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阿托品对哮喘患者呼吸性窦性心律失常的影响。

The effects of atropine on respiratory sinus arrhythmia in asthma.

作者信息

Lehrer P M, Hochron S M, Rausch L, Carr R

机构信息

UMDNJ-Robert Wood Johnson Medical School, Piscataway 08854.

出版信息

Respir Med. 1994 May;88(5):357-61. doi: 10.1016/0954-6111(94)90041-8.

Abstract

Heart rate is rhythmically related to respiratory rate, in a phenomenon known as respiratory sinus arrhythmia (RSA). Amplitude of RSA has been found to be an accurate noninvasive measure of vagal tone in the normal population. The purpose of this study was to examine the relationship between RSA and cardiac vagal tone among asthmatics, a group which has been described as having elevated RSA. This was accomplished by examining the effects of atropine on RSA in asthmatics, and comparing the results to those obtained elsewhere among normal subjects. Atropine at a dose of 1 mg/75 kg body weight was administered to 18 asthmatics, and produced decreases in RSA, equivalent to those previously found among normal subjects. The results suggest that the relationship between cardiac vagal tone and RSA is unaffected by the presence of asthma.

摘要

心率与呼吸频率呈节律性相关,这一现象被称为呼吸性窦性心律不齐(RSA)。研究发现,在正常人群中,RSA的幅度是迷走神经张力的一种准确的非侵入性测量指标。本研究的目的是探讨哮喘患者(这一群体的RSA已被描述为升高)的RSA与心脏迷走神经张力之间的关系。这是通过研究阿托品对哮喘患者RSA的影响,并将结果与其他地方在正常受试者中获得的结果进行比较来实现的。给18名哮喘患者注射了剂量为1 mg/75 kg体重的阿托品,结果RSA降低,与之前在正常受试者中发现的降低幅度相当。结果表明,心脏迷走神经张力与RSA之间的关系不受哮喘存在的影响。

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