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钾在人体静态运动期间血压反射调节中的作用。

Role of potassium in the reflex regulation of blood pressure during static exercise in man.

作者信息

Fallentin N, Jensen B R, Byström S, Sjøgaard G

机构信息

National Institute of Occupational Health, Copenhagen, Denmark.

出版信息

J Physiol. 1992;451:643-51. doi: 10.1113/jphysiol.1992.sp019183.

DOI:10.1113/jphysiol.1992.sp019183
PMID:1403829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1176180/
Abstract
  1. The relationship between [K+] in venous effluent blood and alterations in mean arterial blood pressure was studied during static handgrip contractions at 15 and 30% of maximal voluntary contraction (MVC). 2. To further elucidate the importance of K+ in the reflex regulation of blood pressure a situation with normal recovery was compared with a situation in which 3 min of post-exercise occlusion was applied by arresting the circulation to the forearm just prior to the cessation of the contraction. 3. There was a temporal as well as quantitative correlation between venous [K+] and the blood pressure response during and after static exercise. During 30% MVC mean arterial blood pressure (MAP) attained 161.7 mmHg and venous [K+] 5.8 mM, while the corresponding values during 15% MVC were 121.5 mmHg and 5.0 mM. 4. In the occlusion period mean arterial blood pressure remained elevated above resting level and provided a measure of the magnitude of muscle chemoreflexes. In the same period venous [K+] was maintained at 5.3 mM and 4.6 mM following 30% MVC and 15% MVC respectively. This is indicative of interstitial concentrations of above 8-10 mM. This level is sufficiently high to stimulate type III and IV muscle afferents involved in the reflex regulation of blood pressure, and strengthens the notion that K+ may play an important role in eliciting the pressor reflex. 5. In contrast to [K+] the time course of venous blood concentrations of lactate and ammonia (NH3) exhibited a clear dissociation from the blood pressure recordings.
摘要
  1. 在最大自主收缩(MVC)的15%和30%强度下进行静态握力收缩时,研究了静脉流出血液中[K⁺]与平均动脉血压变化之间的关系。2. 为了进一步阐明K⁺在血压反射调节中的重要性,将正常恢复情况与一种在收缩即将停止前通过阻断前臂血液循环进行3分钟运动后闭塞的情况进行了比较。3. 在静态运动期间和之后,静脉[K⁺]与血压反应之间存在时间和数量上的相关性。在30%MVC时,平均动脉血压(MAP)达到161.7 mmHg,静脉[K⁺]为5.8 mM,而在15%MVC时相应的值分别为121.5 mmHg和5.0 mM。4. 在闭塞期,平均动脉血压保持高于静息水平,提供了肌肉化学反射幅度的一种度量。在同一时期,30%MVC和15%MVC后静脉[K⁺]分别维持在5.3 mM和4.6 mM。这表明间质浓度高于8 - 10 mM。这个水平足够高以刺激参与血压反射调节的III型和IV型肌肉传入神经,并强化了K⁺可能在引发升压反射中起重要作用的观点。5. 与[K⁺]相反,静脉血中乳酸和氨(NH₃)浓度的时间进程与血压记录呈现明显的分离。

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本文引用的文献

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THE EFFECT OF VASCULAR OCCLUSION ON THE PRESSOR RESPONSE TO STATIC MUSCULAR WORK.血管阻塞对静态肌肉运动时升压反应的影响。
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Prostaglandins contribute to cardiovascular reflexes evoked by static muscular contraction.前列腺素有助于由静态肌肉收缩诱发的心血管反射。
Circ Res. 1986 Dec;59(6):645-54. doi: 10.1161/01.res.59.6.645.
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