为期10天的低氧卧床休息期间急性高碳酸血症对眼后结构的影响。

Effect of acute hypercapnia during 10-day hypoxic bed rest on posterior eye structures.

作者信息

Jaki Mekjavic Polona, Lenassi Eva, Eiken Ola, Mekjavic Igor B

机构信息

Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia;

Department of Environmental Physiology, Swedish Aerospace Physiology Centre, Royal Institute of Technology, Stockholm, Sweden; and.

出版信息

J Appl Physiol (1985). 2016 May 15;120(10):1241-8. doi: 10.1152/japplphysiol.00930.2015. Epub 2016 Mar 24.

Abstract

To gain insights into microgravity-induced ophthalmic changes (microgravity ocular syndrome), and as part of a project investigating effects of future planetary habitats, we investigated the effect of acute hypercapnia following 10-day bed rest and hypoxia on posterior eye structures. Female subjects (N = 7) completed three 10-day experimental interventions: 1) normoxic bed rest [NBR; partial pressure of inspired O2 (PiO2 ) = 132.9 ± 0.3 Torr]; 2) hypoxic ambulatory confinement (HAMB; PiO2 = 90.4 ± 0.3 Torr); and 3) hypoxic bed rest (HBR; n = 12; PiO2 = 90.4 ± 0.3 Torr). Before and on the last day of each intervention, optical coherence tomography (OCT) of the optic disk was performed, and the thicknesses of the retinal nerve fiber layer (RNFL), retina, and choroid were measured. OCT examinations were conducted with the subjects breathing the prevailing normocapnic breathing mixture (either normoxic or hypoxic) and then following a 10-min period of breathing the same gas mixture, but with the addition of 1% CO2 Choroidal thickness was greater during both bed-rest conditions (NBR and HBR) compared with the ambulatory (HAMB) condition (ANOVA, P < 0.001). Increases in RNFL thickness compared with baseline were observed in the hypoxic trials (HBR, P < 0.001; and HAMB, P = 0.021), but not the normoxic trial (NBR). A further increase in RNFL thickness (P = 0.019) was observed after the 10-min hypercapnic trial in the NBR condition only. The fact that choroidal thickness was not affected by Po2 or Pco2, but increased by bed rest, suggests a hydrostatic rather than a vasoactive effect. The increments in RNFL thickness were most likely associated with local hypoxia and hypercapnia-induced dilatation of the retinal blood vessels.

摘要

为深入了解微重力引起的眼部变化(微重力眼部综合征),作为一项研究未来行星栖息地影响项目的一部分,我们研究了10天卧床休息和低氧后急性高碳酸血症对眼后结构的影响。女性受试者(N = 7)完成了三项为期10天的实验干预:1)常氧卧床休息[NBR;吸入氧分压(PiO2)= 132.9±0.3 Torr];2)低氧非卧床禁闭(HAMB;PiO2 = 90.4±0.3 Torr);3)低氧卧床休息(HBR;n = 12;PiO2 = 90.4±0.3 Torr)。在每次干预前和最后一天,对视盘进行光学相干断层扫描(OCT),并测量视网膜神经纤维层(RNFL)、视网膜和脉络膜的厚度。OCT检查在受试者呼吸当时的常碳酸呼吸混合气(常氧或低氧)时进行,然后在呼吸相同气体混合物10分钟后进行,但添加1% CO2。与非卧床(HAMB)状态相比,两种卧床状态(NBR和HBR)下脉络膜厚度均更大(方差分析,P < 0.001)。在低氧试验(HBR,P < 0.001;HAMB,P = 0.021)中观察到RNFL厚度相对于基线增加,但在常氧试验(NBR)中未观察到。仅在NBR状态下,10分钟高碳酸血症试验后观察到RNFL厚度进一步增加(P = 0.019)。脉络膜厚度不受Po2或Pco2影响,但因卧床休息而增加,这一事实表明是流体静力效应而非血管活性效应。RNFL厚度的增加很可能与局部低氧和高碳酸血症诱导的视网膜血管扩张有关。

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