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妊娠高血压综合征中交感肾上腺及心血管对精神应激的反应

Sympathoadrenal and cardiovascular responses to mental stress in pregnancy-induced hypertension.

作者信息

Nisell H, Hjemdahl P, Linde B, Beskow C, Lunell N O

出版信息

Obstet Gynecol. 1986 Oct;68(4):531-6.

PMID:3748504
Abstract

Nine patients with pregnancy-induced hypertension and nine healthy pregnant controls with similar gestational lengths were compared with regard to cardiovascular and sympathoadrenal reactivity during a standardized mental stress procedure (Stroop color word conflict test). The test induced increases in blood pressure, heart rate, cardiac output, arterial plasma epinephrine and norepinephrine concentrations, and a decrease in calf vascular resistance, but no changes in stroke volume or systemic vascular resistance. The responses of the two groups did not differ significantly with regard to any of the mentioned variables. Pregnancy-induced hypertension does not seem to be associated with an exaggerated cardiovascular or sympathoadrenal reactivity to mental stress when compared to normal pregnancy.

摘要

在一项标准化心理应激程序(斯特鲁普颜色词冲突测试)中,对9例妊娠高血压患者和9例孕周相似的健康孕妇进行了心血管和交感肾上腺反应性的比较。该测试导致血压、心率、心输出量、动脉血浆肾上腺素和去甲肾上腺素浓度升高,小腿血管阻力降低,但每搏输出量或全身血管阻力无变化。两组在上述任何变量方面的反应均无显著差异。与正常妊娠相比,妊娠高血压似乎与对心理应激的过度心血管或交感肾上腺反应性无关。

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