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经皮二氧化碳治疗对心率变异性的影响——一项初步研究。

Transcutaneous Carbon Dioxide Treatment Affects Heart Rate Variability - A Pilot Study.

作者信息

Kreska Zita, Németh Balázs, Kiss István, Péter Iván, Ajtay Zénó, Hejjel László

机构信息

Zsigmondy Vilmos SPA Hospital, Harkány, Hungary.

Department of Public Health Medicine, Medical School, University of Pécs, Pécs, Hungary.

出版信息

In Vivo. 2018 Sep-Oct;32(5):1259-1264. doi: 10.21873/invivo.11374.


DOI:10.21873/invivo.11374
PMID:30150454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6199594/
Abstract

BACKGROUND: The aim of this study was to investigate the effects of carbon-dioxide treatment on heart rate variability (HRV) parameters: mean RR interval (RRI), standard deviation of RR intervals (SDNN), root mean square of successive RR differences (RMSSD); and Porta and Guzik indices, as measures of heart rate asymmetry. MATERIALS AND METHODS: Twenty patients were enrolled (mean±SD, age=59±7.8 years). Measurements were performed before CO treatment, at the beginning of treatment, at 15 min of treatment, immediately after and 1 h after the treatment. RESULTS: Significant increase in SDNN was found 1 h after the treatment when compared to that before it (p=0.011). There were no significant changes in other parameters. CONCLUSION: CO treatment can influence the autonomic nervous system identified by SDNN changes. However, larger studies are required to confirm these results.

摘要

背景:本研究旨在探讨二氧化碳治疗对心率变异性(HRV)参数的影响:平均RR间期(RRI)、RR间期标准差(SDNN)、连续RR差值的均方根(RMSSD);以及作为心率不对称性测量指标的波尔塔和古齐克指数。 材料与方法:招募了20名患者(平均±标准差,年龄=59±7.8岁)。在二氧化碳治疗前、治疗开始时、治疗15分钟时、治疗后即刻和治疗后1小时进行测量。 结果:与治疗前相比,治疗后1小时发现SDNN显著增加(p=0.011)。其他参数无显著变化。 结论:二氧化碳治疗可通过SDNN变化影响自主神经系统。然而,需要更大规模的研究来证实这些结果。

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[2]
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本文引用的文献

[1]
Heart rate variability: a new tool to predict complications in adult cardiac surgery.

J Geriatr Cardiol. 2017-11

[2]
Angiotensin-converting Enzyme Inhibition Improves the Effectiveness of Transcutaneous Carbon Dioxide Treatment.

In Vivo. 2017

[3]
Heart rate variability is severely impaired among type 2 diabetic patients with hypertension.

Diabetes Metab Res Rev. 2014-5

[4]
Heart rate asymmetry follows the inspiration/expiration ratio in healthy volunteers.

Physiol Meas. 2012-9-26

[5]
A novel system for transcutaneous application of carbon dioxide causing an "artificial Bohr effect" in the human body.

PLoS One. 2011-9-8

[6]
Periictal heart rate variability analysis suggests long-term postictal autonomic disturbance in epilepsy.

Eur J Neurol. 2010-1-22

[7]
Clinical and microcirculatory effects of transcutaneous CO2 therapy in intermittent claudication. Randomized double-blind clinical trial with a parallel design.

Vasa. 2009-8

[8]
Heart rate variability: a review.

Med Biol Eng Comput. 2006-12

[9]
Microcirculatory and clinical effects of serial percutaneous application of carbon dioxide in primary and secondary Raynaud's phenomenon.

Vasa. 2005-5

[10]
What is the adequate sampling interval of the ECG signal for heart rate variability analysis in the time domain?

Physiol Meas. 2004-12

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