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对年轻人记录的道路交通噪声的血流动力学反应进行胸部生物电阻抗评估。

Thoracic bioelectrical impedance assessment of the hemodynamic reactions to recorded road-traffic noise in young adults.

作者信息

Paunović Katarina, Stojanov Vesna, Jakovljević Branko, Belojević Goran

机构信息

Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia.

Multidisciplinary Center for the Diagnostics and Treatment of Arterial Hypertension, Clinical Center of Serbia; Faculty of Medicine, University of Belgrade, Pasterova 2, 1100 Belgrade, Serbia.

出版信息

Environ Res. 2014 Feb;129:52-8. doi: 10.1016/j.envres.2014.01.001. Epub 2014 Jan 25.

Abstract

Noise exposure increases blood pressure in both experimental and field studies. The underlying mechanisms may be evaluated by thoracic bioelectrical impedance. The aim of this experimental study was to assess changes in blood pressure, cardiac and hemodynamic parameters provoked by recorded traffic noise in young adults. The study included 130 participants (42 men and 88 women), aged 24.88±2.67 years. Thoracic electrical bioimpedance device was applied to monitor cardiac parameters, hemodynamic parameters, heart rate variability, blood pressure and heart rate. The testing procedure consisted of three phases. Participants were exposed to recorded road-traffic noise (Leq=89dBA) for 10min and relaxed in quiet conditions (Leq=40dBA) before and after noise exposure. Listening to recorded noise resulted in significant decrease of stroke volume and cardiac output, and an increase of vascular resistance. Heart rate variability and the overall sympathovagal balance remained similar through all experimental conditions. During noise exposure, systolic pressure increased by 2mmHg among women (95% confidence interval=0.97-2.73mmHg), and by 4mmHg among men (95% confidence interval=2.16-5.00mmHg). Similarly, diastolic pressure increased by 2mmHg among women (95% confidence interval=0.95-2.47mmHg), and by 4mmHg among men (95% confidence interval=2.46-5.28mmHg). Once noise ceased, both pressures returned to pre-exposure levels. Experimental exposure to recorded road-traffic noise of 89dBA for 10min provoked significant hemodynamic changes in young adults, including vasoconstriction (increase of vascular resistance), and hypodynamics (decrease of global heart flow). The interaction of these effects resulted in the elevation of blood pressure during noise exposure.

摘要

在实验研究和现场研究中,噪声暴露均会使血压升高。其潜在机制可通过胸部生物电阻抗进行评估。本实验研究的目的是评估记录的交通噪声对年轻成年人血压、心脏及血流动力学参数的影响。该研究纳入了130名参与者(42名男性和88名女性),年龄为24.88±2.67岁。使用胸部生物电阻抗装置监测心脏参数、血流动力学参数、心率变异性、血压和心率。测试过程包括三个阶段。参与者先在安静环境(等效连续A声级Leq = 40dBA)中放松,然后暴露于记录的道路交通噪声(Leq = 89dBA)10分钟,之后再次在安静环境中放松。聆听记录的噪声导致每搏输出量和心输出量显著下降,血管阻力增加。在所有实验条件下,心率变异性和整体交感 - 迷走神经平衡保持相似。在噪声暴露期间,女性收缩压升高2mmHg(95%置信区间 = 0.97 - 2.73mmHg),男性升高4mmHg(95%置信区间 = 2.16 - 5.00mmHg)。同样,女性舒张压升高2mmHg(95%置信区间 = 0.95 - 2.47mmHg),男性升高4mmHg(95%置信区间 = 2.46 - 5.28mmHg)。噪声停止后,两种血压均恢复到暴露前水平。实验性暴露于89dBA的记录道路交通噪声10分钟会引起年轻成年人显著的血流动力学变化,包括血管收缩(血管阻力增加)和血流动力学减退(整体心脏血流量减少)。这些效应的相互作用导致噪声暴露期间血压升高。

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