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下体负压对脑循环的影响。

Effect of lower body negative pressure on cerebral circulation.

作者信息

Ueno T, Yoshimoto S, Mayanagi Y, Sekiguchi C, Yajima K

机构信息

Department of Neurosurgery, Tokyo Police Hospital, Japan.

出版信息

Aviat Space Environ Med. 1993 Nov;64(11):1006-10.

PMID:8280032
Abstract

This experiment was performed to study the effects of lower body negative pressure (LBNP) on cerebral circulation. Cerebral hemodynamics were monitored continuously and noninvasively in eight subjects at 30 mmHg of LBNP for 25 minutes by following items: 1) the carotid Doppler flowmeter which measures the carotid blood flow, 2) the transcranial Doppler sonography which measures the flow velocity of the middle cerebral artery, 3) the near infrared spectrophotometer which measures the oxygenated and deoxygenated hemoglobin in the brain. The mean flow velocity of the middle cerebral artery and the blood flow of the common carotid artery significantly decreased during LBNP, even though the mean arterial blood pressure was well maintained. The oxygenated hemoglobin was significantly increased during LBNP, while the deoxygenated hemoglobin was not changed significantly. Our results suggest that exposure to moderate LBNP (30 mmHg) decreased the cerebral blood flow with the vasodilation on the arterial side of the brain.

摘要

本实验旨在研究下体负压(LBNP)对脑循环的影响。通过以下项目,对8名受试者在30 mmHg下体负压下持续25分钟进行无创脑血流动力学监测:1)测量颈动脉血流的颈动脉多普勒流量计;2)测量大脑中动脉血流速度的经颅多普勒超声检查;3)测量大脑中氧合血红蛋白和脱氧血红蛋白的近红外分光光度计。尽管平均动脉血压保持良好,但在LBNP期间,大脑中动脉的平均血流速度和颈总动脉的血流量显著下降。LBNP期间氧合血红蛋白显著增加,而脱氧血红蛋白无显著变化。我们的结果表明,暴露于中度LBNP(30 mmHg)会导致脑血流量减少,同时大脑动脉侧血管舒张。

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