Hartikainen J, Ahonen E, Nevalainen T, Sikanen A, Hakumäki M
Department of Physiology, University of Kuopio, Finland.
Acta Physiol Scand. 1990 Oct;140(2):181-9. doi: 10.1111/j.1748-1716.1990.tb08990.x.
This study concerns the function of aortic baroreceptors during slow haemorrhage, in particular the mechanisms by which baroreceptors respond to hypovolaemia in the absence of hypotension and the manner in which haemodynamic information is encoded in the aortic nerve discharge. Beagle dogs, anaesthetized with morphine and chloralose, were instrumented for the recording of aortic pressure, aortic diameter, aortic flow and aortic nerve activity. The animals were subjected to slow haemorrhage (0.4 ml kg-1 min-1) of 20% of the estimated blood volume. Mean aortic pressure remained unchanged, whereas mean aortic diameter, mean aortic tension and aortic baroreceptor activity decreased during the haemorrhage. Baroreceptor sensitivity to mean aortic pressure, mean aortic diameter and mean aortic tension decreased as the haemorrhage proceeded. Also, the sensitivity of baroreceptors to mean aortic pressure and mean aortic diameter during acute pressure stimulation was attenuated. The results indicate that during non-hypotensive haemorrhage aortic baroreceptor discharge is reduced by two mechanisms: firstly, via constriction and stiffening of aortic smooth muscle and, secondly, via direct effects of the compensatory mechanisms on the baroreceptors. The reduced sensitivity renders the baroreceptors capable of responding to hypovolaemia prior to the onset of hypotension. In the regression analysis, systolic aortic diameter proved to be the best determinant of baroreceptor activity (r = 0.877). Of the neural variables, impulses per cardiac cycle and average discharge rate were the most reliable, but no difference in the relative importance of these two parameters could be observed.
本研究关注缓慢失血期间主动脉压力感受器的功能,特别是在无低血压情况下压力感受器对血容量减少的反应机制,以及血流动力学信息在主动脉神经放电中的编码方式。用吗啡和水合氯醛麻醉的比格犬,被安装用于记录主动脉压力、主动脉直径、主动脉血流和主动脉神经活动的仪器。动物接受缓慢失血(0.4毫升/千克·分钟),失血量为估计血容量的20%。失血期间,平均主动脉压力保持不变,而平均主动脉直径、平均主动脉张力和主动脉压力感受器活动降低。随着失血的进行,压力感受器对平均主动脉压力、平均主动脉直径和平均主动脉张力的敏感性降低。此外,急性压力刺激期间压力感受器对平均主动脉压力和平均主动脉直径的敏感性减弱。结果表明,在非低血压性失血期间,主动脉压力感受器放电通过两种机制减少:首先,通过主动脉平滑肌的收缩和僵硬,其次,通过代偿机制对压力感受器的直接作用。敏感性降低使压力感受器能够在低血压发作之前对血容量减少作出反应。在回归分析中,收缩期主动脉直径被证明是压力感受器活动的最佳决定因素(r = 0.877)。在神经变量中,每个心动周期的冲动和平均放电率最可靠,但在这两个参数的相对重要性方面未观察到差异。