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选择性睡眠剥夺对 90 后健康志愿者心率变异性的影响。

Effect of selective sleep deprivation on heart rate variability in post-90s healthy volunteers.

机构信息

Department of Respiratory and Critical Care Medicine, the Affiliated Central Hospital of Qingdao University, Qingdao 266042, China.

Clinical Trial Research Center, the Affiliated Central Hospital of Qingdao University, Qingdao 266035, China.

出版信息

Math Biosci Eng. 2022 Sep 19;19(12):13851-13860. doi: 10.3934/mbe.2022645.

Abstract

The 5-minute frequency domain method was used to examine the effects of polysomnography (PSG)-guided acute selective sleep deprivation (REM/SWS) on the cardiovascular autonomic nervous system, heart rate, and rhythm in healthy volunteers to understand the relationship between cardiac neuro regulatory homeostasis and cardiovascular system diseases in healthy subjects. The study included 30 healthy volunteers selected through the randomized-controlled method, randomly divided into REM sleep deprivation and SWS sleep deprivation groups. PSG analyses and dynamic electrocardiogram monitoring were done at night, during slow wave sleep or REM sleep. An all-night sleep paradigm, without any interruptions, was tested 3 times for comparison. The frequency domain parameter method was further used to monitor the volunteers 5 min before and after a period of sleep deprivation. According to the characteristics of the all-night sleep scatter plot, healthy volunteers were divided into abnormal and normal scatter plot groups. When compared with the period before sleep deprivation, high frequency (HF) and normalized high-frequency component (HFnu) were found to be decreased. Normalized low-frequency component (LFnu) increased in the abnormal scatter plot group after sleep deprivation, and this difference was statistically significant (P < 0.05). The scatter plot also showed that very low frequency (VLF) increased only in the normal group after deprivation and this difference, as well, was statistically significant (P < 0.05). The increase in diastolic blood pressure in the abnormal group was statistically significant (P < 0.05), but the change in blood pressure in the normal group was not statistically significant (P > 0.05). There are 62.5% of the patients and 20% of the employees that were observed to have abnormal whole-night sleep patterns during the uninterrupted whole-night sleep regime. Patients with atrial or ventricular premature beats (more than 0.1%), and those with ST-t changes during sleep, were all ascertained as abnormal. We concluded that some healthy people could face unstable autonomic nervous functioning related to their long-term tension, anxiety, time urgency, hostility, and other chronic stress states. In the face of acute sleep deprivation selectivity, mild stress based excitability of the vagus nerve is reduced, which diminishes the protective function, making them susceptible to conditions such as premature ventricular arrhythmia.

摘要

采用 5 分钟频域分析法,观察多导睡眠图(PSG)引导下的急性选择性睡眠剥夺(REM/SWS)对健康志愿者心血管自主神经系统、心率和节律的影响,了解心脏神经调节平衡与健康受试者心血管系统疾病的关系。研究纳入了 30 名通过随机对照法选择的健康志愿者,随机分为 REM 睡眠剥夺组和 SWS 睡眠剥夺组。在夜间进行 PSG 分析和动态心电图监测,在慢波睡眠或 REM 睡眠时进行。进行了 3 次整夜无干扰睡眠模式测试作为比较。进一步采用频域参数法监测志愿者在睡眠剥夺前后 5 分钟的情况。根据整夜睡眠散点图的特点,将健康志愿者分为异常散点图组和正常散点图组。与睡眠剥夺前相比,发现异常散点图组高频(HF)和归一化高频成分(HFnu)降低,LFnu 增加,差异有统计学意义(P < 0.05)。散点图还显示,剥夺后只有正常组的极低频(VLF)增加,差异有统计学意义(P < 0.05)。异常组舒张压升高有统计学意义(P < 0.05),而正常组血压变化无统计学意义(P > 0.05)。在不间断的整夜睡眠模式中,有 62.5%的患者和 20%的员工观察到整夜睡眠模式异常。有房性或室性期前收缩(> 0.1%)和睡眠期间 ST-t 改变的患者均被确定为异常。我们得出结论,一些健康人可能面临与长期紧张、焦虑、时间紧迫感、敌意和其他慢性压力状态相关的不稳定自主神经功能。在急性选择性睡眠剥夺时,迷走神经轻度应激兴奋性降低,保护功能减弱,使他们容易发生室性期前收缩等心律失常。

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