Chumak O B, Kliueva V N
Aviakosm Ekolog Med. 1999;33(2):9-12.
The nervous system and cerebral hemodynamics studies of eight essentially healthy female test-subjects during the 120-d head-down bed rest included analysis of life history and monthly clinical/neurophysiological examinations (neurological testing, REG, Doppler ultrasound investigation of main arteries of the head). Altered positioning of the head and prolonged bed rest were shown to incur the risk of insufficient cerebral circulation. Most often hemodynamic deviations were observed in the vertebrobasilar basin consequent to the experimental conditions and specifics of the anatomical site of the vertebral arteries in the bony vertebral canal; clinically they were manifested by involvement of truncal structures of the brain. The second month of bed rest should be considered critical because of the evidence of the unstable neurological microsymptomatology implying hemodynamic shifts in the main cerebral arteries by the time. Physical exercises during bed rest slacken the pace of cerebral hemodynamics deviations.
对8名基本健康的女性受试者进行120天头低位卧床休息期间的神经系统和脑血流动力学研究,包括生活史分析和每月临床/神经生理学检查(神经测试、脑电阻图、头部主要动脉的多普勒超声检查)。结果显示,头部位置改变和长期卧床休息会导致脑循环不足的风险。由于实验条件以及椎动脉在骨性椎管内解剖部位的特殊性,最常观察到椎基底动脉系统的血流动力学偏差;临床上表现为脑干部位结构受累。卧床休息的第二个月应被视为关键时期,因为此时有证据表明神经微症状不稳定,意味着主要脑动脉出现血流动力学变化。卧床休息期间进行体育锻炼可减缓脑血流动力学偏差的速度。