在对血管运动自律性进行鹿角浴疗法矫正后对脑部血液循环的速度测量多普勒研究

V. A. Avkhimenko, A. B. Trivozhenko
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摘要

该研究的目的是评估阿尔泰红鹿茸浴疗法治疗动脉高血压后,静脉测压(VEM)引起的大脑中动脉血流峰值速度(Vps)和阻力指数(RI)的动态变化。研究对象为年龄在 56 [50-59] 岁(中位数 [下四分位数-上四分位数])的 I-II 级动脉高血压患者(48 人)。在对大脑中动脉 Vps、俯卧位、坐位和自行车运动时的 RI 进行双工研究的过程中进行了记录。俯卧位时的 Vps 为 100 [95-105] сm/s,RI - 0.62 [0.58-0.64];在自行车测力计上,Vps 下降了 20%,为 80 [77-85] сm/s。在平均强度的自行车运动过程中(女性为 60 瓦,男性为 90 瓦),Vps 增加了 45%,达到 115 [112-120] сm/s,RI 增加到 0.73 [0.71-0.75]。在最大切除负荷下,Vps 降低了 25%,达到 88 [86-92] сm/s,RI 没有变化。经过鹿茸浴疗法后,俯卧位的 Vps 下降到 87 [82-92] сm/s(p = 0.0001),这是因为微循环得到改善,RI 下降到 0.52 [0.5-0.53] (р = 0.0001)。这些患者的 Vps 也有较小程度的正压下降。在平均强度的自行车运动过程中,Vps 的振幅较高(高达 60%,122 [120- 125] сm/s)。在最大强度的自行车运动中,Vps 下降了平均值的 30%,等于 85 [82-86] сm/s。大脑中动脉血沟的速度计量多普勒研究是评估自动调节动态状态的代表性方法,可用于物理疗法的诊断审核。阿尔泰产的鹿茸浴疗法对大脑血管运动功能有积极影响。
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Veloergometric Doppler study of brain blood circulation after balneological antler correction of vasomotor autoregulation
The aim of the study was to evaluate the change in veloergometry (VEM)-induced dynamic state of peak blood flow velocity (Vps) and resistance index (RI) in the middle cerebral artery after balneotherapy of arterial hypertension with Altai red deer antlers.Material and methods. A small cohort of patients (n = 48) with grade I–II arterial hypertension aged 56 [50–59] years (median [lower quartile-upper quartile]) was examined. In the course of the duplex research of middle cerebra artery Vps, RI in a prone position, sitting and during a bicycle exercise were registered.Results. In a prone position Vps was 100 [95–105] сm/s, RI – 0.62 [0.58–0.64]; on the cycle ergometer Vps decreased by 20 % and was 80 [77–85] сm/s. In the course of bicycle exercises of average intensity (60 W for women and 90 W for men), Vps increased by 45 %, to 115 [112–120] сm/s, RI increased to 0.73 [0.71–0.75]. On a maximum excise loading Vps reduced by 25 % up to 88 [86–92] сm/s, RI did not change. After antler balneotherapy Vps in a prone position decreased and was equal 87 [82–92] сm/s (p = 0.0001), it occurred due to the improvement of microcirculation confirmed by decrease in RI to 0.52 [0.5–0.53] (р = 0.0001). To a lesser extent there was also an orthostatic falling of Vps at these patients. In the course of bicycle exercises of average intensity, Vps was registered with higher amplitude (up to 60 %, 122 [120– 125] сm/s). On a maximum of bicycle exercise Vps decreased by 30 % of an average and was equal to 85 [82–86] сm/s.Conclusions. Veloergometric Doppler study of a blood-groove in a middle cerebra artery is a representative method for assessing the dynamic state of autoregulation and can be used for diagnostic audit of physical therapy. The antler balneotherapy of the Altai maral products makes positive impact on cerebral vasomotor function.
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