下半身负压(LBNP)将血液从上半身重新分配到下半身。LBNP可能被证明是应对宇航员在太空飞行中与头部液体移位有关的多方面生理变化的对策。五十多年来,从Skylab的时代开始,LBNP技术的进步扩大了我们对神经学的理解,眼科,心血管,和空间中的肌肉骨骼适应,特别强调减轻骨质流失等问题。然而,迄今为止,没有进行全面的综述来记录这项技术的发展或阐明LBNP在管理微重力环境中遇到的各种生理挑战方面的广谱潜力.我们的研究采用了时间顺序的观点,系统回顾了LBNP技术在航天各种病理生理影响方面的历史发展和应用。主要目的是说明这项技术是如何,随着它的发展,提供了一个越来越复杂的镜头,通过它来解释太空旅行对人体生理的系统性影响。我们认为,从LBNP研究中获得的见解可以显着帮助制定有针对性和有效的对策,以确保宇航员的健康和安全。最终,本文旨在促进对LBNP作为应对太空旅行的多种身体效应的对策的广泛适用性的更有凝聚力的理解,从而有助于人类空间探索更安全、更科学的方法。
Lower Body Negative Pressure (LBNP) redistributes blood from the upper body to the lower body. LBNP may prove to be a countermeasure for the multifaceted physiological changes endured by astronauts during spaceflight related to cephalad fluid shift. Over more than five decades, beginning with the era of Skylab, advancements in LBNP technology have expanded our understanding of neurological, ophthalmological, cardiovascular, and musculoskeletal adaptations in space, with particular emphasis on mitigating issues such as bone loss. To date however, no comprehensive review has been conducted that chronicles the evolution of this technology or elucidates the broad-spectrum potential of LBNP in managing the diverse physiological challenges encountered in the microgravity environment. Our study takes a chronological perspective, systematically reviewing the historical development and application of LBNP technology in relation to the various pathophysiological impacts of spaceflight. The primary objective is to illustrate how this technology, as it has evolved, offers an increasingly sophisticated lens through which to interpret the systemic effects of space travel on human physiology. We contend that the insights gained from LBNP studies can significantly aid in formulating targeted and effective countermeasures to ensure the health and safety of astronauts. Ultimately, this paper aspires to promote a more cohesive understanding of the broad applicability of LBNP as a countermeasure against multiple bodily effects of space travel, thereby contributing to a safer and more scientifically informed approach to human space exploration.