Другие статьи

Цель нашей работы - изучение аминокислотного и минерального состава травы чертополоха поникшего
2010

Слово «этика» произошло от греческого «ethos», что в переводе означает обычай, нрав. Нравы и обычаи наших предков и составляли их нравственность, общепринятые нормы поведения.
2010

Артериальная гипертензия (АГ) является важнейшей медико-социальной проблемой. У 30% взрослого населения развитых стран мира определяется повышенный уровень артериального давления (АД) и у 12-15 % - наблюдается стойкая артериальная гипертензия
2010

Целью нашего исследования явилось определение эффективности применения препарата «Гинолакт» для лечения ВД у беременных.
2010

Целью нашего исследования явилось изучение эффективности и безопасности препарата лазолван 30мг у амбулаторных больных с ХОБЛ.
2010

Деформирующий остеоартроз (ДОА) в настоящее время является наиболее распространенным дегенеративно-дистрофическим заболеванием суставов, которым страдают не менее 20% населения земного шара.
2010

Целью работы явилась оценка анальгетической эффективности препарата Кетанов (кеторолак трометамин), у хирургических больных в послеоперационном периоде и возможности уменьшения использования наркотических анальгетиков.
2010

Для более объективного подтверждения мембранно-стабилизирующего влияния карбамезапина и ламиктала нами оценивались перекисная и механическая стойкости эритроцитов у больных эпилепсией
2010

Нами было проведено клинико-нейропсихологическое обследование 250 больных с ХИСФ (работающих в фосфорном производстве Каратау-Жамбылской биогеохимической провинции)
2010


C использованием разработанных алгоритмов и моделей был произведен анализ ситуации в системе здравоохранения биогеохимической провинции. Рассчитаны интегрированные показатели здоровья
2010

Специфические особенности Каратау-Жамбылской биогеохимической провинции связаны с производством фосфорных минеральных удобрений.
2010

Amendments of hemodynamic parameters in functional load of undergraduate students of the kazakh national medical university

The health status of the university students is attracting more attention of specialists in various fields of medicine. This is due to the role played by this social group in the society. The prosperity of any country depends on the degree of qualification, and the condition of their health. Acquisition, processing and application of knowledge requires maximum mental stress, in addition different kinds of factors affects to the health of students: hypodynamia, financial problems, violation of work and leisure, food, inconvenient working schedule. All these factors cause shifts of many systems, especially on the part of cardio - vascular system of students.

The aim of the research was to investigate the hemodynamic parameters of 86 healthy students of the first and second courses. At the beginning of class a blood pressure (systolic (SP) and diastolic blood pressure (DP) by the method of Karotkov, pulse with heart rate monitor) of each respondent was measured several times in a physical rest. Results of the research of each respondent were averaged and calculated by the method of N.N. Savitsky: pulse pressure (PP), average dynamic pressure (ADP); Calculation of characterizing the heart systolic volume of blood (SVB) and minute volume of blood (MVB) were performed by the Starr's formula.

Cardiac index (CI) is a value which characterizes the blood supply of the body in one minute. Calculated by following formula: CI= MVB/SB (l/min/m2). SB - body surface in mdetermines the table Dubois.

These data was considered as a background for the assessment of cardio - vascular system of the students in the rest condition. Functional loadings like physical and emotional were used to establish the physiological reserves of cardio - vascular system. Functional test of Martine was used as an exercise (20 sit-ups in 30 seconds). As an emotional load was used differentiated credit test (difcredit). Arterial pressure (AP) and heart rate were measured before and after testing.

There were three series of observations: in the first one - observed the rate of hemodynamics at rest condition, in the second - investigated the changes in hemodynamics according to functional test of Martine, in the third - the impact of emotional stress on the same indicators.

The results of the first series showed that hemodynamic parameters at rest condition are characterized by the following variations, so SP-110-114 mm m. (mercury); DP - 70-75 mm m., PP - 40-45 mm m., HR - 72-75 beats per minute; ADP-78-84 mm m., SVB - 60-72 ml, MVB - 4.6-5.1 l; CI - 2.6-3.5 l/min m2. Since arterial blood pressure is regulated by the relation of basic hemodynamic parameters can be assumed that in the regulation of arterial blood pressure, heart rate, takes part in both vascular and cardiac components.

The second series of observations were carried out to estimate status of students cardio - vascular system to standard exercise. Obtained data suggests that physical loading causes the changes in almost all hemodynamic parameters, causing the increase of rates of SP and PP, but not DP, increases SVB, MVB,CI. The cardiac performance is mainly due to the increase of heart rate. Heart rate is increased by an average of 42%. Thus, the changes of hemodynamic parameters can be regarded as a normal response of cardio - vascular system in healthy students, and increase MVB and HR after exercise suggests about lack of fitness.

Research carried out just before passing the differentiated offset showed that there is an increase in arterial blood pressure, and the increase in both SP and DP on average 2022%, MVB increased by 30-32%, HR by 32%. MVB is due to the increase in heart rate. The nature of the response to emotionally charged testimony to the increasing role of the sympathetic - adrenal system on the heart. After passing the differential offset hemodynamic parameters are beginning to return to the initial value, and this is individual and depends on the outcome of such set-off and the type of VNA.

In summary, our studies have revealed changes of hemodynamic parameters with physical and emotional loadings. At the present stage of development of physiology, cardio - vascular system is seen as self-regulating system of the body, so a change in one of its links lead to the corresponding compensatory changes in other, which is especially evident in a young body.

 

REFERENCES

  1. Samohina A.A. «Влияние экзаменационного стресса на некоторые показатели гемодинамики и функциональное состояние нервной системы у студентов», Health of Kazakhstan. - 1985. - №7. - 18 c.
  2. Borisenko N.F., Slepushkina I.I. «Физиолого - гигиенические аспекты адаптации студентов к обучению в ВУЗе», Hygiene and Sanitation. - 1982. - №9. - 23 c.
  3. Dokuchaeva G. «Здоровье сердечно - сосудистой системы». - 2009. - 32 c.
  4. Morman D., Heller L. «Физиология сердечно - сосудистой системы» . - 2011. - 16 c.
  5. Roitberg G.E., Strutenskiy A.V. «Сердечно - сосудистая система». - 25 c.
  6. Denisov I.N., Gorohova S.CH. «Сердечно - сосудистая система». - 2008. - 15 c.

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