练习呼吸体操对青少年自主功能障碍的矫正作用

N. Sheiko, V. Feketa, K. Kivezhdi
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引用次数: 0

摘要

自主神经功能障碍综合征是一种以自主神经系统功能障碍和所有身体系统的功能性(无机)障碍为特征的多学综合征,其患病率在年轻人中占所有疾病的20%至56%。大多数研究人员认为心率变异性是反映身体所有调节系统状态的一个整体标记,现在被认为是一种负担得起的、非侵入性的、相当简单的、相对便宜的评估自主神经系统的方法。通过使用便携式计算机设备进行生物反馈的横膈膜呼吸来纠正自主神经功能障碍的能力已经得到证实。然而,很少有科学证据表明在瑜伽中使用呼吸练习会影响自主神经系统的功能状态。这项研究的目的是调查使用调息法呼吸练习来纠正年轻人自主神经功能障碍的可能性。这项研究涉及30名年龄在18至24岁之间的健康年轻外国人。在适应登记条件10分钟后,在仰卧位使用CardioLab计算机诊断系统(KhAI-Medica,乌克兰)记录心率变异性。最后5分钟的注册时间被用作背景参数。根据自主神经系统调节活动的输出音调指标,将被检查组划分为依赖组。随后,在30天的时间里,每天进行15分钟的呼吸体操,共3次,每次5分钟,每分钟进行5-6次呼吸循环。每一期以3个自主呼吸循环完成。得到的数值数据用变分统计方法进行处理,采用学生检验。通过两两比较评估心率变异性的动态,并使用单因素方差分析确定组间差异。在30天的呼吸体操“调息”课程的影响下,自主神经系统的功能状态指标发生了显著变化,特别是在最初有交感神经张力的人群中。在疗程结束时,根据TP测量的总体心率变异性仍高于背景值,交感神经组分别高出697±101ms2 (p<0.05)和398±95ms2 (p<0.05)。交感神经组TP的变化主要是由于低频(VLF)心率调节的贡献减少(减少98±35ms2 (p< 0.05),高频高频部分的贡献显著增加(减少682±72 ms2 (p< 0.05)。从TP处不同频率波的贡献百分比来看,心率谱的结构也发生了显著变化。疗程结束时,交感神经组HF%增加31±2.4% (p < 0.01), VLF% -减少19.3±3.6% (p < 0.05),副交感神经张力组自主神经各部分的百分比贡献在TP中未见明显变化。在30天呼吸体操课程的影响下,交感神经组由于抑制了中央环(VLF)对心律的调节,增加了副交感神经活动对中枢和外周链之间ANS调节活动的再分配的影响,导致整体变异性增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correction of Autonomous Dysfunctions by the Prayama Respiratory Gymnastics in Young People
Autonomic dysfunction syndrome is a polyetiological syndrome characterized by dysfunction of the autonomic nervous system and functional (inorganic) disorders by all body systems, the prevalence of which ranges from 20 to 56% of all diseases in young people. Most researchers consider heart rate variability as an integral marker that reflects the state of all the body's regulatory systems and is now considered an affordable, non-invasive, reasonably simple and relatively inexpensive method for evaluating the autonomic nervous system. The ability to correct autonomic dysfunction through diaphragmatic breathing in biological feedback using portable computer devices has been demonstrated. However, there is little scientific evidence on the use of breathing exercises in yoga to influence the functional state of the autonomic nervous system. The aim of the study was to investigate the possibility of using “pranayama” breathing exercises to correct autonomic dysfunction in young adults. The study involved 30 healthy young foreigners aged 18 to 24 years. Heart rate variability was recorded using the CardioLab Computer Diagnostic Complex (KhAI-Medica, Ukraine) in the supine position after 10 minutes of adaptation to the registration conditions. The last 5 min utes of registration were used as background metrics. The distribution of the examined into the dependent groups was performed according to the indicators of the output tone of the activity of autonomic system’s regulation. Subsequently, for a period of 30 days, a 15-minute session of respiratory gymnastics was conducted daily, which consisted of 3 periods of 5 minutes, during which the subject performed 5-6 breathing cycles per minute. Each period was completed with 3 spontaneous breathing cycles. The obtained numerical data were processed by the methods of variational statistics using Student's test. The dynamics of heart rate variability was assessed by pairwise comparisons, and intergroup differences were determined using one-way ANOVA. Under the influence of a 30-day course of breathing gymnastics "pranayama" indicators of the functional state of the autonomic nervous system have undergone significant changes, in particular in groups of people with initial sympathicotonia. The overall heart rate variability according to TP at the end of the course remained higher than the background values, respec -tively, by 697±101ms2 (p<0.05) in the sympathotonic group and by 398 ± 95ms 2 (p<0,05) in the parasympathicotonic group. Changes in TP in the sympathotonic group occurred mainly due to a decrease in the contribution of the low-frequency (VLF) heart rate regulation (by 98 ± 35ms2 (p <0,05) and a significant increase in the contribution of the high-frequency component of HF (by 682±72 ms2 (p<0,05) There were also significant changes in the structure of the heart rate spectrum according to the percentage contribution of waves of different frequencies at TP. At the end of the course in the sympathotonic group, HF% increased by 31 ± 2,4% (p < 0,01) and VLF% - decreased by 19,3 ± 3,6% (p <0,05), in the parasympathicotonic group of the significant change in the percentage contribution of different parts of the autonomic nerve this system was not detected in the TP. Under the influence of the 30-day course of respiratory gymnastics, there is an increase in overall variability due to the suppression of central link (VLF) regulation of cardiac rhythm and increased activity of parasympathetic influences of HF in the group of sympathotonics in the redistribution of regulatory activity of the ANS between the central and peripheral chains.
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