急性缺血性脑卒中患者早期活动期间的心率变异性
Heart Rate Variability During Early Mobilization in Patients with Acute Ischemic Stroke.
作者信息
Nozoe Masafumi, Yamamoto Miho, Kobayashi Miki, Kanai Masashi, Kubo Hiroki, Shimada Shinichi, Mase Kyoshi
机构信息
Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe,
Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.
出版信息
Eur Neurol. 2018;80(1-2):50-54. doi: 10.1159/000492794. Epub 2018 Sep 11.
Autonomic dysfunction is one of the predictors of poor outcome in patients with acute ischemic stroke. We compared the heart rate variability (HRV) during early mobilization in patients with or without neurological deterioration (ND). We enrolled 7 acute ischemic patients with ND and 14 without ND and measured their HRV in the rest and mobilization by electrocardiography. There was a significant difference in sympathetic nervous activity during mobilization between the 2 groups. However, no significant differences in blood pressure, heart rate, and parasympathetic nerve activity were observed. In patients with acute ischemic stroke, it is likely that the increase in sympathetic nervous activity during mobilization is associated with ND.
自主神经功能障碍是急性缺血性脑卒中患者预后不良的预测因素之一。我们比较了有或没有神经功能恶化（ND）的患者在早期活动期间的心率变异性（HRV）。我们纳入了7例有ND的急性缺血性患者和14例无ND的患者，并通过心电图测量了他们在静息和活动时的HRV。两组患者在活动期间交感神经活动存在显著差异。然而，未观察到血压、心率和副交感神经活动的显著差异。在急性缺血性脑卒中患者中，活动期间交感神经活动的增加可能与ND有关。
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