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大鼠骨骼肌微血管血流的异质性通过收缩和血液稀释而降低。

Heterogeneity of microvascular flow in rat skeletal muscle is reduced by contraction and by hemodilution.

作者信息

Tyml K

机构信息

Department of Medical Biophysics, University of Western Ontario, London, Canada.

出版信息

Int J Microcirc Clin Exp. 1991 Feb;10(1):75-86.

PMID:2019486
Abstract

The objective was to test the hypothesis that heterogeneity of microvascular perfusion in a mammalian muscle will decrease with increased flow. We used the extensor digitorum longus muscle in rats to quantify, via intravital video microscopy, (1) the spatial distribution of red cell velocity, VRBC, and (2) density of capillaries with moving and stationary red cells (CDPER, CDSTAT) within a large capillary bed (1.05 x 0.78 mm) at the muscle surface. From the VRBC distribution, the coefficient of variation (CV = SD/mean) was used as an index of VRBC heterogeneity. The flow was increased by two procedures: (1) 1 min supramaximal muscle contraction, and (2) hematocrit reduction from 49 to 21% by isovolemic hemodilution with a 6% PVP-40 (polyvinylpyrrolidone) solution. Among 5 rats studied, the post-contraction and post-hemodilution mean VRBC's were significantly larger than the resting VRBC (1.08 and 0.17 vs. 0.11 mm/s). The corresponding CV's were significantly lower (33 and 49 vs. 60%). The percentages of capillaries with low velocity (0-0.1 mm/s) were also significantly lower (0 and 27 vs. 52%). CDPER values did not differ from the resting level (30.8 cap/mm of test line) but CDSTAT was significantly smaller after contraction (0.8 vs. 4.9 cap/mm). The present data demonstrate that heterogeneity of VRBC in rat skeletal muscle decreases after contraction and after hemodilution. The study shows that hemodilution has a major effect on improving flow in a population of poorly perfused capillaries. Since heterogeneity also decreased after contraction in an amphibian muscle (Tyml, Microvasc. Res. 32: 84-98, 1986), the study supports the view that heterogeneity, in general, is a microcirculatory parameter that reflects the vascular network response to a given tissue stimulus.

摘要

目的是检验这样一个假设

哺乳动物肌肉中微血管灌注的异质性会随着血流量增加而降低。我们使用大鼠的趾长伸肌,通过活体视频显微镜来量化:(1) 红细胞速度(VRBC)的空间分布,以及 (2) 在肌肉表面一个大的毛细血管床(1.05×0.78 毫米)内有移动和静止红细胞的毛细血管密度(CDPER、CDSTAT)。根据 VRBC 分布,变异系数(CV = 标准差/平均值)被用作 VRBC 异质性的指标。通过两种方法增加血流量:(1) 1 分钟的超最大肌肉收缩,以及 (2) 用 6%的聚乙烯吡咯烷酮(PVP - 40)溶液进行等容血液稀释,使血细胞比容从 49%降至 21%。在研究的 5 只大鼠中,收缩后和血液稀释后的平均 VRBC 显著大于静息时的 VRBC(分别为 1.08 和 0.17 与 0.11 毫米/秒)。相应的 CV 显著降低(分别为 33 和 49 与 60%)。低速(0 - 0.1 毫米/秒)毛细血管的百分比也显著降低(分别为 0 和 27 与 52%)。CDPER 值与静息水平无差异(测试线每毫米 30.8 根毛细血管),但收缩后 CDSTAT 显著减小(每毫米 0.8 与 4.9 根毛细血管)。目前的数据表明,大鼠骨骼肌中 VRBC 的异质性在收缩后和血液稀释后降低。该研究表明,血液稀释对改善灌注不良的毛细血管群体中的血流有主要作用。由于两栖类肌肉收缩后异质性也降低了(Tyml,《微血管研究》32: 84 - 98,1986),该研究支持这样一种观点,即一般来说,异质性是一个微循环参数,反映了血管网络对给定组织刺激的反应。

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