles than clear condition. The percentage of error of vegetation index for the two cases studied were less than 4 % as compared with 16% and 31% using NDVI, and 19% using ARVI.     

模拟高海拔低氧对人体睡眠的影响

在模拟不同海拔高度的低氧条件暴露下,我们记录和测定了6名对象的睡眠生理各项指标。结果如下:在急性低氧暴露下所有对象均出现了睡眠障碍,主要是在夜间规定睡眠时间中觉醒期和觉醒次数增加,深睡眠期和快眼动期减少,睡眠各期的呼吸频率和心率增加。随着低氧暴露时间的延长和多次空气潜水后,各睡眠生理指标有向海平对照值水平发展的趋势。4500m以上的低氧暴露下,所有对象在睡眠中都有周期性呼吸现象出现,并影响体内的缺氧。     

复合营养素制剂对高原青年营养状况与耐低氧能力的干预作用

目的：观察复合营养素干预对机体营养状况与低氧耐力的影响。方法：选择进驻海拔3700m半年以上的健康男性青年40名,随机分成2组（n=20）：对照组和干预组。膳食调查采用称重法。对照组和干预组分别服用炒面制剂和高原维康制剂20d后,急进5100m高原。实验前、后分别测量心率（HR）和血氧饱和度（SaO2）;同时采血测定血中一些维生素和矿物质浓度。结果：膳食调查结果表明三大产能营养素供能比例不够均衡;矿物元素中Ca摄入不足,维生素中VA、VB2摄入量均未达到推荐摄入量（RNI）要求。血清测定结果表明干预前受试者矿物元素Ca、Mg和VA浓度低于正常参考值,V殴浓度也在正常范围的较低水平。高原维康制剂干预后,血清Ca、Mg、Zn浓度和VA、VB2水平显著升高或接近正常,说明营养状况得到改善。由3700m进入5100m后,干预组与对照组比较HR升高幅度明显减慢,SaO2的下降幅度显著减少。结论：复合营养素制剂能明显改善机体的营养状况以及对低氧环境的适应能力。