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[头低倾斜负荷的预后重要性]

[Prognostic importance of the head-down tilting load].

作者信息

Iarullin Kh Kh, Gornago V A, Vasil'eva T D, Gugushvili M E

出版信息

Kosm Biol Aviakosm Med. 1980 May-Jun;14(3):48-54.

PMID:7382406
Abstract

The prognostic significance of head-down tilt at -15 degrees and -30 degrees for 6 min at each step was assessed in 40 normal men, aged 22-39. The study of mean values of the maximal amplitude, relative duration of the anacrotic phase, dicrotic and diastolic indices of hemispheric and bimastoidal rheoencephalography as well as of health condition helped to determine cerebral circulation in test subjects with good and moderate tolerance to head-down tilt and to define the criteria of tilt tolerance. The test subjects who showed good tolerance to head-down tilt displayed a simultaneous compensatory increase of the tone of large caliber arteries and arterioles that was accompanied by a noticeable increase in cerebral pulse blood filling at -15 degrees and a moderate increased at -30 degrees as well as the feeling of a slight blood rush to the head. The test subjects who displayed moderate tolerance to head-down tilt showed only an increase in the tone of large caliber vessels; they also exhibited a marked decrease in the tone of arterioles, venules and veins (especially at -30 degrees) which was combined with a significant increase in the cerebral pulse blood filling and an appearance of marked venous waves on rheoencephalograms.

摘要

对40名年龄在22至39岁之间的正常男性进行评估,观察他们在每一步骤中头部向下倾斜15度和30度并保持6分钟时的预后意义。通过研究半球和双乳突脑血流图的最大振幅平均值、升支相对持续时间、重搏波和舒张期指数以及健康状况,有助于确定对头部向下倾斜耐受性良好和中等的受试者的脑循环情况,并确定倾斜耐受性标准。对头部向下倾斜耐受性良好的受试者,大口径动脉和小动脉的张力会同时出现代偿性增加,这伴随着在-15度时脑脉搏血液充盈明显增加,在-30度时适度增加,以及有轻微的头部充血感。对头部向下倾斜耐受性中等的受试者,仅大口径血管的张力增加;他们还表现出小动脉、小静脉和静脉的张力明显降低(尤其是在-30度时),这与脑脉搏血液充盈显著增加以及脑血流图上出现明显的静脉波相结合。

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