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WISE 2005:女性60天卧床休息后的血管反应

WISE 2005: vascular responses to 60-day bed rest in women.

作者信息

Hughson R L, Shoemaker J K, Arbeille Ph, Dyson K S, Edgell H, Kerbeci P, Mattar L, Zuj K, Greaves D K

机构信息

Cardiorespiratory & Vascular Dynamics Lab, Univ. Waterloo, Waterloo, Ontario, Canada.

出版信息

J Gravit Physiol. 2007 Jul;14(1):P53-4.

Abstract

WISE-2005 studied 24 women during a 60-day head down bed rest (HDBR) who look part in an exercise countermeasure (LBNP-treadmill plus flywheel, EX) and no-exercise (No-EX). We conducted a series of experiments to explore changes in cardiovascular function and the ability of EX to prevent these changes. Resting arterial diameter in the arm was not affected but the leg arteries (femoral and popliteal) were significantly reduced in Np-EX, but was increased in EX. In this study we report on drug stimulated responses with sublingual nitroglycerin and infused isoproterenol. Heart rate increased in response to nitroglycerin with larger increases in No-EX after HDBR. Likewise during isoproterenol infusion the HR increase was greater after HDBR in the No-EX group. In all cases, the higher HR was associated with lower stroke volume in No-EX while stroke volume was protected in EX. These data do not support a change in sensitivity of beta-adrenergic receptors after HDBR. The leg vascular resistance decreased in response to isoproterenol and it decreased to a greater extent in No-EX than EX. These data were consistent with observations of lower leg vascular resistance during orthostatic challenge tests after HDBR. We conclude that consistent changes in cardiovascular function in the No-EX were detected by different methods that point to mechanisms contributing to orthostatic intolerance after HDBR.

摘要

WISE - 2005研究了24名女性在为期60天的头低位卧床休息(HDBR)期间的情况,她们参与了一项运动对策(下肢负压 - 跑步机加飞轮,EX)和无运动(No - EX)试验。我们进行了一系列实验,以探究心血管功能的变化以及运动对策预防这些变化的能力。手臂的静息动脉直径未受影响,但在No - EX组中,腿部动脉(股动脉和腘动脉)显著缩小,而在EX组中则增大。在本研究中,我们报告了舌下含服硝酸甘油和静脉输注异丙肾上腺素后的药物刺激反应。硝酸甘油刺激后心率增加,HDBR后No - EX组的心率增加幅度更大。同样,在输注异丙肾上腺素期间,No - EX组在HDBR后的心率增加幅度也更大。在所有情况下,No - EX组中较高的心率与较低的每搏输出量相关,而EX组的每搏输出量则得到了保护。这些数据不支持HDBR后β - 肾上腺素能受体敏感性发生变化。腿部血管阻力对异丙肾上腺素的反应降低,且No - EX组的降低幅度大于EX组。这些数据与HDBR后直立位挑战试验中观察到的小腿血管阻力降低情况一致。我们得出结论,通过不同方法检测到No - EX组心血管功能存在一致变化,这些变化指向了HDBR后导致直立不耐受的机制。

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