立位-下体负压时心血管指标的变化

目的了解立位 -下体负压 (HUT +LBNP)期间心血管系统的变化 ,确定心律变异和脉图两种方法在评价心血管调节功能中的作用。方法观察 1 6名被试者在 75°头高位倾斜加 - 4kPa下体负压 2 0min期间血压、脉图、心律变异和脑血氧饱和度的变化。结果 ( 1 )HUT +LBNP可引起被试者出现明显的心率、血压、规 -化低频峰功率 (LFn)、LFn/HFn增加 ,脑血氧饱和度、心电T波和规 -化高频峰功率(HFn)下降 ;( 2 )晕厥前出现明显的血压、心率和脑血氧饱和度下降 ;( 3)低耐力组在HUT +LBNP初期的心率明显高于高耐力组 ;( 4 )HUT +LBNP时脉搏波波形发生很大变化 ,无法进行分析。结论HUT +LBNP是一种负荷量较高的立位耐力检查方法 ,可充分暴露被检者在立位中的心血管调节功能 ;脉图检测方法不能作为评价被试者HUT +LBNP耐力的方法。

Changes of Cardiovascular Indices during Head up Tilt Plus Lower Body Negative Pressure

Objective: To understand the change of the cardiovascular function and to evaluate the usefulness of sphygmography and heart rate variability (HRV) spectrum techniques on estimating cardiovascular function during HUP + LBNP. Method: Blood pressure, ECG, cerebral oxygen saturation and sphygmogram of 16 subjects were studied during 75 degrees head up tilt plus lower body negative pressure (HUP + LBNP). Result: (1) During HUP + LBNP, heart rate, blood pressure, normalized low frequency component (LFn), LFn/HFn increased significantly, the cerebral blood oxygen saturation, T wave (ECG), HFn decreased significantly; (2) Blood pressure, heart rate and cerebral blood oxygen saturation decreased significantly in presyncopal state; (3) The heart rate in low tolerance group was higher than that in high tolerance group during the initial stage of HUT + LBNP; (4) The shape of pulse wave changed enormously during HUP + LBNP, so that no analysis could be made. Conclusion: HUP + LBNP was an effective approach to examine the regulatory function of cardiovascular system, and the sphygmogram could not be used in studying the regulatory function of cardiovascular system during HUP + LBNP.