运动员呼吸运动时的心肺动力学

Oleksandr Romanchuk
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摘要

前言:现代运动医学和医学康复的实践需要寻找疾病后身体状况发展和恢复的微妙标准,这对预防训练和康复工具的负面影响具有预测价值,也证明了体内对抗病理过程的机制的发展和过程。本研究的目的是确定呼吸频率变化可能指示机体功能状态违反的机动过程中心肺系统参数动态的信息方向。方法:对183例(21.2±2.3岁)经常参加各种运动的健康男性进行分析。研究心肺系统的程序包括使用肺动脉心动图仪在坐姿中对呼吸系统和心血管系统的活动指标进行联合测量。研究持续时间为6分钟,包括连续记录呼吸频率变化的三个测量值(自发呼吸、0.1 Hz和0.25 Hz呼吸)。结果:与自然呼吸相比,在呼吸0.1 Hz和0.25 Hz时进行呼吸操作可导致心率变异性指标tp (ms 2)、LF (ms 2)、LFHF (ms 2 /ms 2)的多向显著变化;血压变异性指标:tp舒张压(mmHg 2)、LF收缩压(mmHg 2)、LF舒张压(mmHg 2)、HF收缩压(mmHg 2);容积呼吸变异性指标- LF R, (L×min -1) 2;HF R, (L×min -1) 2;LFHF R, (L×min -1) 2 /(L×min -1) 2;BR LF (ms×mmHg -1)、BR HF (ms×mmHg -1)。系统血流动力学指标和心血管和呼吸系统同步指标的差异也提供了信息。结论:本研究结果表明,在呼吸频率变化的呼吸操作过程中,心肺参数有明显的变化,通过对其增量的分析,可以确定其变化的方向、动态、绝对值和可能发生心肺相互作用失调的信息界限。
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Cardiorespiratory dynamics during respiratory maneuver in athletes
Introduction: The modern practice of sports medicine and medical rehabilitation requires the search for subtle criteria for the development of conditions and recovery of the body after diseases, which would have a prognostic value for the prevention of negative effects of training and rehabilitation tools, and also testify to the development and course of mechanisms for counteracting pathogenetic processes in the body. The purpose of this study was to determine the informative directions of the cardiorespiratory system parameters dynamics during the performing a maneuver with a change in breathing rate, which may indicate the body functional state violation. Methods: The results of the study of 183 healthy men aged 21.2 ± 2.3 years who regularly engaged in various sports were analyzed. The procedure for studying the cardiorespiratory system included conducting combined measurements of indicators of activity of the respiratory and cardiovascular systems in a sitting position using a spiroarteriocardiograph device. The duration of the study was 6 min and involved the sequential registration of three measurements with a change in breathing rate (spontaneous breathing, breathing at 0.1 Hz and 0.25 Hz). Results: Performing a breathing maneuver at breathing 0.1 Hz and breathing 0.25 Hz in comparison with spontaneous breathing leads to multidirectional significant changes in heart rate variability indicators–TP (ms 2 ), LF (ms 2 ), LFHF (ms 2 /ms 2 ); of blood pressure variability indicators–TP DBP (mmHg 2 ), LF SBP (mmHg 2 ), LF DBP (mmHg 2 ), HF SBP (mmHg 2 ); of volume respiration variability indicators - LF R , (L×min -1 ) 2 ; HF R , (L×min -1 ) 2 ; LFHF R , (L×min -1 ) 2 /(L×min -1 ) 2 ; of arterial baroreflex sensitivity indicators - BR LF (ms×mmHg -1 ), BR HF (ms×mmHg -1 ). Differences in indicators of systemic hemodynamics and indicators of cardiovascular and respiratory systems synchronization were also informative. Conclusion: According to the results of the study, it is shown that during performing a breathing maneuver with a change in the rate of breathing, there are significant changes in cardiorespiratory parameters, the analysis of which the increments made it possible to determine of the changes directions dynamics, their absolute values and informative limits regarding the possible occurrence of the cardiorespiratory interactions dysregulation.
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