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机械因素对人体骨骼肌血管张力的影响:对收缩诱导的快速血管舒张的见解。

Mechanical influences on skeletal muscle vascular tone in humans: insight into contraction-induced rapid vasodilatation.

作者信息

Kirby Brett S, Carlson Rick E, Markwald Rachel R, Voyles Wyatt F, Dinenno Frank A

机构信息

Department of Health and Exercise Science, Colorado State University, 220 Moby-B Complex, Fort Collins, CO 80523-1582, USA.

出版信息

J Physiol. 2007 Sep 15;583(Pt 3):861-74. doi: 10.1113/jphysiol.2007.131250. Epub 2007 May 10.

Abstract

We tested the hypothesis that mechanical deformation of forearm blood vessels via acute increases in extravascular pressure elicits rapid vasodilatation in humans. In healthy adults, we measured forearm blood flow (Doppler ultrasound) and calculated forearm vascular conductance (FVC) responses to whole forearm compressions and isometric muscle contractions with the arm above heart level. We used several experimental protocols to gain insight into how mechanical factors contribute to contraction-induced rapid vasodilatation. The findings from the present study clearly indicate that acute increases in extravascular pressure (200 mmHg for 2 s) elicit a significant rapid vasodilatation in the human forearm (peak DeltaFVC approximately 155%). Brief, 6 s sustained compressions evoked the greatest vasodilatation (DeltaFVC approximately 260%), whereas the responses to single (2 s) and repeated compressions (five repeated 2 s compressions) were not significantly different (DeltaFVC approximately 155% versus approximately 115%, respectively). This mechanically induced vasodilatation peaks within 1-2 cardiac cycles, and thus is dissociated from the temporal pattern normally observed in response to brief muscle contractions ( approximately 4-7 cardiac cycles). A non-linear relation was found between graded increases in extravascular pressure and both the immediate and peak rapid vasodilatory response, such that the responses increased sharply from 25 to 100 mmHg, with no significant further dilatation until 300 mmHg (maximal DeltaFVC approximately 185%). This was in contrast to the linear intensity-dependent relation observed with muscle contractions. Our collective findings indicate that mechanical influences contribute largely to the immediate vasodilatation (first cardiac cycle) observed in response to a brief, single contraction. However, it is clear that there are additional mechanisms related to muscle activation that continue to cause and sustain vasodilatation for several more cardiac cycles after contraction. Additionally, the potential contribution of mechanical influences to the total contraction-induced hyperaemia appears greatest for low to moderate intensity single muscle contractions, and this contribution becomes less significant for sustained and repeated contractions. Nevertheless, this mechanically induced vasodilatation could serve as a feedforward mechanism to increase muscle blood flow at the onset of exercise, as well as in response to changes in contraction intensity, prior to alterations in local vasodilating substances that influence vascular tone.

摘要

我们验证了这样一个假设

通过急性增加血管外压力来机械性地使前臂血管变形,会引起人体快速血管舒张。在健康成年人中,我们测量了前臂血流量(多普勒超声),并计算了前臂血管传导率(FVC)对整个前臂压迫以及手臂高于心脏水平时的等长肌肉收缩的反应。我们采用了几种实验方案来深入了解机械因素如何促成收缩诱导的快速血管舒张。本研究的结果清楚地表明,血管外压力的急性增加(200 mmHg持续2秒)会引起人体前臂显著的快速血管舒张(FVC峰值变化约为155%)。短暂的6秒持续压迫引起的血管舒张最大(FVC变化约为260%),而单次(2秒)和重复压迫(五次重复的2秒压迫)的反应无显著差异(FVC变化分别约为155%和115%)。这种机械诱导的血管舒张在1 - 2个心动周期内达到峰值,因此与通常在对短暂肌肉收缩的反应中观察到的时间模式(约4 - 7个心动周期)不同。我们发现血管外压力的分级增加与即时和峰值快速血管舒张反应之间存在非线性关系,即反应在25至100 mmHg时急剧增加,直到300 mmHg才没有显著进一步舒张(最大FVC变化约为185%)。这与肌肉收缩时观察到的线性强度依赖关系形成对比。我们的总体研究结果表明,机械影响在很大程度上促成了对短暂单次收缩的即时血管舒张(第一个心动周期)。然而,很明显,还有与肌肉激活相关的其他机制,在收缩后还会继续导致并维持血管舒张几个心动周期。此外,对于低至中等强度的单次肌肉收缩,机械影响对总收缩诱导的充血的潜在贡献似乎最大,而对于持续和重复收缩,这种贡献变得不那么显著。尽管如此,这种机械诱导的血管舒张可以作为一种前馈机制,在运动开始时以及在影响血管张力的局部血管舒张物质发生变化之前,响应收缩强度的变化来增加肌肉血流量。

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