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[切尔诺贝利核电站事故后遭受电离辐射的自主神经功能障碍综合征患者心血管系统的自主调节]

[The autonomic regulation of the cardiovascular system in subjects with the autonomic dystonia syndrome subjected to ionizing radiation exposure as a result of the accident at the Chernobyl Atomic Electric Power Station].

作者信息

Niagu A I, Zazimko R N

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1995;95(4):32-5.

PMID:8533503
Abstract

180 males in the age of 21-50, all the participants of Chernobyl accident consequences liquidation were examined. In all individuals vegetative dystonia (VD) syndrome was diagnosed (total radiation doses 0.1-1.0 Grey according to D. Erwin method). It was established that VD syndrome differed in these persons by pronounced stages of disorders manifestation as well as by polymorphism of vegetative disturbances. These findings testify central and peripheral vegetative nervous system parts involvement. In 40.2% of cases in individuals which were examined in rest and in 56.2% after dosed physical loading the functional disorders of vegetative cardiovascular system regulation of vagal type mainly (76.5%) were revealed. Clear correlation was not observed between vegetative disorders and radiation dose value. The estimation of contribution of each of the possible pathogenic factors (exactly stressogenic, radioactive and others) in vegetative disturbances development is not possible now.

摘要

对180名年龄在21至50岁之间、参与切尔诺贝利事故后果清理工作的男性进行了检查。所有个体均被诊断出患有植物神经功能紊乱(VD)综合征(根据D. 欧文方法,总辐射剂量为0.1 - 1.0戈瑞)。已确定,这些人的VD综合征在紊乱表现的明显阶段以及植物神经紊乱的多态性方面存在差异。这些发现证明中枢和外周植物神经系统部分均有受累。在接受检查时处于休息状态的个体中,40.2%出现了植物性心血管系统调节功能障碍,主要为迷走神经型(76.5%);在进行定量体力负荷后,这一比例为56.2%。未观察到植物神经紊乱与辐射剂量值之间存在明显相关性。目前尚无法评估每种可能的致病因素(确切地说是应激源、放射性及其他因素)在植物神经紊乱发展中的作用。

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