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普萘洛尔对检查应激期间全身微振动的影响。

The effect of propranolol on whole-body microvibrations during examination stress.

作者信息

Koller E A, Studer R, Gerber H, Stüssi E

出版信息

Eur J Appl Physiol Occup Physiol. 1986;55(3):307-14. doi: 10.1007/BF02343804.

DOI:10.1007/BF02343804
PMID:3732258
Abstract

Whole-body microvibrations (MV) in three dimensions were measured in 51 volunteers, all medical students, 26 without and 25 with beta-receptor blockade (propranolol), immediately before a practical physiology examination and during the ensuing vacation. Propranolol impeded the increase in MV values in all three axes, significantly those in the z axis (vertical), the differences in MV values between the two measurements being minimal in the beta-receptor blocked group. On the other hand, propranolol enhanced MV in the x axis (anteroposterior) and the y axis (transverse), the y axis difference being significant only in females. Propranolol obviously relieves examination stress: the majority of candidates (52%) felt "quieter" in the examination with than in other similar situations without beta-receptor blockade. Propranolol was, however, without effect on the examination results. The rectified impulse in the z axis when related to body weight (Jz) correlates linearly with the calculated cardiac output. Propranolol, however, reduced cardiac output more than Jz, pointing to a Jz component non-sensitive to beta-receptor blockade. The part played by muscle tonus, mainly reflected in the y axis, thus remains unknown. The large and slow oscillations in the x and y axes, observed particularly in beta-receptor blocked females, might be attributed to diminution in standing ability.

摘要

对51名志愿者(均为医科学生)进行了全身三维微振动(MV)测量,其中26人未服用β受体阻滞剂,25人服用了β受体阻滞剂(普萘洛尔),分别在一次生理学实践考试前及随后的假期期间进行测量。普萘洛尔抑制了三个轴向上MV值的增加,在z轴(垂直方向)上的抑制作用尤为显著,在β受体阻滞剂组中,两次测量之间MV值的差异最小。另一方面,普萘洛尔增加了x轴(前后方向)和y轴(横向)上的MV,仅在女性中y轴差异显著。普萘洛尔明显缓解了考试压力:大多数考生(52%)感觉考试时比未服用β受体阻滞剂的其他类似情况下“更平静”。然而,普萘洛尔对考试成绩没有影响。z轴上与体重相关的整流脉冲(Jz)与计算出的心输出量呈线性相关。然而,普萘洛尔降低心输出量的幅度大于Jz,这表明存在一个对β受体阻滞剂不敏感的Jz成分。主要反映在y轴上的肌肉紧张度所起的作用仍然未知。在x轴和y轴上观察到的大而缓慢的振荡,特别是在服用β受体阻滞剂的女性中,可能归因于站立能力的下降。

相似文献

1
The effect of propranolol on whole-body microvibrations during examination stress.普萘洛尔对检查应激期间全身微振动的影响。
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本文引用的文献

1
[Basic principles of the problem of biological vibration measurement].[生物振动测量问题的基本原理]
Schweiz Med Wochenschr. 1959 May 30;89:575-6.
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The impact of cardiac activity on triaxially recorded endogenous microvibrations of the body.心脏活动对身体三轴记录的内源性微振动的影响。
Eur J Appl Physiol Occup Physiol. 1980;44(1):83-96. doi: 10.1007/BF00421767.
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Stage fright in musicians: a model illustrating the effect of beta blockers.
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Postural tonus and cardiac activity during centrally elicited affective reactions in the cat.猫在中枢引发的情感反应期间的姿势紧张和心脏活动。
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The stabilometry as an auxiliary in investigations of patients with vestibular disturbances.姿势平衡测量法作为前庭功能障碍患者检查的辅助手段。
Agressologie. 1973;14(Spec No D):27-31.
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[Model for describing tremor (authors transl)].[描述震颤的模型(作者翻译)]
Eur J Appl Physiol Occup Physiol. 1975;34(1):19-31. doi: 10.1007/BF00999912.
8
Study of human standing ability by multipoint XY-tracker and pedoscope.利用多点XY追踪器和足诊仪对人体站立能力的研究。
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Pharmacokinetics of propranolol in normal healthy volunteers.普萘洛尔在正常健康志愿者体内的药代动力学。
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10
The microvibrations of the body, an index for examination stress.身体的微振动,一种检查压力的指标。
Eur J Appl Physiol Occup Physiol. 1978 Aug 15;39(2):99-109. doi: 10.1007/BF00421714.