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啼哭婴儿的声音和暴力声音对年轻健康成年人血流动力学参数和自主状态的影响。

The influence of the sounds of crying baby and the sounds of violence on haemodynamic parameters and autonomic status in young, healthy adults.

机构信息

Students' Scientific Association, Laboratory for Applied Research on Cardiovascular System, Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Int J Psychophysiol. 2013 Jan;87(1):52-9. doi: 10.1016/j.ijpsycho.2012.10.017. Epub 2012 Nov 6.

Abstract

INTRODUCTION

There is evidence that various stimuli affect the balance in the autonomic nervous system (ANS) and the functioning of cardiovascular system.

OBJECTIVE

The aim of the study was to assess whether the sounds of crying baby and the sounds of violence affected haemodynamic parameters and ANS in young, healthy adults and to measure differences in these reactions between the genders and these 2 stimuli.

METHODS

Haemodynamic parameters (measured non-invasively by the NEXFIN device), heart rate and blood pressure variability (HRV and BPV, respectively) and baroreflex sensitivity (BRS) were analyzed in 65 adults (21 women, mean age: 23years) during a 15-minute rest followed by the emission of two 5-minute acoustic stimuli: sounds of crying baby and sounds of violence emitted randomly and separated by a 4-minute pause.

RESULTS

Resting systolic blood pressure was lower, whereas indices of HRV (RMSSD, NN50, pNN50, high frequency component of HRV - HRV HF) and BPV (high frequency component - BPV HF) as well as BRS were higher in women as compared to men. During the emission of the sounds of crying baby, a decrease in diastolic blood pressure (DBP), systemic vascular resistance index, HRV HF and BPV LF (low frequency component of BPV) and an increase in stroke volume index were observed in the whole examined group, whereas during the emission of the sounds of violence subjects presented a decrease in DBP, mean blood pressure, HRV HF and BPV LF. The reaction to the sounds of crying baby (expressed as a decrease in HRV HF) was greater in women as compared to men (-0.28±0.49 versus -0.04±0.38ms(2), p=0.04). The comparison of the reaction between 2 stimuli revealed no differences.

CONCLUSIONS

The stronger decrease in parasympathetic drive in women exposed to the sounds of crying baby may be related to a particular role of this stimulus, which signals the baby's distress and compels the caregivers to react.

摘要

引言

有证据表明,各种刺激因素会影响自主神经系统(ANS)的平衡和心血管系统的功能。

目的

本研究旨在评估婴儿哭声和暴力声是否会影响年轻健康成年人的血液动力学参数和自主神经系统,并测量性别和这两种刺激因素对这些反应的差异。

方法

通过 NEXFIN 设备无创测量血液动力学参数(包括收缩压、舒张压和平均动脉压)、心率和血压变异性(分别为 HRV 和 BPV)以及压力反射敏感性(BRS),在 65 名成年人(21 名女性,平均年龄 23 岁)中进行了 15 分钟的休息,随后分别发出两种 5 分钟的声音刺激:随机发出婴儿哭声和暴力声,中间间隔 4 分钟。

结果

与男性相比,女性的静息收缩压较低,而 HRV(RMSSD、NN50、pNN50、HRV 高频成分 - HRV HF)和 BPV(高频成分 - BPV HF)以及 BRS 的指数较高。在发出婴儿哭声时,整个检查组的舒张压(DBP)、系统血管阻力指数、HRV HF 和 BPV LF(BPV 的低频成分)下降,心排量指数增加,而在发出暴力声时,受试者的 DBP、平均血压、HRV HF 和 BPV LF 下降。与男性相比,女性对婴儿哭声的反应(表现为 HRV HF 的下降)更大(-0.28±0.49 对-0.04±0.38ms(2),p=0.04)。对两种刺激的反应比较没有差异。

结论

女性在听到婴儿哭声时,副交感神经驱动的下降幅度更大,这可能与这种信号婴儿痛苦并迫使照顾者做出反应的特殊刺激有关。

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