咀嚼过程对血液动力学指标的影响

Dimitriev D.A., Salimov E.R., Galigrova S.R.
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引用次数: 0

摘要

研究表明,咀嚼对全身循环有显著影响,与对其他活动的反应相比,循环反应似乎主要由自律神经活动通过更复杂的调节系统进行调节。然而,有关咀嚼运动与自律神经活动和全身循环变化之间关系的研究结果仍然很少,而且相互矛盾。我们研究了咀嚼口香糖时全身血液循环的变化。我们记录了 27 名咬合正常的健康受试者在连续咀嚼口香糖时的血压、心率和咀嚼肌电图,作为全身循环的指标。通过非参数配对样本分析来确定咀嚼口香糖时每个变量的时间变化,并计算非参数斯皮尔曼相关性来评估血液动力学参数变化与咀嚼肌活动之间的关系。咀嚼口香糖会增加心率和血压,表明交感神经活动和迷走神经张力发生了显著变化。我们发现,心率变化与咀嚼肌收缩幅度之间存在明显的统计学意义上的强相关性。这些结果表明,自律神经系统部分活动的变化可能是由三叉神经反射引起的,这也解释了自律神经对咀嚼运动调节的一些特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
INFLUENCE OF CHEWING PROCESS ON HEMODYNAMIC INDICATORS
Chewing has been shown to have a significant effect on systemic circulation, with circulatory responses appearing to be largely regulated by autonomic nervous activity through a more complex regulatory system than responses to other activities. However, the results of studies on the relationship between masticatory movements and changes in autonomic nervous activity and systemic circulation are still rare and contradictory. We examined changes in systemic circulation during gum chewing. Blood pressure, heart rate, and chewing electromyograms were recorded during continuous gum chewing as indicators of systemic circulation in 27 healthy subjects with normal occlusion. Nonparametric matched-sample analyzes were performed to determine the chronological changes in each variable during gum chewing, and nonparametric Spearman correlations were calculated to assess the relationship between changes in hemodynamic parameters and masticatory muscle activity. Chewing gum increased heart rate and blood pressure, indicating significant changes in sympathetic activity and vagal tone. We have identified a pronounced, statistically significant strong correlation between changes in heart rate and the magnitude of contractions of the masticatory muscles. These results suggest that changes in the activity of parts of the autonomic nervous system may be due to the trigeminal nerve reflex, which explains some of the features of the autonomic nervous regulation of chewing movements.
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