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高碳酸血症选择性地减弱躯体交感反射。

Hypercapnia selectively attenuates the somato-sympathetic reflex.

作者信息

Makeham John M, Goodchild A K, Costin N S, Pilowsky Paul M

机构信息

Department of Physiology, Hypertension and Stroke Research Laboratory, University of Sydney, NSW, Australia.

出版信息

Respir Physiol Neurobiol. 2004 May 20;140(2):133-43. doi: 10.1016/j.resp.2003.11.003.

Abstract

The effects of hyperoxic hypercapnia (5, 10 or 15% CO2 in O2) on splanchnic sympathetic nerve activity (sSNA) and sympathetic reflexes such as the somato-sympathetic reflex or baroreflex were studied in urethane anaesthetised, paralysed, artificially ventilated and vagotomized Sprague-Dawley rats. Hypercapnia caused a small increase in mean arterial blood pressure (MAP) in the 10% CO2 group and a fall in heart rate (HR) in all three groups. sSNA increased in all three groups. Phrenic frequency and amplitude increased during hypercapnia, with frequency adapting back towards baseline during the CO2 exposure. The somato-sympathetic reflex was attenuated in the 5% CO2 group and abolished in the 10 and 15% CO2 groups, whereas there was little effect on the sSNA baroreflex. Hypercapnia significantly affects phrenic nerve activity (PNA), sSNA and selectively inhibits the somato-sympathetic reflex with little effect on the sSNA baroreflex.

摘要

在氨基甲酸乙酯麻醉、麻痹、人工通气并切断迷走神经的Sprague-Dawley大鼠中,研究了高氧高碳酸血症(氧气中含5%、10%或15%二氧化碳)对内脏交感神经活动(sSNA)以及诸如躯体-交感反射或压力反射等交感反射的影响。高碳酸血症使10%二氧化碳组的平均动脉血压(MAP)略有升高,且三组的心率(HR)均下降。三组的sSNA均增加。高碳酸血症期间膈神经频率和幅度增加,在二氧化碳暴露期间频率向基线恢复。躯体-交感反射在5%二氧化碳组中减弱,在10%和15%二氧化碳组中消失,而对sSNA压力反射影响不大。高碳酸血症显著影响膈神经活动(PNA)、sSNA,并选择性抑制躯体-交感反射,对sSNA压力反射影响不大。

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