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[动脉低血压时自主调节机制的状态]

[State of autonomic regulation mechanisms in arterial hypotension].

作者信息

Veĭn A M, Oknin V Iu, Khaspekova N B, Fedotova A V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1998;98(4):20-4.

PMID:9606893
Abstract

To investigate the role of suprasegmental and segmental parts of autonomic nervous systems (ANS) in genesis of arterial hypotension (AH) 75 individuals with arterial hypotension as well as 30 healthy persons were examined using clinical and psychological methods, evaluation of the state of ANS segmental part by means of evoked skin sympathetic potentials, spectral analysis of the variability of the heart rhythm, 5 standard cardiovascular tests according to Ewing. The conclusion was made that individuals with AH had combination of alterations of both emotional-personality sphere and autonomic functions in all systems of organism tested. Exactly they had psychoautonomic syndrome presenting as combination of asthenic manifestations, elements of Reynaud phenomenon and headaches pronounced differently (headaches of tension more frequently). Clinical alterations were combined with changes of indices of functional testing, that reflected disorders in some link of sympathetic regulation including baroreflex one. Decompensation in individuals with AH and change for the worse of the indices of functional testing were due both to the increase of psychoautonomic disorders, growing of desintegrational processes in ANS and the decrease of adaptive mechanisms in its sympathetic part.

摘要

为研究自主神经系统(ANS)的节段性和节段上部分在动脉低血压(AH)发生中的作用,采用临床和心理学方法对75例动脉低血压患者以及30名健康人进行了检查,通过诱发皮肤交感神经电位评估ANS节段性部分的状态,对心律变异性进行频谱分析,并根据尤因(Ewing)方法进行5项标准心血管测试。得出的结论是,AH患者在受试机体的所有系统中都存在情绪-人格领域和自主功能的改变。确切地说,他们患有精神自主神经综合征,表现为虚弱表现、雷诺现象的要素和不同程度的头痛(紧张性头痛更常见)的组合。临床改变与功能测试指标的变化相结合,这反映了包括压力反射在内的交感神经调节某些环节的紊乱。AH患者的失代偿以及功能测试指标的恶化既是由于精神自主神经紊乱的增加、ANS中解体过程的加剧,也是由于其交感神经部分适应性机制的降低。

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