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[衰老对人体自主神经系统活动及胃肌电活动的影响]

[The influence of aging on autonomic nervous system activity and gastric myoelectric activity in humans].

作者信息

Thor P J, Kolasińska-Kloch W, Pitala A, Janik A, Kopp B, Sibiga W

机构信息

Katedra Patofizjologii, Collegium Medicum UJ, Kraków.

出版信息

Folia Med Cracov. 1999;40(3-4):53-62.

Abstract

The study was performed on 84 healthy volunteers (33 women, 52 men) of age 20-71 years with no history of the circulatory or gastrointestinal system disease. The gastric myoelectrical activity (EGG) was recorded with the cutaneous electrodes--electrogastrography Synectics (Sweden). The activity of the cardiac autonomic nervous system was measured by HRV (heart rate variability) recorded with EGG and computer assisted programme Proster (Poland). Subject were divided into 5 groups according to the decade of age (20-70). Percentage of basal electrical rhythm (BER) dysrhythmias increased (1.9 +/- 0.5% vs 21.1 +/- 3.2% in fasting and 2.4 +/- 1.2% vs 24.6 +/- 5% postprandially but decrease of the EGG amplitude after the meal was observed (270 +/- 20% vs 90 +/- 7%) in youngest and oldest group respectively. With the ageing the cardiac sympathetic and parasympathetic activity (LF and HF) decreased in first and last group respectively. In the forth decade in man and women the sympathetic activity system prevalence expressed by the LF/HF rate increased (1.09 +/- 0.2 vs. 2.14 +/- 0.5) (p < 0.05). The results of our study suggest the deleterious influence of the ageing on the of autonomic system activity as shown by changes in HRV and dysrhythmia of the gastric slow waves in EGG.

摘要

该研究对84名年龄在20 - 71岁之间、无循环系统或胃肠道系统疾病史的健康志愿者(33名女性,52名男性)进行。采用皮肤电极——瑞典Synectics公司的胃电图仪记录胃肌电活动(EGG)。通过用EGG记录的心率变异性(HRV)和波兰的计算机辅助程序Proster测量心脏自主神经系统的活动。根据年龄的十年区间(20 - 70岁)将受试者分为5组。基础电节律(BER)心律失常的百分比增加(空腹时为1.9±0.5% vs 21.1±3.2%,餐后为2.4±1.2% vs 24.6±5%),但分别在最年轻和最年长的组中观察到餐后EGG振幅降低(分别为270±20% vs 90±7%)。随着年龄增长,第一组和最后一组的心脏交感神经和副交感神经活动(低频和高频)分别降低。在第四十年年龄段的男性和女性中,由低频/高频比值表示的交感神经系统活动患病率增加(1.09±0.2 vs. 2.14±0.5)(p < 0.05)。我们的研究结果表明,如HRV变化和EGG中胃慢波的心律失常所示,衰老对自主神经系统活动有有害影响。

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