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缺氧和低气压均会损害压力感受性反射敏感性,但作用机制不同。

Both Hypoxia and Hypobaria Impair Baroreflex Sensitivity but through Different Mechanisms.

机构信息

ISSUL, institute of sports sciences, Université de Lausanne, Lausanne, Switzerland.

Wissenschaft & Technologie, armasuisse, Thun, Switzerland.

出版信息

Int J Sports Med. 2023 Mar;44(3):177-183. doi: 10.1055/a-1960-3407. Epub 2022 Dec 1.

Abstract

Baroreflex sensitivity (BRS) is a measure of cardiovagal baroreflex and is lower in normobaric and hypobaric hypoxia compared to normobaric normoxia. The aim of this study was to assess the effects of hypobaria on BRS in normoxia and hypoxia. Continuous blood pressure and ventilation were recorded in eighteen seated participants in normobaric normoxia (NNx), hypobaric normoxia (HNx), normobaric hypoxia (NHx) and hypobaric hypoxia (HHx). Barometric pressure was matched between NNx vs. NHx (723±4 mmHg) and HNx vs. HHx (406±4 vs. 403±5 mmHg). Inspired oxygen pressure (PiO) was matched between NNx vs. HNx (141.2±0.8 vs. 141.5±1.5 mmHg) and NHx vs. HHx (75.7±0.4 vs. 74.3±1.0 mmHg). BRS was assessed using the sequence method. BRS significantly decreased in HNx, NHx and HHx compared to NNx. Heart rate, mean systolic and diastolic blood pressures did not differ between conditions. There was the specific effect of hypobaria on BRS in normoxia (BRS was lower in HNx than in NNx). The hypoxic and hypobaric effects do not add to each other resulting in comparable BRS decreases in HNx, NHx and HHx. BRS decrease under low barometric pressure requires future studies independently controlling O and CO to identify central and peripheral chemoreceptors' roles.

摘要

压力感受性反射敏感性(BRS)是心血管压力感受性反射的一种衡量方法,在常压低氧和高空低氧环境中,BRS 要低于常压低氧环境。本研究旨在评估低气压对常氧和缺氧环境下 BRS 的影响。十八名坐姿参与者的连续血压和通气在常压低氧(NNx)、低气压常氧(HNx)、常压低氧(NHx)和低气压低氧(HHx)环境下进行记录。在 NNx 与 NHx(723±4mmHg)和 HNx 与 HHx(406±4mmHg 与 403±5mmHg)之间匹配了大气压。在 NNx 与 HNx(141.2±0.8mmHg 与 141.5±1.5mmHg)和 NHx 与 HHx(75.7±0.4mmHg 与 74.3±1.0mmHg)之间匹配了吸入氧压力(PiO)。通过序列法评估 BRS。与 NNx 相比,HNx、NHx 和 HHx 中的 BRS 明显降低。心率、平均收缩压和舒张压在不同条件之间没有差异。常压低氧环境中低气压对 BRS 有特异性影响(HNx 中的 BRS 低于 NNx)。低氧和低气压的影响不会相互叠加,导致 HNx、NHx 和 HHx 中的 BRS 降低程度相当。在低气压下,BRS 下降需要未来的研究独立控制 O 和 CO,以确定中枢和外周化学感受器的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2815/9977572/0bbeff5376de/10-1055-a-1960-3407-i9555-0001.jpg

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