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用力呼气时急性重力变化中的心血管调节。

Cardiovascular Regulation During Acute Gravitational Changes with Exhaling on Exertion.

机构信息

Innere Medizin, Universitätsspital Basel, Basel, Switzerland.

Health Services Research - Geriatric Medicine, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.

出版信息

Int J Sports Med. 2022 Sep;43(10):865-874. doi: 10.1055/a-1810-6646. Epub 2022 Jun 3.

Abstract

During gravitational changes or changes in the direction of action in relation to the body, fluid displacements can be observed. In special cases different breathing maneuvers (e. g., exhaling on exertion; Ex-Ex) are used to counteract acute fluid shifts. Both factors have a significant impact on cardiovascular regulation. Eight healthy male subjects were tested on a tilt seat, long arm human centrifuge, and parabolic flight. The work aims to investigate the effect of exhaling on exertion on the cardiovascular regulation during acute gravitational changes compared to normal breathing. Possible interactions and differences between conditions (Ex-Ex, normal breathing) for the parameters , , HR, and SV were analysed over a 40 s period by a three-way ANOVA. Significant (p≤0.05) effects for all main factors and interactions between condition and time as well as maneuver and time were found for all variables. The exhaling on exertion maneuver had a significant influence on the cardiovascular response during acute gravitational and positional changes. For example, the significant increase of V'O2 at the end of the exhalation on exertion maneuver indicates an increased lung circulation as a result of the maneuver.

摘要

在与身体相关的重力变化或作用方向变化期间,可以观察到流体位移。在特殊情况下,会使用不同的呼吸动作(例如,用力呼气;Ex-Ex)来对抗急性液体转移。这两个因素对心血管调节有重大影响。八位健康男性受试者在倾斜座椅、长臂人体离心机和抛物线飞行中进行了测试。本研究旨在调查与正常呼吸相比,在急性重力变化期间用力呼气对心血管调节的影响。通过三因素方差分析,对参数 , , HR 和 SV 在 40 秒期间的条件(Ex-Ex,正常呼吸)的可能相互作用和差异进行了分析。对于所有变量,都发现了所有主要因素以及条件和时间以及动作和时间之间的相互作用的显著(p≤0.05)效果。用力呼气动作对急性重力和位置变化期间的心血管反应有显著影响。例如,用力呼气动作结束时 V'O2 的显著增加表明,由于该动作,肺循环增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b8/9448415/6d78d9f578fc/10-1055-a-1810-6646-i9194-0001.jpg

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