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Morphine reduces ventilation without changing metabolic rate in exercise

 

作者: BRUCE MARTIN,   CLIFFORD ZWILLICH,   JOHN WEIL,  

 

期刊: Medicine and Science in Sports and Exercise  (OVID Available online 1980)
卷期: Volume 12, issue 4  

页码: 285-287

 

ISSN:0195-9131

 

年代: 1980

 

出版商: OVID

 

数据来源: OVID

 

摘要:

MARTIN, BRUCE J., CLIFFORD W. ZWILLICH, and JOHN V. WEIL. Morphine reduces ventilation without changing metabolic rate in exercise.Med. Sci. Sports Exercise, Vol. 12, No. 4, pp. 285–287, 1980. Morphine reduces ventilation (VE) in exercising man. The mechanism of this ventilatory depression remains unclear. Recent evidence suggests that morphine may reduce exercise VEby simultaneously reducing exercise metabolic rate. We measured exercise VEin six normal subjects after intravenous injection of either saline or 0.1 mg/kg morphine sulfate. During treadmill walks requiring 1/3 and 1/2 of the maximal oxygen uptake, morphine reduced VE(P<0.05), while it left metabolic rate unchanged. Morphine treatment elevated end-tidal Pco2at both work levels (P<0.05). Lower VEand higher PETco2in exercise after morphine persisted after elevation of alveolar Po2to 200 torr. Thus, morphine left unchanged the contribution of the hypoxic chemoreflex to normoxic exercise VE. In addition, morphine failed to alter the ventilatory responses to hypercapnia measured at each exercise level. These results suggest that analgesic dosages of morphine reduce the ventilatory response to exercise through a mechanism other than alterations in metabolic rate or chemical ventilatory responses.

 

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