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[和平号轨道站和国际空间站太空飞行后宇航员骨骼变化的比较分析以及行星际任务的预后可能性]

[Comparative analysis of cosmonauts skeleton changes after space flights on orbital station Mir and international space station and possibilities of prognosis for interplanetary missions].

作者信息

Oganov V S, Bogomolov V V, Bakulin A V, Novikov V E, Kabitskaia O E, Murashko L M, Morgun V V, Kasparskiĭ R R

出版信息

Fiziol Cheloveka. 2010 May-Jun;36(3):39-47.

PMID:20586301
Abstract

A summary of investigations results of human bone tissue changes in space flight on the orbital station (OS) Mir and international space station (ISS) using dual energy X-ray absorptiometry (DXA) is given. Results comparative analysis revealed an absence of significant differences in bone mass (BM) changes on the both OS. Theoretically expected BM loss was observed in bone trabecular structure of skeleton low part after space flight lasting 5-7 month. The BM losses are qualified in some cases as quicly developed but reversible osteopenia and generally interpreted as evidence of bone functional adaptation to the alterating mechanical loading. It was demonstrated the high individual variability BM loss amplitudes. Simultaneously was observed the individual pattern of BM loss distribution across different segments of skeleton after repetitive flights independently upon type of OS. In according with the above mentioned individual peculiarities it was impossible to establish the dependence of BM changes upon duration of space missions. Therefore we have not sufficiently data for calculation of probability to achive the critical demineralization level by the augmentation the space mission duration till 1.5-2 years. It is more less possibility of the bone quality changes prognosis, which in the aggregate with BM losses determines the bone fracture risk. It become clearly that DXA technology is unsuffitiently for this purpose. It is considered the main direction which may optimized the elaboration of the interplanetary project meaning the perfectly safe of skeleton mechanical function.

摘要

给出了使用双能X射线吸收法(DXA)对和平号轨道站(OS)和国际空间站(ISS)上太空飞行中人体骨组织变化的研究结果总结。结果对比分析显示,两个轨道站上骨量(BM)变化不存在显著差异。在持续5至7个月的太空飞行后,在骨骼下部的骨小梁结构中观察到了理论上预期的骨量流失。在某些情况下,骨量流失被认定为快速发展但可逆的骨质减少,通常被解释为骨骼对交替机械负荷功能适应的证据。已证明骨量流失幅度存在高度个体差异。同时,在多次飞行后,无论轨道站类型如何,都观察到了骨骼不同部位骨量流失分布的个体模式。根据上述个体特点,无法确定骨量变化与太空任务持续时间的依赖关系。因此,我们没有足够的数据来计算通过将太空任务持续时间延长至1.5至2年达到临界脱矿质水平的概率。骨质量变化的预后可能性较小,骨质量变化与骨量流失共同决定了骨折风险。显然DXA技术在这方面并不充分。考虑了主要方向,这可能会优化星际项目的制定,意味着骨骼机械功能的完全安全。

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