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WISE-2005:60天卧床休息且有或无对抗措施后,胫静脉、腓肠肌静脉及小腿组织对下体负压的反应

WISE-2005: tibial and gastrocnemius vein and calf tissue response to LBNP after a 60-day bed rest with and without countermeasures.

作者信息

Arbeille P, Kerbeci P, Mattar L, Shoemaker J K, Hughson R L

机构信息

EFMP-UMPS, CHU Trousseau, 37044 Tours, France.

出版信息

J Appl Physiol (1985). 2008 Apr;104(4):938-43. doi: 10.1152/japplphysiol.01021.2007. Epub 2008 Jan 17.

Abstract

The objective of this study was to quantify by echography the changes in the intramuscular [gastrocnemius (Gast)] and nonintramuscular [posterior tibial (Tib)] calf veins cross-sectional area (CSA) and the superficial tissue thickness (STth) in response to lower body negative pressure (LBNP) after 60-day head-down bed rest (HDBR). Twenty-four healthy women (25-40 yr) were divided into three groups: control (Con), treadmill-LBNP and flywheel (Ex-Lb), nutrition (Nut; protein supplement). All underwent a LBNP (0 and -45 mmHg) before and on day 55 of HDBR. Subjects were identified as finisher (F) or nonfinisher (NF) of a 10-min tilt test after 60 days of HDBR. There were no differences in resting CSA of the Tib and Gast veins on HDBR day 55 compared with pre-HDBR for the Ex-Lb, Con and Nut, or the F groups; however, for NF both the Tib and Gast vein CSA at rest were significantly smaller after HDBR. At -45 mmHg LBNP, Tib and Gast CSAs were not significantly different from before HDBR in all groups (Ex-Lb, Con, Nut, F, NF). However, percent change in CSA of both veins from rest to -45 mmHg LBNP was significantly greater in the Con and Nut groups compared with Ex-Lb, and also NF compared with F. Similarly, the percent increase in STth on going from rest to -45 mmHg was higher after HDBR in the Con and Nut groups compared with Ex-Lb, as well as NF compared with F. These results showed that the Ex-Lb countermeasure minimized the bed rest effect on leg vein capacitance (CSA percent change) and STth increase during LBNP, whereas Nut had no effect and that higher leg vein and superficial tissue capacitance were associated with reduced orthostatic tolerance.

摘要

本研究的目的是通过超声检查量化60天头低位卧床休息(HDBR)后,下体负压(LBNP)作用下小腿肌肉内[腓肠肌(Gast)]和非肌肉内[胫后(Tib)]静脉的横截面积(CSA)变化以及浅表组织厚度(STth)变化。24名健康女性(25 - 40岁)被分为三组:对照组(Con)、跑步机-LBNP组和飞轮组(Ex-Lb)、营养组(Nut;补充蛋白质)。所有受试者在HDBR前和第55天均接受LBNP(0和-45 mmHg)测试。在HDBR第55天时,Ex-Lb组、Con组、Nut组以及完成者(F)组的胫静脉和腓肠肌静脉静息CSA与HDBR前相比无差异;然而,对于未完成者(NF)组,HDBR后胫静脉和腓肠肌静脉静息CSA均显著减小。在-45 mmHg LBNP时,所有组(Ex-Lb组、Con组、Nut组、F组、NF组)的胫静脉和腓肠肌静脉CSA与HDBR前相比无显著差异。然而,Con组和Nut组的两条静脉从静息到-45 mmHg LBNP时CSA的百分比变化显著大于Ex-Lb组,NF组与F组相比也是如此。同样,Con组和Nut组从静息到-45 mmHg时浅表组织厚度的百分比增加在HDBR后高于Ex-Lb组,NF组与F组相比也是如此。这些结果表明,Ex-Lb对策可将卧床休息对LBNP期间腿部静脉容量(CSA百分比变化)和浅表组织厚度增加的影响降至最低,而Nut组则无此效果,且较高的腿部静脉和浅表组织容量与直立性耐力降低有关。

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