体育锻炼对门静脉阻力指数的影响

A. A. Vinogradov, Irina V. Andreyeva, Evgeniya S. Simakova
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引用次数: 0

摘要

引言:在正常情况下,机体对体育锻炼的适应性取决于确保高工作能力的肝功能。为此,人们对肝门血液动力学参数特别感兴趣,尤其是阻力指数(RI),它是心动周期各阶段之间血流线速度差异的主要协调者。定量体育锻炼不仅对身体健康的人来说是一种改善健康的相关方法,而且对罹患 2019 年 COronaVIrus 病(COVID-19)并被诊断出肝脏受损的人来说也是如此。此类患者可通过物理康复治疗来恢复健康。目的:以大鼠为实验对象,研究与年龄相关的门静脉(PV)RI变化,以及强制定量跑步形式的体育锻炼对门静脉血流动力学这一参数的影响。材料和方法:在 14-16 个月大的幼鼠(相当于人类 35-40 岁)中,使用超声多普勒测量法研究了门静脉 RI 与年龄有关的变化。在对照组中,门静脉 RI 在 75 天的观察期间进行研究;在实验组中,门静脉 RI 在每天的强制、定量跑步过程中进行研究,包括第一天、15 天、30 天、45 天和 60 天后,以及停止体育锻炼 15 天后。通过扣除与年龄相关的参数变化,评估了体育锻炼对 PV RI 变化的实际影响。结果:实验 60 天后,对照组动物的 PV RI 增加了 5.44 ± 1.22%,实验组动物的 PV RI 增加了 24.10 ± 2.12%。经过 15 天的恢复期后,该参数有所下降,但仍比初始水平高出 9.11 ± 0.70%。扣除与年龄有关的参数变化后,PV RI 比初始值高出 4.36 ± 1.93%。结论:在每日定量体育锻炼中,PV RI 的变化并未超出生理正常值,而且是短暂的。经过 15 天的恢复期后,PV RI 几乎接近初始参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Physical Activity on Portal Vein Resistance Index
INTRODUCTION: In norm, adaptation of an organism to physical exercise is determined by the liver functions that ensure high working capacity. To this end, of a special interest are parameters of portal hemodynamics, in particular, the resistance index (RI) as the main coordinator of the differences in the linear velocity of blood flow between the phases of cardiac cycle. Dosed physical exercise is a relevant way of health improvement for not only practically healthy people, but also for people who have suffered COronaVIrus Disease 2019 (COVID-19), and who were diagnosed with liver damage. Such patients are prescribed physical rehabilitation for their health recovery. AIM: To study age-related changes in the portal vein (PV) RI and the effect of physical exercise in the form of forced dosed running on this parameter of the portal hemodynamics in an experiment on rats. MATERIALS AND METHODS: In young rats of 14–16-month age, which corresponds to 35–40 years of human age, the age-related changes in the portal vein RI were studied using ultrasound Dopplerometry. In animals of the control group, PV RI was studied during 75-day observation, in the experimental group — in the course of daily forced, dosed running on the 1st day, after 15, 30, 45 and 60 days, and also in 15 days after cessation of physical exercise. The actual effect of physical exercise on the change in the PV RI was evaluated with the deduction of age-related changes of the parameter. RESULTS: In the animals of the control group, after 60 days of the experiment, the PV RI increased by 5.44 ± 1.22%, and in the experimental group — by 24.10 ± 2.12%. After a 15-day recovery period, the parameter declined, but remained 9.11 ± 0.70% above the initial level. After deduction of the age-related changes of the parameter, the PV RI was 4.36 ± 1.93% above the initial one. CONCLUSION: Changes in the PV RI in daily dosed physical exercise did not go beyond the physiological norm and were transient. After a 15-day recovery period, the PV RI practically approached the initial parameter.
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