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[细胞膜上肾上腺素能受体指标:心血管系统功能状态评估中的参考值及信息有效性]

[Indicator of adrenoreceptors in cell membranes: reference values and informative validity in the assessment of the functional state of the cardiovascular system].

作者信息

Dlusskaia I G, Striuk R I, Bobrovnitskiĭ I P

出版信息

Aviakosm Ekolog Med. 1996;30(4):46-51.

PMID:8991577
Abstract

A new method of individual determination of sympathoadrenal activity (SAA) uses the parameter of beta-adrenoreception in cell membranes (beta-ARM) based on the erythrocyte model. Correlation of an individual reference beta-ARM value with specific features of hypertension states, and CVS responses to psychoemotional stress was studied. Described are the method, and normal distribution of individual beta-ARM values in healthy flyers, aviation students, non-flyers, and aviators with diagnosed the neurocirculatory dystonia of hypertensive type and patients with the hypertonic disease of 2nd stage (the overall numbers of subjects = 221). Another group of healthy subjects and patients with the hypertonic disease of 1st stage and different reference beta-ARM values (n = 39) participated in determination of HR and BP levels during the verbal count test. On the evidence of individual beta-ARM distribution in the test groups, the upper limit of the beta-ARM physiological norm (16.0 arbitrary units) was suggested to be a critical parameter in diagnosis of a hyperadrenergic state. Analysis of hemodynamics and the quality of verbal count during performance of a psychoemotional test by subjects with varying reference beta-ARM values revealed hyperreactive cardiovascular systems in and less successful fulfillment of the count test by subjects with high beta-ARM.

摘要

一种新的个体交感肾上腺活动(SAA)测定方法,基于红细胞模型,利用细胞膜中β - 肾上腺素能受体(β - ARM)参数。研究了个体参考β - ARM值与高血压状态的特定特征以及心血管系统(CVS)对心理情绪应激反应之间的相关性。描述了该方法,以及健康飞行员、航空学员、非飞行员、被诊断为高血压型神经循环障碍的飞行员和二期高血压病患者(受试者总数 = 221)个体β - ARM值的正态分布。另一组具有不同参考β - ARM值的健康受试者、一期高血压病患者(n = 39)参与了在言语计数测试期间心率(HR)和血压(BP)水平的测定。根据测试组中个体β - ARM分布的证据,β - ARM生理正常值的上限(16.0任意单位)被认为是诊断高肾上腺素能状态的关键参数。对具有不同参考β - ARM值的受试者在进行心理情绪测试期间的血流动力学和言语计数质量分析表明,β - ARM值高的受试者心血管系统反应过度,且计数测试完成情况较差。

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