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在清醒的狗身上,动脉压的小幅下降会刺激通气。

Ventilation is stimulated by small reductions in arterial pressure in the awake dog.

作者信息

Ohtake P J, Jennings D B

机构信息

Department of Physiology, Queen's University, Kingston, Ontario, Canada.

出版信息

J Appl Physiol (1985). 1992 Oct;73(4):1549-57. doi: 10.1152/jappl.1992.73.4.1549.

Abstract

Changes in arterial pressure commonly accompany respiratory adaptations. The purpose of this study was to determine, in awake dogs (n = 6), the degree to which small acute decreases in arterial pressure affect ventilation and acid-base balance. Mean arterial pressure (MAP) was reduced by 6 +/- 2, 10 +/- 3, and 16 +/- 2% by intravenous infusion of sodium nitroprusside for sequential 20-min periods. In another experiment, the ventilatory response to hypercapnia was determined during MAP reduction of 16 +/- 3%. Step reductions in MAP were accompanied by increases in minute ventilation (maximum increase 152 +/- 75%) and step reductions in arterial PCO2 (PaCO2; maximum reduction -4.8 +/- 0.8 Torr). Although eupneic PaCO2 threshold was lowered during MAP reduction, ventilatory sensitivity to CO2 remained unchanged. Despite the lowered PaCO2, arterial [H+] remained constant (acid-base balance was maintained) as a result of a concurrent decrease in strong ion difference. Plasma renin activity increased during MAP reduction (93 +/- 39%) and may have contributed to the increase in minute ventilation, inasmuch as angiotensin II can stimulate respiration by a central mechanism. Evidence is provided that nitroprusside is unlikely to be a primary factor in these hypotensive responses. We conclude that relatively modest decreases in MAP have a consistent stimulatory effect on respiratory control. Therefore it is important to take into account effects of small changes in MAP when interpreting mechanisms for respiratory responses in awake animals.

摘要

动脉压的变化通常伴随着呼吸适应性变化。本研究的目的是确定在清醒犬(n = 6)中,动脉压的急性小幅下降对通气和酸碱平衡的影响程度。通过静脉输注硝普钠,在连续20分钟的时间段内将平均动脉压(MAP)分别降低6±2%、10±3%和16±2%。在另一项实验中,在MAP降低16±3%期间测定对高碳酸血症的通气反应。MAP的逐步降低伴随着分钟通气量增加(最大增加152±75%)和动脉PCO₂(PaCO₂)逐步降低(最大降低-4.8±0.8 Torr)。尽管在MAP降低期间正常呼吸时的PaCO₂阈值降低,但对CO₂的通气敏感性保持不变。尽管PaCO₂降低,但由于强离子差同时降低,动脉[H⁺]保持恒定(酸碱平衡得以维持)。MAP降低期间血浆肾素活性增加(93±39%),这可能是分钟通气量增加的原因之一,因为血管紧张素II可通过中枢机制刺激呼吸。有证据表明硝普钠不太可能是这些降压反应的主要因素。我们得出结论,MAP相对适度的降低对呼吸控制有持续的刺激作用。因此,在解释清醒动物呼吸反应机制时,考虑MAP的微小变化的影响很重要。

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