在良性性发性定位中,血压对向上倾斜测试的血压反应
1Department of Laboratory Medicine, Myongji Hospital, Hanyang University Medical Center, Goyang 10475, Republic of Korea.
Journal of clinical medicine
|December 23, 2023
概括
良性发性位置性 (BPPV) 在体位变化期间暂时提高血压反应,通过头向上倾斜测试 (HUTT) 测量. 对BPPV的治疗使这些自主神经系统的血压控制效应正常化.
科学领域:
- 心血管生理学心血管生理学
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 前置系统影响自主神经系统功能,通过前置交感反射影响血压调节.
- 良性发性位置性 (BPPV) 是一种常见的内耳疾病,影响平衡和潜在的自主控制.
研究的目的:
- 研究BPPV对自主神经系统中介血压控制的影响.
- 评估BPPV治疗前后血压调节的变化,使用头向上倾斜测试 (HUTT).
主要方法:
- 一组278名被诊断患有BPPV的患者使用HUTT进行了评估.
- 在诊断之日和完全康复BPPV后,在HUTT期间测量血压.
- 用重复测量分析差异分析来分析血压数据.
主要成果:
- 与治疗前水平相比,在HUTT期间直立的静脉血压在BPPV治疗后1,2,3分钟显著降低 (p <0.012).
- 治疗后1分钟和2分钟,心压显著降低 (p < 0.034).
- 在HUTT的初始静态反应期间,BPPV与血压升高有关.
结论:
- BPPV显著影响自主神经系统控制血压,特别是在姿势挑战期间.
- 成功的 BPPV 治疗导致前庭交感反应介导的血压反应正常化.
- HUTT是评估BPPV患者自主功能障碍的一个有价值的工具.
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