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放松疗法对器质性心脏病患者心脏功能和交感神经活动的影响。

Effects of relaxation therapy on cardiac performance and sympathetic activity in patients with organic heart disease.

作者信息

Davidson D M, Winchester M A, Taylor C B, Alderman E A, Ingels N B

出版信息

Psychosom Med. 1979 Jun;41(4):303-9. doi: 10.1097/00006842-197906000-00004.

Abstract

Six patients, with surgically implanted tantalum myocardial markers, were trained in deep muscle relaxation therapy. Analysis of individual responses and group means of blood pressure and ventricular dimensions during relaxation showed a decrease in plasma norepinephrine levels and indices of myocardial contractility compared to the control state. Heart rate changes in individuals during relaxation were directly correlated with changes in plasma norepinephrine levels, although group means for heart rate did not change significantly between control and relaxation periods. Base-line plasma norepinephrine levels were directly correlated with systolic blood pressure and were inveresly correlated with a measure of myocardial contractility. These data suggest that physiological changes during relaxation may be mediated through the sympathetic nervous system.

摘要

六名通过手术植入钽心肌标记物的患者接受了深度肌肉放松疗法训练。对放松过程中个体反应以及血压和心室尺寸的组均值分析显示,与对照状态相比,血浆去甲肾上腺素水平和心肌收缩性指标有所下降。尽管对照期和放松期之间心率的组均值没有显著变化,但个体在放松过程中的心率变化与血浆去甲肾上腺素水平的变化直接相关。基线血浆去甲肾上腺素水平与收缩压直接相关,与心肌收缩性指标呈负相关。这些数据表明,放松过程中的生理变化可能通过交感神经系统介导。

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