蓝小华, 曹艳杰, 任启涛, 朱伟伟, 胡玥, 张凯杰, 张蓝宁, 范兴满, 唐玉祝. 飞行员心肺储备功能与抗荷耐力关系的研究进展[J]. 心脏杂志, 2023, 35(2): 196-199. DOI: 10.12125/j.chj.202208101
    引用本文: 蓝小华, 曹艳杰, 任启涛, 朱伟伟, 胡玥, 张凯杰, 张蓝宁, 范兴满, 唐玉祝. 飞行员心肺储备功能与抗荷耐力关系的研究进展[J]. 心脏杂志, 2023, 35(2): 196-199. DOI: 10.12125/j.chj.202208101
    Xiao-hua LAN, Yan-jie CAO, Qi-tao REN, Wei-wei ZHU, Yue HU, Kai-jie ZHANG, Lan-ning ZHANG, Xing-man FAN, Yu-zhu TANG. Research progress in relationship between cardiopulmonary reserve and G-tolerance in pilots[J]. Chinese Heart Journal, 2023, 35(2): 196-199. DOI: 10.12125/j.chj.202208101
    Citation: Xiao-hua LAN, Yan-jie CAO, Qi-tao REN, Wei-wei ZHU, Yue HU, Kai-jie ZHANG, Lan-ning ZHANG, Xing-man FAN, Yu-zhu TANG. Research progress in relationship between cardiopulmonary reserve and G-tolerance in pilots[J]. Chinese Heart Journal, 2023, 35(2): 196-199. DOI: 10.12125/j.chj.202208101

    飞行员心肺储备功能与抗荷耐力关系的研究进展

    Research progress in relationship between cardiopulmonary reserve and G-tolerance in pilots

    • 摘要: 战斗机飞行员在空中经常会经历持续的正加速度(positive acceleration,+Gz),可导致血液柱流体静压增大和血液转移,从而使心血管系统承受巨大压力。当+Gz负荷引起的脑血流量减少导致脑缺血缺氧时,可发生持续性正加速引起的意识丧失(G-induced loss of consciousness,G-LOC)或准意识丧失(almost loss of consciousness,A-LOC)的知觉变化。脑缺血缺氧是G-LOC/A-LOC发生的根本原因,但脑缺血缺氧受诸多因素的影响,与抗荷耐力的关系目前尚未完全阐明。本文通过回顾近年来心率变异性(heart rate variability,HRV)、血压、心脏收缩功能、心电指标、肺功能、肺部气体扩散及血流等对抗荷耐力的影响,进一步梳理心肺储备功能与抗荷耐力之间的关系。

       

      Abstract: Fighter pilots often experience positive acceleration (+ Gz) in the air, which can result in increased hydrostatic pressure of blood column and redistribution of blood, thus making the cardiovascular system bear great pressure. G-induced loss of consciousness (G-LOC) or almost loss of consciousness (A-LOC) may occur when the decrease of cerebral blood flow caused by + Gz load leads to cerebral hypoxia-ischemia. Cerebral hypoxia-ischemia is the root cause of G-LOC/A-LOC, but there are many factors affecting cerebral hypoxia-ischemia and the relationship between cerebral hypoxia-ischemia and G-tolerance remains to be fully elucidated. This paper further sorts out the relationship between cardiopulmonary reserve and G-tolerance by reviewing reported effects, in recent years, of heart rate variability, blood pressure, cardiac systolic function, ECG index, pulmonary function, pulmonary gas diffusion and blood flow on G-endurance.

       

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