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区域血管反应对清醒无反射大鼠全身自动调节的作用。

Contribution of regional vascular responses to whole body autoregulation in conscious areflexic rats.

作者信息

Hinojosa-Laborde C, Frohlich B H, Cowley A W

机构信息

Department of Physiology, Medical College of Wisconsin, Milwaukee 53226.

出版信息

Hypertension. 1991 Jun;17(6 Pt 2):1078-84. doi: 10.1161/01.hyp.17.6.1078.

DOI:10.1161/01.hyp.17.6.1078
PMID:2045152
Abstract

We designed studies to evaluate the autoregulation response during volume expansion in three major circulation regions (intestine, kidney, and hind limb) during simultaneous determination of whole body autoregulation in conscious areflexic rats. Cardiac output was measured with chronically implanted electromagnetic flow probes on the ascending aorta. Regional blood flow velocity was measured with pulsed Doppler flow probes on the superior mesenteric (n = 7), left renal (n = 7), and right iliac (n = 7) arteries. Doppler flow probes were calibrated in situ in each rat to determine regional blood flow values. Neurohumoral reflex control of pressure was removed pharmacologically, and blood pressure and cardiac output were returned to resting control values with intravenous norepinephrine infusion, which was maintained at that constant level throughout the study. Hemodynamic changes were measured in response to blood volume expansion with infusion of 0.9 ml blood over 6 minutes. This small change in blood volume resulted in significant increases in vascular resistance of 15% in the whole body, 8% in the intestine, 18% in the kidney, and 15% in the hind limb. The pressure-flow slope, used as an index of autoregulation (slope = 0, perfect autoregulation; slope = 1, rigid vasculature), averaged 0.34 in the whole body, 0.52 in the intestine, 0.19 in the kidney, and 0.39 in the hind limb. When compared with the whole body, blood flow autoregulation was less in the intestine, greater in the kidney, and the same in the hind limb.

摘要

我们设计了多项研究,在同时测定清醒无反射大鼠的全身自动调节功能时,评估三个主要循环区域(肠道、肾脏和后肢)在容量扩张期间的自动调节反应。通过长期植入升主动脉的电磁流量探头测量心输出量。使用脉冲多普勒流量探头分别测量肠系膜上动脉(n = 7)、左肾动脉(n = 7)和右髂动脉(n = 7)的局部血流速度。在每只大鼠体内对多普勒流量探头进行原位校准,以确定局部血流值。通过药理学方法消除压力的神经体液反射控制,并通过静脉输注去甲肾上腺素使血压和心输出量恢复到静息对照值,在整个研究过程中维持该恒定水平。通过在6分钟内输注0.9 ml血液来应对血容量扩张,测量血流动力学变化。这种小的血容量变化导致全身血管阻力显著增加15%,肠道增加8%,肾脏增加18%,后肢增加15%。用作自动调节指标的压力-流量斜率(斜率 = 0,完美自动调节;斜率 = 1,僵硬血管系统)在全身平均为0.34,在肠道为0.52,在肾脏为0.19,在后肢为0.39。与全身相比,肠道的血流自动调节功能较弱,肾脏的较强,后肢的相同。

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