Satchell P M
Gordon Craig Laboratory, Department of Surgery, University of Sydney, Australia.
Brain. 1990 Feb;113 ( Pt 1):167-76. doi: 10.1093/brain/113.1.167.
Clinical studies suggest that baroreceptor dysfunction may occur in peripheral neuropathies but this abnormality has never been observed directly or characterized. Carotid sinus nerve and depressor nerve activity was recorded in rabbits with a mild axonal neuropathy produced by acrylamide. Arterial pressure was changed by altering intravascular volume. The pattern of baroreceptor discharge in the affected animals was always different, there being a marked reduction of diastolic phase nerve activity at normal arterial pressures. In addition, nerve activity in both baroreceptor nerves was significantly reduced. The thresholds of aortic arch baroreceptors were elevated and aortic arch baroreceptor activity was less than carotid sinus baroreceptor activity at lower arterial pressures. In acrylamide axonal neuropathy, even when mild, there is baroreceptor dysfunction.
临床研究表明,压力感受器功能障碍可能发生在外周神经病变中,但这种异常从未被直接观察到或进行过特征描述。在患有由丙烯酰胺引起的轻度轴索性神经病变的兔子中记录了颈动脉窦神经和减压神经的活动。通过改变血管内容量来改变动脉血压。患病动物的压力感受器放电模式总是不同的,在正常动脉血压下舒张期神经活动明显减少。此外,两条压力感受器神经的神经活动均显著降低。主动脉弓压力感受器的阈值升高,并且在较低动脉血压下主动脉弓压力感受器的活动低于颈动脉窦压力感受器的活动。在丙烯酰胺轴索性神经病变中,即使病变较轻,也存在压力感受器功能障碍。