脊髓损伤患者心率变化的日间变化
Jittima Saengsuwan1,2, Arphatsorn Ruangsuphaphichat3, Lars Brockmann4
1Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. sjittima@kku.ac.th.
Biomedical engineering online
|June 20, 2024
概括
心率变化 (HRV) 在脊髓损伤 (SCI) 患者中显示出显著的每日变化. 这些HRV指标中的日间模式对于SCI群体的临床和研究解释至关重要.
科学领域:
- 心脏病学 心脏病学
- 自主神经科学 自主神经科学
- 康复医学 康复医学 康复医学
背景情况:
- 心率变化 (HRV) 提供了关于自主神经系统功能的见解.
- 脊髓损伤 (SCI) 可以显著影响自主平衡.
- 了解SCI中昼间HRV模式对于管理心血管健康至关重要.
研究的目的:
- 在SCI患者中描述HRV的日间变化.
- 为了比较SCI个体之间的日间HRV模式,T6及以上的病变与T6以下的病变.
主要方法:
- 一项涉及24小时RR间隔记录的横截面研究的回顾性分析.
- 计算时间域 (SDNN,RMSSD) 和频域 (HF,LF,VLF,ULF,TP) 的HRV参数.
- 应用一个多元组件的共弦子模型与一个三的富里埃数列来分析日间变化.
主要成果:
- 两组SCI都表现出类似的白天HRV模式,下午值最低,午夜至清晨高峰.
- 在午夜之前,RMSSD达到顶峰,ULF在T6及以上病变的个体中显示出双模模式.
- 与T6以下的组相比,T6及以上组的HRV值一般较低,但峰值RMSSD,HF和LF除外.
结论:
- 在SCI患者中,无论病变水平如何,HRV存在大量的日间变化.
- 在临床评估和涉及SCI患者的研究中,必须考虑日常HRV波动.
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