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自身调节与血管收缩剂对后肢血管阻力的联合作用。

Combined effects of autoregulation and vasoconstrictors on hindquarters vascular resistance.

作者信息

Meininger G A, Trzeciakowski J P

机构信息

Microcirculation Research Institute, College of Medicine, Texas A&M University, College Station 77843.

出版信息

Am J Physiol. 1990 Apr;258(4 Pt 2):H1032-41. doi: 10.1152/ajpheart.1990.258.4.H1032.

Abstract

Relative contributions of local autoregulatory tone and vasoconstrictor tone to skeletal muscle vascular resistance were studied in anesthetized rats during hypertension produced by vasoconstrictor infusion. Rats were instrumented with a Doppler flow probe on the sacral aorta (SA) to measure blood flow and to allow calculation of vascular resistance. An occluder was placed on the SA and used to produce stepwise reductions in local perfusion pressure. Pressure-flow curves for the hindquarters were obtained in the absence and presence of elevated mean arterial pressure (MAP) produced by infusion of angiotensin II (ANG II; 50-1,247 ng.kg-1.min-1) or phenylephrine (PE; 2.5-12.4 micrograms.kg-1.min-1). Both ANG II and PE infusion increased MAP. For example, MAP was increased by ANG II from 91 to 134 mmHg and by PE from 89 to 156 mmHg. In addition, infusions of ANG II and PE produced dose-dependent rightward shifts in the hindquarters pressure-flow relationship. To examine the effect of pressure on the dose-response relationships of ANG II or PE, local perfusion pressure was adjusted to remain constant at various pressure levels that were independent of MAP during drug infusions. This produced a series of distinct dose-response curves with each curve defined by a different pressure level and with each characterized by a different maximum change in vascular resistance. If local perfusion pressure was not held constant but was permitted to increase with MAP, a compound dose-response curve was obtained in which the combined effects of the change in local pressure (i.e., autoregulation) and vasoconstrictor dose on vascular resistance could be discerned. These data demonstrate that hindquarters blood flow autoregulation continues to occur in the presence of vasoconstrictors. Consequently, autoregulatory mechanisms may be stimulated by any increase in MAP whether associated with systemic vasoconstrictor infusion or activation of neurohumoral pressor systems. The result is an amplified rise in local vascular resistance.

摘要

在通过输注血管收缩剂诱导高血压的麻醉大鼠中,研究了局部自身调节张力和血管收缩张力对骨骼肌血管阻力的相对贡献。给大鼠在骶主动脉(SA)上安装多普勒血流探头,以测量血流量并计算血管阻力。在SA上放置一个闭塞器,用于逐步降低局部灌注压力。在输注血管紧张素II(ANG II;50 - 1247 ng·kg⁻¹·min⁻¹)或去氧肾上腺素(PE;2.5 - 12.4 μg·kg⁻¹·min⁻¹)导致平均动脉压(MAP)升高的情况下和未升高时,获取后肢的压力 - 流量曲线。输注ANG II和PE均使MAP升高。例如,ANG II使MAP从91 mmHg升高到134 mmHg,PE使MAP从89 mmHg升高到156 mmHg。此外,输注ANG II和PE使后肢压力 - 流量关系呈剂量依赖性向右移位。为了研究压力对ANG II或PE剂量 - 反应关系的影响,在药物输注期间将局部灌注压力调整为在与MAP无关的各种压力水平保持恒定。这产生了一系列不同的剂量 - 反应曲线,每条曲线由不同的压力水平定义,且每条曲线的特征是血管阻力的最大变化不同。如果局部灌注压力不保持恒定而是允许随MAP升高,则会获得一条复合剂量 - 反应曲线,从中可以辨别局部压力变化(即自身调节)和血管收缩剂剂量对血管阻力的综合影响。这些数据表明,在血管收缩剂存在的情况下后肢血流自身调节仍会发生。因此,无论与全身血管收缩剂输注相关还是与神经体液升压系统激活相关,MAP的任何升高都可能刺激自身调节机制。结果是局部血管阻力放大性升高。

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