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[中枢血流动力学对热不适状况的适应性和非适应性反应]

[Adaptive and non-adaptive reactions of central hemodynamics to conditions of heat discomfort].

作者信息

Zunnunov Z R

出版信息

Ter Arkh. 1993;65(9):72-5.

PMID:8303604
Abstract

Chest rheography was used to study central hemodynamics in 134 healthy males aged 18-28 in comfortable weather conditions and discomfortable ones, that is at equivalent-effective temperature 17-24 degrees C and above 27-30 degrees C, respectively. In trained subjects from native and non-native population under comfortable weather conditions heart rate (HR) proved to be significantly reduced as compared to untrained subjects (57.6 +/- 1.1 and 56.2 +/- 1.2 against 73.9 +/- 1.7 and 70.4 +/- 0.9), whereas stroke volume in trained males was significantly larger (by 14.2 and 14.0%, respectively). Minute blood volume (MBV), cardiac and stroke indices, systolic and diastolic pressure showed no significant differences. Heat discomfort gave rise to a slow-pulse trend in trained subjects from both native and non-native populations, in untrained subjects, especially non-natives heart rate accelerated. MBV increased in trained native and non-native examinees by 11.0 and 11.1%, respectively, while in untrained natives the rise reached 17.2%. This was secured by stroke volume elevation by 14.3, 10.7 and 11.2%, respectively (p < 0.05), in non-natives by acceleration of heart rate by 11.2%. A trend to lowering of arterial pressure was more marked in untrained examinees of both populations. It is evident that in conditions of arid zone heat discomfort trained subjects from both native and non-native populations exhibited adequate hemodynamic responses, whereas strain was observed in circulatory system functioning when it adapted to heat discomfort in untrained non-natives.

摘要

采用胸部血流图法,研究了134名年龄在18 - 28岁的健康男性在舒适和不舒适天气条件下的中心血流动力学情况,即分别在等效有效温度为17 - 24摄氏度和高于27 - 30摄氏度的条件下。在舒适天气条件下,来自本地和非本地人群的训练有素的受试者的心率(HR)与未训练的受试者相比显著降低(分别为57.6±1.1和56.2±1.2,而未训练的受试者为73.9±1.7和70.4±0.9),而训练有素的男性的每搏输出量显著更大(分别增加14.2%和14.0%)。每分钟血容量(MBV)、心指数和每搏指数、收缩压和舒张压均无显著差异。热不适使来自本地和非本地人群的训练有素的受试者出现心率减慢趋势,而在未训练的受试者中,尤其是非本地人群,心率加快。训练有素的本地和非本地受试者的MBV分别增加了11.0%和11.1%,而未训练的本地受试者的增加幅度达到17.2%。这分别是通过每搏输出量提高14.3%、10.7%和11.2%(p<0.05)实现的,在非本地人群中则是通过心率加快11.2%实现的。在这两个人群的未训练受试者中,动脉压降低的趋势更为明显。显然,在干旱地区热不适的条件下,来自本地和非本地人群的训练有素的受试者表现出适当的血流动力学反应,而未训练的非本地人群在适应热不适时,循环系统功能出现了紧张状态。

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