与心脏病患者的口腔呼吸相比,鼻腔呼吸提高了运动呼吸效率
Prisca Eser1, Pietro Calamai1, Anja Kalberer1
1Centre for Rehabilitation and Sports Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Frontiers in physiology
|August 21, 2024
概括
鼻腔呼吸显著改善了心力衰竭 (HF) 和慢性冠状动脉综合征 (CCS) 患者的运动呼吸效率和异常呼吸模式. 这一发现提供了一种简单的非药物治疗方法,可以提高心血管疾病的运动能力.
科学领域:
- 心脏病学 心脏病学
- 呼吸系统生理学 呼吸系统生理学
- 运动科学 运动科学
背景情况:
- 运动期间通风效率低下是心血管疾病疾病疾病进展和死亡率的预测因素.
- 以前对健康个体的研究表明,与口腔呼吸相比,鼻腔呼吸可以提高呼吸效率.
研究的目的:
- 评估鼻腔呼吸对心力衰竭 (HF) 和慢性冠状动脉综合征 (CCS) 患者的运动呼吸效率的影响.
- 评估鼻腔呼吸是否可以改善这些患者群体在运动期间的异常呼吸模式.
主要方法:
- 一项涉及HF,CCS患者和健康对照 (年轻人和老年人) 的比较研究.
- 参与者在循环人体表仪上进行了亚最大运动,随机测定了鼻腔和口腔呼吸条件.
- 透气和气体交换参数使用螺旋体能测量测量并进行统计分析.
主要成果:
- 鼻腔呼吸显著减少了通风 (VE/VCO2),呼吸频率 (fR) 和潮尾氧气 (PETO2),同时在所有组中增加了潮尾体积和潮尾二氧化碳 (PETCO2).
- 患有HF的患者显示VE/VCO2减少了35%,鼻呼吸时fR减少了26%.
- 在受影响的患者中,运动振荡呼吸 (EOV) 与鼻呼吸显著减少.
结论:
- 在亚最大运动期间通过鼻子呼吸显然可以改善HF和CCS患者的呼吸效率.
- 这种呼吸技术还可以缓解异常的呼吸模式,包括快速浅呼吸和EOV,在绝大多数患者中.
- 鼻腔呼吸是一个有希望的,非侵入性的策略,以提高运动表现和潜在的结果在心血管患者群体.
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