21d头低位卧床期间第一周和最后一周下体负压锻炼对立位耐力和心功能的影响  

Effects of Lower Body Negative Pressure in the First and Last Week during 21 d Head-down Bed Rest on Orthostatic Tolerance and Cardiac Function.

作　　者：孙喜庆[1] 姚永杰[1] 杨长斌[1] 冯岱雅[1] 蒋昌林[2] 梁文彬[2] 

机构地区：[1]第四军医大学航空航天医学系,陕西西安710032 [2]航天医学工程研究所,北京100094

出　　处：《航天医学与医学工程》2002年第2期84-88,共5页Space Medicine & Medical Engineering

基　　金：基金项目 :863资助项目 (863 2 4 2 4)

摘　　要：目的观察在 2 1d头低位卧床的第一周和最后一周进行下体负压锻炼对立位耐力和心功能的影响。方法 1 2名健康男性志愿者 ,随机分为对照组和LBNP组 ,每组 6人 ,均参加 - 6°头低位倾斜卧床实验。对照组在卧床期间不做任何处理 ,LBNP组在卧床第一周和最后一周 ,每天进行 1h、- 30mmHg的下体负压锻炼。卧床前和卧床第 1 0、2 1天在倾斜床上进行 3次立位耐力检查 ,卧床期间测量心脏泵血和收缩功能等指标。结果卧床前两组 1 2名被试者均顺利通过立位耐力检查。卧床第 1 0和 2 1天 ,对照组所有被试者均不能通过立位耐力检查 ,而下体负压组仅有 1人未通过 ,卧床第 2 1天下体负压组( 1 9.7± 0 .9min)平均耐受时间较对照组 ( 1 5 .0± 3.2min)显著延长 (P <0 .0 5 )。对照组每搏输出量(SV)及心输出量 (CO)在卧床第 3、1 0天较卧床前显著降低 (P <0 .0 5 ) ,而LBNP组SV及CO在卧床期间均无显著性变化 ;两组的射血前期 (PEP) /左室射血时间 (LVET)在卧床第 3、1 4天均显著升高 (P <0 .0 5 )。两组间比较 ,LBNP组PEP/LVET在卧床第 3天较对照组显著降低 (P <0 .0 5 ) ,LVET在卧床第 3、7和 1 4天较对照组显著升高 (P <0 .0 5 )。结论 2 1d头低位卧床可引起立位耐力、心脏泵血和收缩功能显著降低 ;在 2 1d头低位卧床的?Objective To investigate the changes of orthostatic tolerance and cardiac function during 21 d head down tilt (HDT) bed rest and effect of lower body negative pressure(LBNP) in the first and the last weeks in humans. Method Twelve healthy male volunteers were exposed to 6° HDT bed rest for 21 d. Six subjects received -30 mmHg LBNP sessions for 1 h/d from the 1st to the 7th day and from the 15th to the 21 st day of the HDT, and the other six who did not receive LBNP served as control. Orthostatic tolerance was assessed by means of standard tilt test. The cardiac pumping function and cardiac systolic function were measured before and during HDT. Result Before HDT, all the subjects in the two groups completed the tilt tests. After 10 d and 21 d of HDT, all the subjects of the control group and one subject of the LBNP group could not complete the tilt test due to presyncopal or syncopal symptoms. The mean time of upright standing in the control group (15.0± 3.2 min) was significantly shorter than those in the LBNP group (19.7±0.9 min). The stroke volume and cardiac output decreased significantly in the control group on days 3 and 10 of HDT, but remained unchanged throughout HDT in the LBNP group. A significant increase in preejection period (PEP)/left ventricular ejection time (LVET) was observed on days 3 and 14 of HDT in both groups. The PEP/LVET in the LBNP group was significantly lower than those in the control group on days 3 of HDT, while LVET in LBNP group was significantly higher than those in the control group on days 3, 7 and 14 of HDT. Conclusion It is suggested that the brief daily LBNP sessions in the first and the last weeks were effective in preventing orthostatic intolerance and the reduction of cardiac pumping function and cardiac systole function induced by 21 d HDT bed rest.

关 键 词：模拟失重 卧床实验 下体负压 心功能 立体耐力 对抗措施 

分 类 号：R852.22[医药卫生—航空、航天与航海医学]