Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Appl Physiol (1985). 2013 Jan 15;114(2):217-24. doi: 10.1152/japplphysiol.01197.2012. Epub 2012 Nov 15.
Large increases in systemic oxygen content cause substantial reductions in exercising forearm blood flow (FBF) due to increased vascular resistance. We hypothesized that 1) functional sympatholysis (blunting of sympathetic α-adrenergic vasoconstriction) would be attenuated during hyperoxic exercise and 2) α-adrenergic blockade would limit vasoconstriction during hyperoxia and increase FBF to levels observed under normoxic conditions. Nine male subjects (age 28 ± 1 yr) performed forearm exercise (20% of maximum) under normoxic and hyperoxic conditions. Studies were performed in a hyperbaric chamber at 1 atmosphere absolute (ATA; sea level) while breathing 21% O(2) and at 2.82 ATA while breathing 100% O(2) (estimated change in arterial O(2) content ∼6 ml O(2)/100 ml). FBF (ml/min) was measured using Doppler ultrasound. Forearm vascular conductance (FVC) was calculated from FBF and blood pressure (arterial catheter). Vasoconstrictor responsiveness was determined using intra-arterial tyramine. FBF and FVC were substantially lower during hyperoxic exercise than normoxic exercise (∼20-25%; P < 0.01). At rest, vasoconstriction to tyramine (% decrease from pretyramine values) did not differ between normoxia and hyperoxia (P > 0.05). During exercise, vasoconstrictor responsiveness was slightly greater during hyperoxia than normoxia (-22 ± 3 vs. -17 ± 2%; P < 0.05). However, during α-adrenergic blockade, hyperoxic exercise FBF and FVC remained lower than during normoxia (P < 0.01). Therefore, our data suggest that although the vasoconstrictor responsiveness during hyperoxic exercise was slightly greater, it likely does not explain the majority of the large reductions in FBF and FVC (∼20-25%) during hyperbaric hyperoxic exercise.
全身氧含量的大幅增加会导致血管阻力增加,从而使运动前臂血流量(FBF)大幅减少。我们假设 1)在高氧运动期间,功能性交感神经松弛(交感α-肾上腺素能血管收缩的钝化)会减弱,2)α-肾上腺素能阻断会限制高氧时的血管收缩,并使 FBF 增加到在正常氧条件下观察到的水平。9 名男性受试者(年龄 28±1 岁)在正常氧和高氧条件下进行前臂运动(最大运动的 20%)。研究在高压舱中进行,在海平面时呼吸 21%O2,在 2.82ATA 时呼吸 100%O2(动脉血氧含量的估计变化约为 6ml O2/100ml)。使用多普勒超声测量 FBF(ml/min)。前臂血管传导率(FVC)通过 FBF 和血压(动脉导管)计算得出。使用动脉内酪胺测定血管收缩反应性。高氧运动时 FBF 和 FVC 明显低于正常氧运动(约 20-25%;P<0.01)。在休息时,正常氧和高氧之间的 tyramine 引起的血管收缩(与 pretyramine 值相比的百分比减少)没有差异(P>0.05)。在运动期间,高氧时的血管收缩反应性略高于正常氧时(-22±3%比-17±2%;P<0.05)。然而,在α-肾上腺素能阻断时,高氧运动时的 FBF 和 FVC 仍低于正常氧时(P<0.01)。因此,我们的数据表明,尽管高氧运动期间的血管收缩反应性略高,但它可能无法解释高海拔高氧运动时 FBF 和 FVC 大幅减少(约 20-25%)的大部分原因。