经历战争相关慢性压力的妇女对控制性缺氧的反应

E. Asanov, V. Shatilo, I. Dyba, I. Antonyuk-Shcheglova, S. Naskalova, O. Bondarenko
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摘要

军事压力会对身心健康造成创伤,并破坏人体的适应能力,尤其是对缺氧做出适当反应的能力。然而,与战争有关的慢性应激(WRCS)个体的心肺系统对剂量缺氧反应的具体情况尚未得到阐明。本研究阐明了经历战争相关慢性应激反应的妇女的心肺系统对定量缺氧反应的特殊性。结果表明,在呼吸大气空气时,血液饱和度、肺通气指标和血液动力学在接触 WRCS 的妇女和未接触 WRCS 的妇女之间没有显著差异。然而,在受控缺氧测试(呼吸含 12% 氧气的混合气体 20 分钟)中,经历 WRCS 的妇女的血饱和度下降更为明显,这表明她们对缺氧的耐受性较低。WRCS 组对控制性缺氧的肺通气反应减弱也证明了这一点,通气量的增加主要是由于呼吸频率的增加而不是潮气量的增加。同时,WRCS 女性患者对缺氧的血液动力学反应表现为心率和收缩动脉压的大幅上升。因此,可以确定,在感染 HCV 的妇女中,身体对缺氧影响的抵抗力下降。同时,在缺氧条件下,她们的呼吸性质会发生变化,肺通气量的代偿性增长会减少,但血液动力学指标的增长会增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RESPONSE TO CONTROLLED HYPOXIA IN WOMEN EXPERIENCING WAR-RELATED CHRONIC STRESS
Military stress has a traumatic effect on mental and physical health, and disrupts the adaptive capabilities of the body, in particular, its ability to adequately respond to hypoxia. However, the specifics of the reaction of the cardiorespiratory system to dosed hypoxia in individuals who experiencing warrelated chronic stress (WRCS) have not yet been elucidated. The peculiarities of the reaction of the cardiorespiratory system to dosed hypoxia in women experiencing WRCS were clarified. It was shown that during breathing of atmospheric air, the blood saturation level, lung ventilation indicators, and hemodynamics did not differ significantly between women exposed to WRCS and those not exposed to it. However, during a controlled hypoxic test (breathing a gas mixture with 12% oxygen for 20 min), women experiencing WRCS experienced a more significant decrease in blood saturation, indicating a lower tolerance to hypoxia. This is also evidenced by a reduced lung ventilation response to controlled hypoxia in the WRCS group, where the increase in ventilation primarily occurred due to an elevation in breathing rate rather than tidal volume. At the same time, the hemodynamic response to hypoxia in women with WRCS was characterized by a more substantial increase in heart rate and systolic arterial pressure. Thus, it was established that in women who were in the state of HCV, the body’s resistance to the effects of hypoxia decreases. At the same time, in conditions of hypoxia, the nature of their breathing changes, and the compensatory growth of pulmonary ventilation decreases, but the growth of hemodynamic indicators increases.
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