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200433 上海,海军军医大学海军特色医学中心航空医学研究室
[姚永杰,E-mail: 648319648@qq.com YAO Yongjie, E-mail: 648319648@qq.com
收稿:2023-09-19,
修回:2023-10-03,
纸质出版:2024-01-15
移动端阅览
翟佳, 刘秋红, 姚永杰. 正加速度暴露对人体心率变异性的影响[J]. 陆军军医大学学报, 2024,46(1):33-38.
Jia ZHAI, Qiuhong LIU, Yongjie YAO. Effect of positive acceleration exposure on heart rate variability[J]. Journal of Army Medical University, 2024, 46(1): 33-38.
翟佳, 刘秋红, 姚永杰. 正加速度暴露对人体心率变异性的影响[J]. 陆军军医大学学报, 2024,46(1):33-38. DOI: 10.16016/j.2097-0927.202309107.
Jia ZHAI, Qiuhong LIU, Yongjie YAO. Effect of positive acceleration exposure on heart rate variability[J]. Journal of Army Medical University, 2024, 46(1): 33-38. DOI: 10.16016/j.2097-0927.202309107.
目的
2
探讨正加速度暴露对心率变异性(heart rate variability,HRV)的影响。
方法
2
本研究为单臂试验。于2023年7月23-25日,招募同一训练批次、飞行时长>300 h的12名受试者在载人离心机上进行峰值为+3.5、+4.25 Gz,持续时间各10 s的过载暴露,监测并分析受试者在正加速度过载暴露中的心率、呼吸频率、短时程HRV时域及频域指标。
结果
2
12名受试者在负荷+3.5和+4.25 Gz正加速度暴露条件下:①心率分别为(135.42±14.78)/min和(143.92±14.47)/min,呼吸频率为(23.57±4.09)/min和(26.80±4.71)/min;较暴露前的(97.08±14.61)/min、(14.86±2.06)/min均显著增加(
P
<
0.01)。②HRV时域指标“相邻窦性RR间期差值的均方根(root mean square of difference between successive normal RR intervals,RMSSD)”在+3.5、+4.25 Gz过载条件下分别为(7.69±4.32)、(6.84±3.41) ms,与暴露前[(13.14±6.37) ms
]
比较显著降低(
P
<
0.05)。③HRV频域指标高频功率(high frequency,HF)分别为(20.53±8.80)和(16.04±7.19) ms
2
,与暴露前[(44.07±24.67) ms
2
]
比较显著降低(
P
<
0.05);低频功率(low frequency,LF)在+3.5和+4.25 Gz过载条件下分别为(38.07±19.72) ms
2
和(42.46±17.08) ms
2
,与暴露前的(26.33±19.10) ms
2
比较差异无统计学意义(
P
>0.05);④+3.5和+4.25 Gz暴露时的LF/HF值分别为(4.02±1.52)、(5.32±1.86),与暴露前的(0.67±0.32)比较均显著增加(
P
<
0.05)。
结论
2
正加速度暴露显著影响心率、呼吸频率、RMSSD、LF/HF和HF等生理指标,提示正加速度暴露导致人体交感神经张力增大,心率变异性显著增加。
Objective
2
To investigate the effect of exposure to positive acceleration on heart rate variability (HRV).
Methods
2
A single-arm trial was conducted on 12 participants who have a flight duration of >300 h were subjected from a same training batch between July 23 and 25
2023. They were exposed to overloading with a peak value of +3.5 and +4.25 Gz for a duration of 10 s respectively on a manned centrifuge. Heart rate
respiratory rate
and time-domain and frequency-domain indicators of short-term HRV under exposure to overloaded positive acceleration were collected
recorded and analyzed.
Results
2
Under the overloaded +3.5 and +4.25 Gz positive acceleration for 10 s: ① The heart rate was 135.42±14.78 and 143.92±14.47 beats/min
the respiratory rate was 23.57±4.09 and 26.80±4.71 breaths/min
respectively
and both rates were significantly h
igher than those before exposure (97.08±14.61 beats/min and 14.86±2.06 breaths/min
P
<
0.01); ② The time-domain indicator
root mean square of difference between successive normal RR intervals (RMSSD)
was 7.69±4.32 and 6.84±3.41 ms respectively under +3.5 and +4.25 Gz positive acceleration
and both rates were obviously lower than before exposure (13.14±6.37 ms
P
<
0.05); ③ The frequency-domain indicator
high frequency (HF) was 20.53±8.80 and 16.04±7.19 ms
2
respectively
and both were obviously lower than those before exposure of (44.07±24.67 ms
2
P
<
0.05); another frequency-domain indicator
low frequency (LF) was 38.07±19.72 and 42.46±17.08 ms
2
respectively
but the values had no statistical difference with the value before exposure (26.33±19.10 ms
2
P
>
0.05); ④ The LF/HF ratio of the 2 exposure doses was 4.02±1.52 and 5.32±1.86 respectively after expose
and 0.67±0.32 before exposure
and a significant increase was observed (
P
<
0.05).
Conclusion
2
Positive acceleration exposure significantly affects heart rate
respiratory rate
and HRV time- and frequency-domain indicators RMSSD
LF/HF
and HF. Our results suggest that the exposure leads to increased tone in human sympathetic nerve and significant increment in HRV.
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