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失重状态下大脑中动脉血流速度的经颅多普勒研究。

Transcranial Doppler studies of flow velocity in middle cerebral artery in weightlessness.

作者信息

Bondar R L, Stein F, Vaitkus P J, Johnston K W, Chadwick L C, Norris J W

机构信息

Canadian Space Agency, Ottawa, Ontario, Canada.

出版信息

J Clin Pharmacol. 1990 May;30(5):390-5. doi: 10.1002/j.1552-4604.1990.tb03475.x.

Abstract

Physiological adaptation to weightlessness requires changes in cardiovascular system parameters to maintain homeostasis in the presence of cephalic fluid shifts. The cerebral circulation must respond immediately to these systemic changes or impairment of cerebral function will occur. Blood flow velocities of the middle cerebral artery were measured by transcranial Doppler (TCD) ultrasound in NASA's KC-135 aircraft from four healthy subjects in the supine position. Transcranial Doppler data with accompanying acceleration information were analyzed in three segments in each parabola. Cardiac cycles for each segment of all 20 parabolas were pooled for individual subjects. A Student's t test on the data revealed statistically significant differences in the mean and peak frequencies, systolic/diastolic ratios and Doppler power between positive 2 gz and microgravity (10(-2) gz) as well as between positive 2 gz and negative 2 gz. Velocity waveform profiles differed for the first one third of each segment, with a more resistive waveform developing during the last two thirds. Changes in systemic arterial resistance and/or raised intracranial pressure may contribute to these TCD waveform changes.

摘要

对失重的生理适应需要心血管系统参数发生变化,以便在存在头向体液转移的情况下维持体内平衡。脑循环必须立即对这些全身变化做出反应,否则将会出现脑功能损害。在美国国家航空航天局(NASA)的KC - 135飞机上,通过经颅多普勒(TCD)超声对四名仰卧位健康受试者的大脑中动脉血流速度进行了测量。在每个抛物线的三个阶段分析了带有伴随加速度信息的经颅多普勒数据。将所有20个抛物线每个阶段的心动周期汇总到各个受试者。对数据进行的学生t检验显示,正向2 gz与微重力(10⁻² gz)之间以及正向2 gz与负向2 gz之间,平均频率和峰值频率、收缩压/舒张压比值以及多普勒功率存在统计学上的显著差异。每个阶段的前三分之一速度波形轮廓有所不同,在最后三分之二期间会出现电阻性更强的波形。全身动脉阻力的变化和/或颅内压升高可能导致这些TCD波形变化。

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