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[在心肺反射控制背景下对自主神经系统功能的评估]

[Assessment of the functioning of autonomic nervous system in the context of cardiorespiratory reflex control].

作者信息

Rydlewska Agnieszka, Ponikowska Beata, Borodulin-Nadzieja Ludmiła, Banasiak Waldemar, Jankowska Ewa A, Ponikowski Piotr

机构信息

Ośrodek Chorób Serca, Klinika Kardiologii, 4. Wojskowy Szpital Kliniczny z Poliklinika, Wrocław.

出版信息

Kardiol Pol. 2010 Aug;68(8):951-7.

Abstract

Derangements within autonomic nervous system take part in the natural history of cardiovascular disease. Current paper presents three categories of methods measuring autonomic status: direct methods (e.g. laboratory tests measuring circulating catecholamine levels or based on isotopes, microneurography), indirect methods applied at rest (e.g. analysis of heart rate variability, spectral and sequence methods of arterial baroreflex sensitivity assessment) and indirect methods, associated with the exposure to physiological stimuli (e.g. Ewing's battery, central and peripheral chemoreceptor sensitivity assessment, invasive methods of arterial baroreflex sensitivity assessment). This review provides an insight into the physiology of reflex regulatory mechanisms within cardiorespiratory system, including their complex and unstable nature.

摘要

自主神经系统紊乱参与心血管疾病的自然病程。本文介绍了三类测量自主神经状态的方法:直接方法(如测量循环儿茶酚胺水平或基于同位素的实验室检测、微神经ography)、静息时应用的间接方法(如心率变异性分析、动脉压力反射敏感性评估的频谱和序列方法)以及与生理刺激暴露相关的间接方法(如尤因氏试验、中枢和外周化学感受器敏感性评估、动脉压力反射敏感性评估的侵入性方法)。本综述深入探讨了心肺系统中反射调节机制的生理学,包括其复杂和不稳定的性质。

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