下肢血流封闭增加了全身压力反应,而没有增加关动脉血流再分配在女性
Abby R Fleming1, Hayley V MacDonald1, Samuel L Buckner2
1Department of Kinesiology, University of Alabama, Tuscaloosa, Alabama, USA.
Clinical physiology and functional imaging
|February 25, 2024
概括
在80%的肢体阻塞压力 (LOP) 下,女性的血流限制 (BFR) 会导致压力反应,而不会增加手臂的血流. 较低的压力 (50%的LOP) 显示出较轻的效果,表明对BFR强度有明显的生理反应.
科学领域:
- 运动生理学 运动生理学
- 心血管生理学心血管生理学
- 运动医学 运动医学
背景情况:
- 关于血液流量限制 (BFR) 对全身血动力学和血管变化的影响的数据有限,特别是在女性中.
- 了解这些反应对于优化BFR协议至关重要.
研究的目的:
- 为了研究在休息期间和两次临床血流限制 (BFR) 压力 (50%和80%的四肢阻塞压力[LOP]) 后妇女的全身血动力学和血管变化.
- 检查BFR诱导的压力器响应和系统流量再分配的变化.
主要方法:
- 15名女性接受了两次随机的双边下肢BFR (50%或80%LOP) 8分钟,然后恢复8分钟.
- 重复测量ANOVA分析了心率 (HR),血压和血管测量 (动脉直径,平均速度,体积流量) 的变化.
- 重复测量相关性评估了血液动力学和血管反应之间的关联.
主要成果:
- 在80%的LOP,心率 (HR) 增加,而骨血流和速度下降. 在康复过程中,手臂动脉流量下降.
- 在50%的LOP下,HR在闭塞和恢复期间增加,与80%的LOP相比,压力反应较低.
- 较高的BFR强度 (80%LOP) 与HR和动脉流量的显著变化相关,这表明压力反射没有增加臂流.
结论:
- 妇女在80%的LOP下血流限制会引起急性全身压力反射,而同时不会增加臂动脉流量.
- 较低的BFR强度 (50%的LOP) 会导致压力器响应较低.
- 这些发现突显了女性对BFR的强度依赖的血液动力学和血管适应.
相关概念视频
Sites for measruring blood pressure
1.7K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.7K
Pre-Procedural Guidelines for Assessing Blood Pressure
565
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
565
Assessment of blood pressure in brachial artery(two-step method)
708
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
708
Special considerations while measuring blood pressure
724
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
724
Autoregulation of Blood Flow
2.3K
Autoregulation mechanisms are characterized by their inherent capacity for self-regulation without necessitating specific nervous stimulation or endocrine control. These mechanisms facilitate the adjustment of blood flow and, therefore, perfusion specific to each tissue region. This self-regulation encompasses chemical signals and myogenic controls.
Chemical Signaling in Autoregulation
Chemical signaling operates at the precapillary sphincter level, inciting either contraction or relaxation....
Chemical Signaling in Autoregulation
Chemical signaling operates at the precapillary sphincter level, inciting either contraction or relaxation....
2.3K
Measurement of Blood Pressure
926
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
926


