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[头高位倾斜加下体负压时心血管指标的变化]

[Changes of cardiovascular indices during head up tilt plus lower body negative pressure].

作者信息

Shen X Y, Meng J R, Wu B, Li J J, Dong Q, Xiang Q L

机构信息

Institute of Space Medico-Engineering, Beijing, China.

出版信息

Space Med Med Eng (Beijing). 2001 Feb;14(1):36-40.

PMID:11712554
Abstract

OBJECTIVE

To understand the change of the cardiovascular function and to evaluate the usefulness of sphygmography and heart rate variability (HRV) spectrum techniques on estimating cardiovascular function during HUP + LBNP.

METHOD

Blood pressure, ECG, cerebral oxygen saturation and sphygmogram of 16 subjects were studied during 75 degrees head up tilt plus lower body negative pressure (HUP + LBNP).

RESULT

(1) During HUP + LBNP, heart rate, blood pressure, normalized low frequency component (LFn), LFn/HFn increased significantly, the cerebral blood oxygen saturation, T wave (ECG), HFn decreased significantly; (2) Blood pressure, heart rate and cerebral blood oxygen saturation decreased significantly in presyncopal state; (3) The heart rate in low tolerance group was higher than that in high tolerance group during the initial stage of HUT + LBNP; (4) The shape of pulse wave changed enormously during HUP + LBNP, so that no analysis could be made.

CONCLUSION

HUP + LBNP was an effective approach to examine the regulatory function of cardiovascular system, and the sphygmogram could not be used in studying the regulatory function of cardiovascular system during HUP + LBNP.

摘要

目的

了解心血管功能变化,评估脉搏波描记术和心率变异性(HRV)频谱技术在头高位倾斜(HUP)+下体负压(LBNP)期间评估心血管功能的有用性。

方法

对16名受试者在75度头高位倾斜加下体负压(HUP + LBNP)期间的血压、心电图、脑氧饱和度和脉搏波图进行研究。

结果

(1)在HUP + LBNP期间,心率、血压、归一化低频成分(LFn)、LFn/HFn显著增加,脑血氧饱和度、T波(心电图)、HFn显著降低;(2)在接近晕厥状态时血压、心率和脑血氧饱和度显著下降;(3)在HUT + LBNP初始阶段,低耐受组心率高于高耐受组;(4)在HUP + LBNP期间脉搏波形状变化极大,无法进行分析。

结论

HUP + LBNP是检测心血管系统调节功能的有效方法,脉搏波图不能用于研究HUP + LBNP期间心血管系统的调节功能。

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Space Med Med Eng (Beijing). 2001 Feb;14(1):36-40.
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