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[人体7天干浸期间的水电解质代谢、肾功能及皮肤微循环]

[Water-electrolyte metabolism, renal function and cutaneous microcirculation in human subjects during 7-day dry immersion].

作者信息

Larina I M, Kysto M -A

出版信息

Aviakosm Ekolog Med. 2008 Sep-Oct;42(5):29-34.

Abstract

In a 7-d dry immersion experiment normal volunteers were given meals prepared with account of personal body mass and caloric demand. Water, salt and calcium consumption with foods and beverages was calculated. The bath water was controlled within the range of comfortable temperatures. Investigated were osmoregulation and renal excretory function, circulating plasma volumes, and O2 transport by erythrocytes. Besides, functional state of cutaneous microcirculation was assessed using the laser-Doppler-iontophoresis in vivo with acetylcholine and nitroprusside. Dry immersion consistently accelerated excretion of liquid and electrolytes (sodium) and reduced the volume of circulating plasma (VCP, determined from hematocrit) together with relative hyperhemoglobinemia and hypererythrocitemia at the beginning of immersion. During the first week of recovery VCP showed a relative increase w/o change in specific hemoglobin content. Immersion affected the skin vessels reaction to acetylcholine which depends on prostaglandins production by endothelial cells but not NO-dependent vasodilation. Consequently, limitation of physical activity by itself causes endothelium dysfunction for the reason of slackening the shift voltage force and resulting in endotheliocytes dysfunction and, probably, in activation of apoptosis.

摘要

在一项为期7天的干浸实验中,根据正常志愿者的体重和热量需求为其准备膳食。计算了食物和饮料中的水、盐和钙摄入量。将浴水温度控制在舒适范围内。研究了渗透调节和肾脏排泄功能、循环血浆量以及红细胞的氧气运输。此外,使用激光多普勒离子导入法在体内评估乙酰胆碱和硝普钠作用下皮肤微循环的功能状态。干浸始终会加速液体和电解质(钠)的排泄,并在浸浴开始时降低循环血浆量(根据血细胞比容测定),同时伴有相对高血红蛋白血症和红细胞增多症。在恢复的第一周,循环血浆量相对增加,而血红蛋白含量无变化。浸浴影响皮肤血管对乙酰胆碱的反应,这取决于内皮细胞产生的前列腺素,但不影响一氧化氮依赖性血管舒张。因此,身体活动受限本身会导致内皮功能障碍,原因是转移电压力减弱,导致内皮细胞功能障碍,可能还会激活细胞凋亡。

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