@Article {Annane157,作者= {Annane,D和Quera-Salva,Ma和Lofaso,F和Vercken,JB和Lesieur,O以及Frofageot,C和Clair,B和Gajdos,p and Gajdos,p and Paphael,jc},jc},title = {夜间通气对神经肌肉疾病白天血液气体的基础机制,体积= {13},number = {1},pages = {157---162},年= {1999},publisher = {欧洲呼吸社会},欧洲呼吸社会},188bet官网地址摘要= {在神经肌肉和胸壁疾病中,中央呼吸驱动的改善解释了夜间通风对昼夜气体交换的影响。在6个月,间歇性正压通气(IPPV)的6个月,1、2和3年对动脉血液张力,肺功能,肺功能,肌肉力量,睡眠参数,睡眠期间的呼吸参数和对CO2的通风反应的影响。神经肌肉或胸壁疾病。与基线相比,IPPV白天动脉氧张力(PA,O2)增加(峰值效应时+2.3 kPa)和动脉二氧化碳张力(PA,CO2)和碳酸氢盐总和降低(-1.8 kPa和-5 mmol x L(-5 mmol x L(-1)分别显着);生命能力,总肺能力,最大吸气和呼气压力以及肺泡 - 氧气梯度没有变化;apnoea-hypo-opnoea指数和动脉氧饱和度(SA,O2)值\ <90 \%降低(分别为-24和-101分钟),睡眠效率和平均SA,O2增加(+166)\%和+5 \%);对CO2的通气反应增加(+4.56 l x min(-1)x kPa(-1))。IPPV后观察到的二氧化碳的降低仅与通气响应对CO2曲线的斜率增加相关(r = -0.68,p = 0.008)。 In neuromuscular or chest wall diseases, improvement of daytime hypoventilation with nocturnal intermittent positive pressure ventilation may represent an adaptation of the central chemoreceptors to the reduction of profound hypercapnia during sleep or reflect change in the quality of sleep.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/13/1/157}, eprint = {//www.qdcxjkg.com/content/13/1/157.full.pdf}, journal = {European Respiratory Journal} }