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高血压男性运动后血压降低并非由于压力反射功能的急性损害。

Post-exercise reduction of blood pressure in hypertensive men is not due to acute impairment of baroreflex function.

作者信息

Bennett T, Wilcox R G, Macdonald I A

出版信息

Clin Sci (Lond). 1984 Jul;67(1):97-103. doi: 10.1042/cs0670097.

DOI:10.1042/cs0670097
PMID:6734082
Abstract

Two experiments were carried out in male subjects. In the first experiment heart rate and blood pressures were measured before, during and for 90 min after a 50 min period of intermittent exercise in seven hypertensive subjects. After exercise there was a marked reduction in systolic and diastolic blood pressures; this effect lasted throughout the 90 min observation period and was unaccompanied by tachycardia. In the second experiment heart rate and blood pressures were measured before and during the rest periods in a 50 min session of intermittent exercise in nine hypertensive and nine normotensive subjects. Following the first 10 min bout of exercise, resting blood pressures were significantly reduced in the hypertensive subjects; the reduction in blood pressure progressively increased following successive exercise periods. The normotensive subjects did not show a significant reduction in resting blood pressures until the fifth bout of exercise had been completed. In the second experiment also, the competence of baroreflexes was assessed by measuring cardiovascular responses to lower body subatmospheric pressure ( LBSP ) 30 min before and 30 and 60 min after exercise. The post-exercise reduction in blood pressure was not due to exercise-induced impairment of baroreflex mechanisms since the reduced blood pressure after exercise was well maintained during lower body subatmospheric pressure. Furthermore, after exercise, exposure to lower body subatmospheric pressure elicited greater increases in heart rate and forearm vascular resistance than were seen before exercise.

摘要

对男性受试者进行了两项实验。在第一项实验中,对7名高血压患者进行了为期50分钟的间歇运动,分别在运动前、运动期间以及运动后90分钟测量其心率和血压。运动后,收缩压和舒张压显著降低;这种效果在整个90分钟的观察期内持续存在,且未伴有心动过速。在第二项实验中,对9名高血压患者和9名血压正常的受试者进行了为期50分钟的间歇运动,并在休息期间测量其心率和血压。在第一次10分钟的运动回合后,高血压患者的静息血压显著降低;随着连续运动回合的进行,血压降低程度逐渐增加。血压正常的受试者直到完成第五次运动回合后,静息血压才出现显著降低。在第二项实验中,还通过测量运动前30分钟以及运动后30分钟和60分钟时对下体负压(LBSP)的心血管反应,来评估压力反射的功能。运动后血压降低并非由于运动引起的压力反射机制受损,因为在下体负压期间,运动后降低的血压得到了很好的维持。此外,运动后,下体负压引起的心率和前臂血管阻力增加幅度比运动前更大。

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