在人类中,精神压力会诱导短暂的内皮功能障碍
L Ghiadoni1, A E Donald, M Cropley
1Vascular Physiology Unit, Great Ormond Street Hospital for Children NHS Trust, London WC1 3JH, UK.
Circulation
|November 15, 2000
概括
心理压力暂时损害健康个体内皮质功能,可能将压力与动脉样硬化联系起来. 这种效应通过流媒体扩张测量,在四小时内消失.
科学领域:
- 心血管生理学心血管生理学
- 压力生理学 压力生理学
- 内皮细胞功能 内皮细胞功能
背景情况:
- 心理压力与心血管疾病发病率和死亡率有关.
- 内皮损伤是一种将压力与动脉样硬化进展联系起来的机制.
研究的目的:
- 研究急性精神压力对健康和糖尿病男性内皮功能的影响.
- 评估心理压力是否影响内皮依赖和独立血管扩张.
主要方法:
- 使用超声波评估臂动脉流介导扩张 (内皮依赖) 和甘三酸盐反应 (内皮独立).
- 在健康男性和糖尿病男性进行标准化精神压力测试前后测量反应.
- 在没有精神压力的健康男性中重复测量以控制昼夜效应.
主要成果:
- 在精神压力后的30分钟和90分钟,健康男性的流量介导扩张显著减少,在4小时后恢复到基线.
- 在健康男性中,精神压力并没有改变对甘三酸盐的反应.
- 糖尿病男性的基线流量介导扩张较低,在精神压力后没有显著变化.
结论:
- 在健康个体中,短暂的精神压力会诱导过渡性内皮功能障碍.
- 这种短暂的功能障碍可能是精神压力和动脉样硬化的发展之间的机械联系.
- 糖尿病患者没有表现出压力诱导的内皮变化,可能是由于功能已经受损.
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