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[视神经盘血液供应自动调节下限的评估]

[Assessment of the lower threshold in autoregulation of the blood supply of the optic nerve disk].

作者信息

Shengeliia D G, Nikuradze N A, Mitagvariia N P, Bekaia G L

出版信息

Georgian Med News. 2006 Mar(132):113-5.

Abstract

Existence of the autoregulation phenomenon in the blood supply system of the optic nerve has been established in the 1990; however, some of its quantitative and qualitative characteristics still require clarification. The goal of the present work was assessment of the lower margin in autoregulation of the blood supply of the optic nerve in the rabbit in conditions of attenuated level of perfusion pressure. Total of six adult rabbits weighing 2.5-3.0 kg, anesthetized with urethane (0.9-1.1 g/kg) were investigated in acute experiments. Intensity of the local blood flow in the optic nerve disk was evaluated quantitatively by means of the hydrogen clearance. The frontal chamber of an eye was punctured with syringe needle, which via silicon tube was attached to the reservoir filled with artificial aqueous humor. Adjustment of vertical position of the reservoir provided different levels of the intraocular pressure. Calculation of the perfusion pressure of the eye was made according to mean level of the systemic arterial pressure, intraocular pressure, and a constant, which depends on an animal species. The results obtained allow suggesting with a certain degree of precision that elevation of the intraocular pressure to about 40-50 mmHg does not alter the blood supply of the optic nerve disk. Its further increase however leads to almost linear dependence between elevation of the intraocular pressure and decrease of the blood supply of the optic nerve disk. Meanwhile, the systemic arterial pressure should be considered as well, because volume of the perfusion pressure in the eye is determined by difference between systemic arterial- and intraocular pressures.

摘要

视神经血液供应系统中自动调节现象的存在已于20世纪90年代得到证实;然而,其一些定量和定性特征仍有待阐明。本研究的目的是评估在灌注压水平降低的情况下,家兔视神经血液供应自动调节的下限。在急性实验中,对6只体重2.5 - 3.0 kg、用氨基甲酸乙酯(0.9 - 1.1 g/kg)麻醉的成年家兔进行了研究。通过氢清除法对视神经盘局部血流强度进行定量评估。用注射器针头穿刺眼睛的前房,针头通过硅胶管连接到装有人工房水的储液器上。通过调整储液器的垂直位置来提供不同水平的眼压。根据体循环动脉压、眼压的平均水平以及一个取决于动物种类的常数来计算眼睛的灌注压。所获得的结果允许在一定程度上精确地表明,眼压升高至约40 - 50 mmHg不会改变视神经盘的血液供应。然而,眼压的进一步升高会导致眼压升高与视神经盘血液供应减少之间几乎呈线性关系。同时,也应考虑体循环动脉压,因为眼睛的灌注压大小由体循环动脉压与眼压之间的差值决定。

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