女兵对卵巢月经周期不同阶段静动负荷的耐受性

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目前，俄罗斯武装部队中的女性在高等飞行学校接受培训，包括在战斗机航空部门。第一批女飞行员于 2022 年毕业。然而，现有的选拔制度包括对静态稳定性的评估和训练，它是基于男性的生理特点，并没有考虑到女性在卵巢月经周期期间体内荷尔蒙的周期性变化。尽管允许女性飞行的做法已有大约100年的历史，但关于妇女对静态动力学效应的耐受性（包括在卵巢月经周期的不同阶段）的研究结果却相互矛盾。考虑到卵巢月经周期的性质，研究了女军人在卵巢月经周期的不同阶段对静力负荷的耐受性。63 名女兵参加了本项研究。根据卵巢月经周期的变化情况，她们被分为 3 组。第一组（28人）卵巢月经周期规律，无经前综合征；第二组（26人）卵巢月经周期规律，有经前综合征；第三组（9人）服用复方口服避孕药。测试前、测试中和测试后都记录了生理指标（血压和心率）。通过在卵巢月经周期的卵泡期和黄体期进行 V.I. 沃伊切克的旋转测试 "耳石反应-10 "来模拟静力负荷。研究发现，在卵巢月经周期的不同阶段，第一组和第三组对他汀类药物的耐受性没有差异。在第二组中，卵巢月经周期的黄体期与卵巢月经周期的卵泡期相比，以及与第一组和第三组的卵巢月经周期的黄体期相比，对静态负荷的耐受性明显降低。此外，第二组在卵巢-月经周期的黄体期，循环系统对静力负荷的反应发生了变化，表现为心率值升高。因此，对于卵巢月经周期规律、无经前期综合征的女兵和服用复方口服避孕药的女兵来说，卵巢月经周期的阶段并不会影响对他汀类药物的耐受性。对于卵巢月经周期规律和有经前综合征的女军人来说，对静态负荷的耐受性取决于卵巢月经周期的各个阶段，在黄体期会有所减弱。

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作者简介

Andrey A. Blaginin

Kirov Military Medical Academy

Email: andreyblaginin60@gmail.com
ORCID iD: 0000-0002-3820-5752
SPIN 代码: 2747-0146

MD, Dr. Sci. (Med.), Dr. Sci. (Psych.), professor

俄罗斯联邦, Saint Petersburg

Tatiana A. Lapshina

Kirov Military Medical Academy

编辑信件的主要联系方式.
Email: tanyaleningrad@bk.ru
ORCID iD: 0000-0002-5053-6490
SPIN 代码: 1874-7196

therapist

俄罗斯联邦, Saint Petersburg

Yury A. Emelyanov

Kirov Military Medical Academy

Email: Volandgm@yandex.ru
ORCID iD: 0000-0003-4803-3517
SPIN 代码: 6874-5924

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Dmitry V. Bakovetc

Kirov Military Medical Academy

Email: dmitriibakovetc@mail.ru
ORCID iD: 0009-0001-4406-3981
SPIN 代码: 3031-2928

teacher

俄罗斯联邦, Saint Petersburg

Elizabeth A. Dudina

Kirov Military Medical Academy

Email: elizaveta-dudina@mail.ru
ORCID iD: 0000-0003-3834-1639
SPIN 代码: 6837-2069

senior laboratory assistant

俄罗斯联邦, Saint Petersburg

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补充文件

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1. JATS XML
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2. Fig. 1. Tolerance of the OR-10 sample to different phases of the ovarian–menstrual cycle in female military personnel

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3. Fig. 2. Average score of the OR-10 test in different phases of the ovarian–menstrual cycle in female military personnel

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4. Fig. 3. Heart rate dynamics during the OR-10 test in female servicemen during the luteal phase of the ovarian–menstrual cycle

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