Parrish M D, Hill J M, Kaufman M P
University of California, Davis 95617.
Pediatr Res. 1991 Jul;30(1):95-9. doi: 10.1203/00006450-199107000-00019.
Muscle contraction produces a reflex increase in blood pressure, heart rate, and minute ventilation in adults. To evaluate the role of this reflex in newborns, we compared the blood pressure, heart rate, and ventilatory responses to static contraction of the hindlimb muscles in sedated newborn and adult felines. The reflex response to muscle contraction was compared with the baroreflex, the chemoreceptor reflex, and the response to maximal stimulation of sciatic nerve afferents. With muscle contraction, newborn systolic blood pressure increased by 8.5 +/- 2.6%, which was significantly less than the adult response of 15.9 +/- 1.8% (p less than 0.025). Heart rate response to muscle contraction was less in newborns compared with adults, increasing by 1.4 +/- 0.5 and 8.3 +/- 1.3%, respectively (p less than 0.025). In contrast to heart-rate and blood-pressure responses, ventilatory responses to muscle contraction were similar in both age groups, increasing by 34 +/- 20 and 34 +/- 10% in newborns and adults, respectively. With stimulation of sciatic nerve afferents and with hypoxemia, blood pressure and heart rate increased similarly in both newborns and adults. When the baroreflex was elicited, heart rate decreased similarly in both age groups. We conclude that newborn cats have a reduced heart rate and blood pressure response to muscle contraction compared with the adult. We speculate that the postnatal development of this reflex is due to maturation of integrative and modulatory mechanisms in the CNS.
肌肉收缩会使成年人的血压、心率和分钟通气量出现反射性增加。为了评估这种反射在新生儿中的作用,我们比较了镇静状态下新生猫和成年猫后肢肌肉静态收缩时的血压、心率和通气反应。将肌肉收缩的反射反应与压力感受器反射、化学感受器反射以及坐骨神经传入纤维最大刺激的反应进行了比较。肌肉收缩时,新生猫的收缩压升高了8.5±2.6%,明显低于成年猫15.9±1.8%的反应(p<0.025)。与成年猫相比,新生猫对肌肉收缩的心率反应较小,分别增加了1.4±0.5%和8.3±1.3%(p<0.025)。与心率和血压反应不同,两个年龄组对肌肉收缩的通气反应相似,新生猫和成年猫分别增加了34±20%和34±10%。刺激坐骨神经传入纤维和低氧血症时,新生猫和成年猫的血压和心率升高情况相似。引发压力感受器反射时,两个年龄组的心率下降情况相似。我们得出结论,与成年猫相比,新生猫对肌肉收缩的心率和血压反应降低。我们推测这种反射的产后发育是由于中枢神经系统中整合和调节机制的成熟。