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全身自动调节会抵消颈动脉压力反射。

Systemic autoregulation counteracts the carotid baroreflex.

作者信息

Burattini R, Borgdorff P, Gross D R, Baiocco B, Westerhof N

机构信息

Department of Electronics and Automatica, University of Ancona, Italy.

出版信息

IEEE Trans Biomed Eng. 1991 Jan;38(1):48-56. doi: 10.1109/10.68208.

Abstract

The interaction between autoregulation and baroregulation and its effect on the gains of the short-term pressure regulatory system was studied by performing both open- and closed-loop experiments in the same five anesthetized, vagotomized dogs, and by analyzing the data making use of a new model. With carotid pressure constant (no baroregulation) the pressure-flow data were convex to the flow axis, thus indicating the presence of autoregulation. When baroregulation was present the data were convex to the pressure axis. Our model was able to fit the data as measured in both cases. From the fitting procedure the zero-flow pressure intercept Pzf, the autoregulation resistance gain Gra, and the baroregulation resistance gain Grb were estimated. Pzf was about 20 mmHg in three dogs and about zero in the other two. Average values of Gra and Grb were 13.0 +/- 3.5 mmHg min2/L2 and 0.83 +/- 0.25 min/L, respectively. The two curves which fitted the data points collected in the presence and in the absence of baroreflex intersected at a point (Qo, Po) generally different from the control point. We determined the open-loop gain, Goc = GrbQo, about the point (Qo, Po). The averaged value was 2.23 +/- 0.84. When autoregulation was neglected, the resistance gain Grb and the open-loop gain Goc obtained from the same closed-loop method were underestimated (0.32 +/- 0.15 min/L and 0.88 +/- 0.48, respectively). In the open-loop preparation the carotid sinuses were isolated and the aortic (P) versus carotid (Pca) pressure data were collected. A third-order polynomial was fitted to these data.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

通过在五只相同的麻醉、迷走神经切断的狗身上进行开环和闭环实验,并利用一个新模型分析数据,研究了自动调节和压力调节之间的相互作用及其对短期压力调节系统增益的影响。在颈动脉压力恒定(无压力调节)的情况下,压力-流量数据向流量轴凸出,从而表明存在自动调节。当存在压力调节时,数据向压力轴凸出。我们的模型能够拟合这两种情况下测得的数据。通过拟合过程,估计了零流量压力截距Pzf、自动调节阻力增益Gra和压力调节阻力增益Grb。三只狗的Pzf约为20 mmHg,另外两只约为零。Gra和Grb的平均值分别为13.0±3.5 mmHg·min2/L2和0.83±0.25 min/L。拟合有无压力反射时收集的数据点的两条曲线在一个点(Qo,Po)相交,该点通常与控制点不同。我们确定了关于点(Qo,Po)的开环增益,Goc = GrbQo。平均值为2.23±0.84。当忽略自动调节时,通过相同的闭环方法获得的阻力增益Grb和开环增益Goc被低估(分别为0.32±0.15 min/L和0.88±0.48)。在开环准备中,分离颈动脉窦并收集主动脉(P)与颈动脉(Pca)压力数据。用三阶多项式拟合这些数据。(摘要截断于250字)

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