This study researched the effect of “prior verbal notice”—notice which was provided for the patient when he (she) was given head-up tilt for posture change—on the regulation of circulation system, through measuring the autonomic nervous function and cerebral circulation.
The experiment was performed on 12 healthy young subjects (six males and six females) under two conditions: “without prior notice” and “with prior notice”. Under the former condition, subjects were verbally notified when passive head-up tilt (from supine to sitting) of 70° began. Under the latter condition, subjects were given head-up tilt of 70°, while they were given verbal notice every minute, from five minutes before head-up tilt began. The results are as follows:
1) The average RR interval after head-up tilt under latter condition was lower than that under the former condition (p<0.05).
2) The LF/HF ratio before and after head-up tilt under the latter condition became significantly high about three minutes after the tilt began, compared with that under the former condition.
3) Oxy-Hb and total-Hb in the cerebral blood flow lowered due to head-up tilt. In particular, oxy-Hb showed a tendency to rise before head-up tilt under the latter condition.
This study has clarified that smoother regulation of the circulation system can be obtained if the patient anticipates head-up tilt through prior verbal notice given before it is made.
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