Kerbeci P, Shoemaker K, Hughson R, Roncin A, Arbeille P
UMPS Unit Med Physiol spatiale, Univ-CHU Tours, France.
J Gravit Physiol. 2007 Jul;14(1):P57-8.
The objective was to quantify calf vein cross section area (CSA) maximal enlargement and the percent change in response to LBNP (lower body negative pressure) after a 60 day bedrest.
The 24 healthy volunteers (25-40 y) of the WISE 60 day HDT(-6 degree) bedrest, were divided into 3 groups: Control (Co), Exercise countermeasure (Ex: treadmill under LBNP and flywheel), Nutrition (Nut: daily protein supplement). All were studied at -45mmHg LBNP pre and at HDT day 55. Posterior Tibial (Tib), and Gastrocnemian (Gast) vein were investigated by echography using an echographic probe fixed at the upper and posterior part of the calf. From the post HDT CSE test the subjects were identified as finisher or non finisher to the 10-min tilt tolerance test.
At LBNP-45mmHg, the maximal enlargement of the Tib and Gast veins remained constant pre, and at HDT day 55 in all group (Co, Ex, Nut, finisher, non finisher). For both veins there was a higher vein distension (percent change from supine rest to -45mmHg) in Co and Nut group compared to Ex group despite the maximal distension was similar in all groups. Also the vein distension was higher in non finisher than in finisher.
The maximal distension of the vein were not affected nor by HDT nor by CM. The Ex counter-measure minimized the bed rest effect on leg vein distensibility (percent CSA change) while the Nut countermeasure had no effect. Higher leg vein distensibility was associated with reduced orthostatic tolerance.
目的是量化60天卧床休息后小腿静脉横截面积(CSA)的最大增大值以及对下体负压(LBNP)反应的百分比变化。
WISE 60天头低位-6度卧床休息的24名健康志愿者(25 - 40岁)被分为3组:对照组(Co)、运动对策组(Ex:在LBNP下使用跑步机和飞轮)、营养组(Nut:每日补充蛋白质)。所有受试者在LBNP为-45mmHg时进行了测试,分别在卧床休息前和第55天进行了研究。使用固定在小腿上部和后部的超声探头通过超声检查对胫后静脉(Tib)和腓肠静脉(Gast)进行了研究。根据HDT后的CSE测试结果,将受试者确定为10分钟倾斜耐力测试的完成者或未完成者。
在LBNP为-45mmHg时,所有组(Co、Ex、Nut、完成者、未完成者)的胫后静脉和腓肠静脉的最大增大值在卧床休息前和第55天保持不变。尽管所有组的最大扩张程度相似,但Co组和Nut组的两条静脉的扩张程度(从仰卧休息到-45mmHg的百分比变化)高于Ex组。此外,未完成者的静脉扩张程度高于完成者。
静脉的最大扩张程度既不受头低位卧床休息的影响,也不受对策措施的影响。运动对策措施将卧床休息对腿部静脉扩张性(CSA百分比变化)的影响降至最低,而营养对策措施则没有效果。较高的腿部静脉扩张性与降低的直立耐力有关。