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低温对麻醉大鼠心率压力反射控制及肾交感神经活动的影响。

Effect of hypothermia on baroreflex control of heart rate and renal sympathetic nerve activity in anaesthetized rats.

作者信息

Sabharwal R, Coote J H, Johns E J, Egginton S

机构信息

Department of Physiology, The Medical School, University of Birmingham, Birmingham B15 2TT, UK.

出版信息

J Physiol. 2004 May 15;557(Pt 1):247-59. doi: 10.1113/jphysiol.2003.059444. Epub 2004 Feb 20.

Abstract

The present study investigated the effect of acute hypothermia on baroreflex control of heart rate (HR) and renal sympathetic nerve activity (RSNA) by generating baroreflex logistic function curves, using bolus doses of phenylephrine and sodium nitroprusside, in anaesthetized male Wistar rats at a core temperature (T(b)) of 37 degrees C, during acute severe hypothermia at T(b)= 25 degrees C and on rewarming to 37 degrees C. Comparisons were made between rats without (euthermic, n= 6) and with (acclimated, n= 7) prior exposure to lower ambient temperatures and shorter photoperiod, simulating adaptation to winter conditions. In both groups of rats, acute hypothermia to T(b)= 25 degrees C shifted the baroreflex-RSNA curve slightly leftwards and downwards with decreases in the setpoint pressure and maximal gain, whereas it markedly impaired the baroreflex-HR curve characterized by decreases in response range by approximately 90% (P < 0.001), minimum response by approximately 10% (P < 0.05) and maximum gain by approximately 95% (P < 0.001), from that at T(b)= 37 degrees C. All parameters were restored to precooling levels on rewarming. Electrical stimulation of cardiac vagal efferents induced a voltage-related bradycardia, the magnitude of which was partially reduced during acute hypothermia, and there was a significant prolongation of the electrocardiogram intervals indicating a delay in cardiac conduction. Mild suppression of baroreflex control of RSNA could contribute to hypothermic hypotension and may primarily reflect an effect of T(b) on central drive. The marked attenuation of the baroreflex control of HR during hypothermia was likely to be due to an impairment of both the central and peripheral components of the reflex arc. Baroreflex control of RSNA and HR was similar between both groups of rats, which implied that the control was non-adaptive on chronic cold exposure.

摘要

本研究通过生成压力感受性反射逻辑功能曲线,使用大剂量去氧肾上腺素和硝普钠,在麻醉的雄性Wistar大鼠核心体温(T(b))为37℃时、急性严重低温(T(b)=25℃)期间以及复温至37℃时,研究急性低温对心率(HR)和肾交感神经活动(RSNA)的压力感受性反射控制的影响。对未预先暴露于较低环境温度和较短光照周期(模拟适应冬季条件)的大鼠(正常体温,n = 6)和预先暴露的大鼠(适应组,n = 7)进行了比较。在两组大鼠中,急性低温至T(b)=25℃时,压力感受性反射-RSNA曲线略微向左下方移动,调定点压力和最大增益降低,而压力感受性反射-HR曲线明显受损,其特征为反应范围降低约90%(P < 0.001)、最小反应降低约10%(P < 0.05)和最大增益降低约95%(P < 0.001),与T(b)=37℃时相比。复温后所有参数均恢复到预冷水平。心脏迷走神经传出纤维的电刺激诱导了与电压相关的心动过缓,在急性低温期间其幅度部分降低,并且心电图间期显著延长,表明心脏传导延迟。对RSNA的压力感受性反射控制的轻度抑制可能导致低温性低血压,并且可能主要反映T(b)对中枢驱动的影响。低温期间压力感受性反射对HR的控制明显减弱可能是由于反射弧的中枢和外周成分均受损。两组大鼠之间对RSNA和HR的压力感受性反射控制相似,这意味着慢性冷暴露时该控制是非适应性的。

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