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床旁死腔通气监测在危重症患者中的应用
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作者 陶程 夏金根 《国际呼吸杂志》 2024年第1期6-13,共8页
死腔是指通气过程中由于不与肺毛细血管血液接触而不能参与气体交换的部分。死腔通气是影响通气效率的主要原因。死腔分数、通气比和呼气末二氧化碳分压/动脉血二氧化碳分压等是监测死腔通气的常用指标。床旁死腔通气监测在急性呼吸窘... 死腔是指通气过程中由于不与肺毛细血管血液接触而不能参与气体交换的部分。死腔通气是影响通气效率的主要原因。死腔分数、通气比和呼气末二氧化碳分压/动脉血二氧化碳分压等是监测死腔通气的常用指标。床旁死腔通气监测在急性呼吸窘迫综合征、肺栓塞和外科手术等患者中应用广泛,具有诊断疾病、预测预后和评估治疗效果的作用。本文将对这些指标及其临床应用进行详细阐述,希望引起医务人员对死腔通气监测的重视,规范其临床操作和应用。 展开更多
关键词 呼吸窘迫综合征 肺栓塞 死腔通气 死腔分数 通气比 容积二氧化碳图
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Predictors of 2 Kilometer Rowing Ergometer Time Trial Performance
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作者 Jason W. Metz Fredric L. Goss +2 位作者 Robert J. Robertson Elizabeth F. Nagle John P. Abt 《Journal of Sports Science》 2019年第3期81-87,共7页
Predictors of performance can aid coaches and trainers in prescribing exercise programs for rowing athletes. To date, most of the prediction models have been developed for runners and cyclists. Purpose: The aim of thi... Predictors of performance can aid coaches and trainers in prescribing exercise programs for rowing athletes. To date, most of the prediction models have been developed for runners and cyclists. Purpose: The aim of this study was to develop a regression model to predict performance of a simulated 2 kilometer rowing ergometer time trial. Methods: A group of mixed gender rowing athletes (n = 12) completed in a counterbalanced order a 2 kilometer rowing time trial and a continuous progressively incremented graded exercise test on a rowing ergometer. Subjects were 23.91 ± 4.99 years old, weighed 79.14 ± 12.85 kg, were 187.38 ± 12.60 cm, had a VO2max of 55.48 ± 10.32 mL/kg/min and had 3.17 ± 2.79 years of rowing experience. Physiological measures were recorded during both testing protocols. Results: Maximum power/stroke ratio (r =-0.96, p < 0.001), power/stroke ratio at the ventilatory breakpoint (r =-0.90, p < 0.001), maximal oxygen uptake (r =-0.84, p < 0.001) and oxygen uptake at the ventilatory breakpoint (r =-0.82, p < 0.001) were found to be strong and significant predictors of 2 kilometer rowing performance. Conclusion: The four significant predictors of rowing performance suggest training should focus on improving both aerobic capacity and strength. Practical Application: Rowing training should focus on developing hip and leg aerobic and anaerobic capacities to improve performance. Developing strength improves mechanical efficiency as well as raising anaerobic thresholds allowing athletes to utilize a larger portion of their aerobic capacity. 展开更多
关键词 MAXIMAL oxygen UPTAKE ventilatory threshold power/stroke ratio.
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Clinical evaluation of physical fitness in male obese Japanese 被引量:2
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作者 Nobuyuki Miyatake, Hidetaka Nishikawa and Masafumi Fujii 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第7期35-38,共4页
:Objective To establish an effective exercise prescription, the exercise capacity of obese subjects was investigated.Methods In 71 male obese (body mass index: BMI≥26.4) Japanese, aged 26-77 years, the body compositi... :Objective To establish an effective exercise prescription, the exercise capacity of obese subjects was investigated.Methods In 71 male obese (body mass index: BMI≥26.4) Japanese, aged 26-77 years, the body composition and physical fitness such as aerobic exercise level, muscle strength and flexibility were determined and compared with those of age- and sex-matched 71 borderline (24.2≤BMI<26.4) and 71 normal Japanese men (19.8≤BMI<24.2). The relationship between body composition and other parameters was evaluated in obese subjects.Results In obese subjects, body weight, BMI, body fat percentage, waist hip ratio, and skinfold thickness were higher than those of borderline and normal subjects. Lower aerobic exercise level and weight bearing index (WBI) were noted in obese subjects. There was a negative correlation between waist hip ratio and aerobic exercise level (oxygen uptake at ventilatory threshold) (r=-0.509, P<0.01) and also between waist hip ratio and WBI (r=-0.315, P<0.01). Conclusions Lower physical fitness is considered to be a general characteristic of male obese Japanese, and the accumulation of visceral adipose tissue might affect exercise capacity. 展开更多
关键词 OBESITY · body composition · WAIST HIP ratio · ventilatory threshold
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