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在健康血压正常的受试者中,一次急性的控制呼吸频率发作可降低交感神经输出,但不会降低血压。

An Acute Bout of a Controlled Breathing Frequency Lowers Sympathetic Neural Outflow but not Blood Pressure in Healthy Normotensive Subjects.

作者信息

McClain Shannon L, Brooks Alexa M, Jarvis Sara S

机构信息

Biological Sciences Department, Northern Arizona University, Flagstaff, AZ, USA.

出版信息

Int J Exerc Sci. 2017 Mar 1;10(2):188-196. doi: 10.70252/LWDM7489. eCollection 2017.

DOI:10.70252/LWDM7489
PMID:28344733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5360369/
Abstract

Controlled or paced breathing is often used as a stress reduction technique but the impact on blood pressure (BP) and sympathetic outflow have not been consistently reported. The purpose of this study was to determine whether a controlled breathing (12 breaths/min, CB) rate would be similar to an individual's spontaneous breathing (SB) rate. Secondly, would a CB rate of 12 breaths/min alter heart rate (HR), BP, and indices of muscle sympathetic nerve activity (MSNA). Twenty-one subjects (10 women, 11 men) performed two trials: SB, where the subject chose a comfortable breathing rate; and CB, where the subject breathed at a pace of 12 breaths/min. Each trial was 6 min during which respiratory waveforms, HR, BP (systolic, SBP; diastolic, DBP), and MSNA were recorded. During CB, the 6 min average breathing frequency (14±4 vs 12±1 breaths/min, <0.05 for SB and CB, respectively), MSNA burst frequency (18±12 vs 14±10 bursts/min, <0.01) and MSNA burst incidence (28±19 vs 21± 6 bursts/100 heart beats, <0.01) were significantly lower than during SB. HR (66±9 vs 67±9 beats/min, <0.05) was higher during CB. SBP (120±13 vs 121±15 mmHg, =0.741), DBP (56±8 vs 57±9 mmHg, =0.768), and MSNA total activity (166±94 vs 145±102 a.u./min, =0.145) were not different between the breathing conditions. In conclusion, an acute reduction in breathing frequency such as that observed during CB elicited a decrease in indices of MSNA (burst frequency and incidence) with no change in BP.

摘要

控制性呼吸或节律性呼吸常被用作一种减压技术,但对血压(BP)和交感神经输出的影响尚无一致报道。本研究的目的是确定控制性呼吸频率(12次/分钟,CB)是否与个体的自主呼吸(SB)频率相似。其次,12次/分钟的CB频率是否会改变心率(HR)、血压和肌肉交感神经活动(MSNA)指标。21名受试者(10名女性,11名男性)进行了两项试验:SB试验,受试者选择舒适的呼吸频率;CB试验,受试者以12次/分钟的频率呼吸。每次试验持续6分钟,期间记录呼吸波形、HR、血压(收缩压,SBP;舒张压,DBP)和MSNA。在CB期间,6分钟平均呼吸频率(分别为14±4次/分钟和12±1次/分钟,SB和CB分别<0.05)、MSNA爆发频率(18±12次/分钟和14±10次/分钟,<0.01)和MSNA爆发发生率(28±19次/100次心跳和21±6次/100次心跳,<0.01)显著低于SB期间。CB期间HR较高(66±9次/分钟和67±9次/分钟,<0.05)。呼吸条件之间SBP(120±13 mmHg和121±15 mmHg,=0.741)、DBP(56±8 mmHg和57±9 mmHg,=0.768)和MSNA总活动(166±94任意单位/分钟和145±102任意单位/分钟,=0.145)无差异。总之,如CB期间观察到的呼吸频率急性降低会引起MSNA指标(爆发频率和发生率)降低,而血压无变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/9c3367465d71/ijes_10_2_188f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/e6c6b0676787/ijes_10_2_188f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/35ec0cdb68e4/ijes_10_2_188f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/9c3367465d71/ijes_10_2_188f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/e6c6b0676787/ijes_10_2_188f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/35ec0cdb68e4/ijes_10_2_188f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/5360369/9c3367465d71/ijes_10_2_188f3.jpg

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