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[作为一种稳定个体特征的焦虑对心律的影响]

[The dependence of the heart rhythm on anxiousness as a stable individual characteristic].

作者信息

Danilova N N, Korshunova S G, Sokolov E N, Chernyshenko E N

出版信息

Zh Vyssh Nerv Deiat Im I P Pavlova. 1995 Jul-Aug;45(4):647-60.

PMID:8540248
Abstract

In 90 subjects (25 males and 65 females) aged 17-19 heart and respiration rates were telemetrically recorded with a "Sport" polygraph under conditions of rest and arithmetical load (periods of 3 min each). Spectral analysis of heart rate and respiration and statistical processing was performed off-line by an IBM PC XT with the software package PFE2. Anxiety was tested according to Spielberger State-Trait-Anxiety Inventory with Hanin modification and strength of excitation and inhibition according to Strelau Temperament Inventory. It was shown that the group characterized by the high trait-anxiety had significantly higher resting heart rate and Baevskiĭ index of strain than the group with low trait-anxiety. The groups differed also in R-R interval variability (standard deviation) under arithmetic load. In the group with high trait-anxiety R-R interval variability was lower than in the other group mainly in two frequency bands of R-R power spectrum, i. e., those of respiratory arrhythmia (RA) and Traube-Hering-Mayer waves (THM). Mental load evoked an increase in the heart rate and Baevskiĭ index and decrease in the power of RA and THM frequency bands. Such peculiarities of the heart rate in both groups during the periods of rest and informational load can be explained in the framework of reciprocal relationship between orienting (lower trait-anxiety, lower heart rate, higher R-R interval variability mainly in RA and THM bands of R-R power spectrum) and defensive reflexes (higher trait-anxiety, higher heart rate, lower R-R interval variability, in particular in RA and THM bands of R-R power spectrum.

摘要

在90名年龄在17至19岁的受试者(25名男性和65名女性)中,使用“Sport”多道生理记录仪通过遥测记录静息状态和算术负荷(各3分钟时间段)下的心率和呼吸率。心率和呼吸的频谱分析以及统计处理由配备PFE2软件包的IBM PC XT离线进行。根据具有哈宁修正版的斯皮尔伯格状态-特质焦虑量表测试焦虑水平,并根据斯特劳气质量表测试兴奋和抑制强度。结果表明,特质焦虑水平高的组与特质焦虑水平低的组相比,静息心率和别列夫斯基应变指数显著更高。两组在算术负荷下的R-R间期变异性(标准差)也存在差异。特质焦虑水平高的组在R-R功率谱的两个主要频段,即呼吸性心律失常(RA)和特劳贝-黑林-迈尔波(THM)频段的R-R间期变异性低于另一组。精神负荷会引起心率和别列夫斯基指数增加,以及RA和THM频段功率降低。在静息期和信息负荷期两组心率的这些特点,可以在定向(较低的特质焦虑、较低的心率、较高的R-R间期变异性,主要在R-R功率谱的RA和THM频段)和防御反射(较高的特质焦虑、较高的心率、较低的R-R间期变异性,特别是在R-R功率谱的RA和THM频段)之间的相互关系框架内得到解释。

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