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[缺铁性贫血患者心律的自主调节]

[The autonomic regulation of the heart rhythm in patients with iron-deficiency anemia].

作者信息

Kirilenko N P

出版信息

Ter Arkh. 1991;63(11):111-3.

PMID:1810041
Abstract

Overall 155 patients suffering from iron deficiency anemia were subjected to bicycle ergometry to estimate autonomic regulation of cardiac rhythm using variation pulsometry readings. The changes in vegetative regulation proceed by the type of sympathicotonia which increases clearly as the disease gravity rises. Moderate sympathicotonia is an adequate compensatory mechanism that favours adaptation of the body to anemia. On the contrary, excessive sympathicotonia is an unfavourable factor producing an adverse effect on work fitness of anemic patients. This requires the elaboration of measures aimed at eliminating in necessary cases the excessive activation of the sympathetic nervous system in patients suffering from iron deficiency anemia.

摘要

总共155名缺铁性贫血患者接受了自行车测力计测试,以通过变异性脉搏测量读数评估心律的自主调节。自主调节的变化呈交感神经张力亢进型,随着疾病严重程度的增加而明显增强。中度交感神经张力亢进是一种适当的代偿机制,有利于身体对贫血的适应。相反,过度的交感神经张力亢进是一个不利因素,会对贫血患者的工作适应性产生不利影响。这就需要制定措施,以便在必要情况下消除缺铁性贫血患者交感神经系统的过度激活。

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