Li Z, Ho S Y
Sheng Li Xue Bao. 1989 Aug;41(4):328-37.
In 81 anesthetized rabbits, the baroreflex control of heart rate (HR), hind-limb vascular resistance (HVR) and renal sympathetic nerve activity (RSNA) was observed during arterial baroreceptor loading and unloading by intravenously injecting phenylephrine (PE) and nitroprusside (NP). The results were as follows: (1) An increase of arterial pressure with PE caused reduction in HR, HVR and RSNA, while a decrease of arterial pressure with NP evoked opposite responses. These reflex responses were reproducible. (2) By either carotid baroreceptor denervation (CBRX) or aortic baroreceptor denervation (ABRX), the reflex changes of HR induced by injecting PE and NP were impaired (P less than 0.01), while the reflex responses in HVP remained unchanged. Despite of the enhanced basal RSNA following ABRX or CBRX, the magnitude of reflex inhibition in RSNA during injecting NP was similar to that before denervation, whereas that of the reflex excitation in RSNA during injecting NP was reduced (P less than 0.05). (3) After complete sino-aortic denervation (SAD), the change of arterial pressure following PE or NP injection was enhanced, but the reflex changes in HR, HVR and RSNA were significantly diminished (P less than 0.001). (4) Vagotomy abolished the residual reflex changes observed after SAD. The results indicate that the aortic and carotid baroreceptors may regulate HR in a simple additive manner, while the aortic baroreceptor seems to be more important. Furthermore, both the aortic and carotid baroreceptors may play important roles for the reflex control of HVR and RSNA, and operate mutually by the way of inhibitory summation.
在81只麻醉兔中,通过静脉注射去氧肾上腺素(PE)和硝普钠(NP)使动脉压力感受器负荷增加和降低,观察心率(HR)、后肢血管阻力(HVR)和肾交感神经活动(RSNA)的压力感受性反射控制。结果如下:(1)PE使动脉压升高导致HR、HVR和RSNA降低,而NP使动脉压降低则引起相反的反应。这些反射反应是可重复的。(2)通过颈总动脉压力感受器去神经支配(CBRX)或主动脉压力感受器去神经支配(ABRX),注射PE和NP所诱导的HR反射性变化受损(P<0.01),而HVP中的反射反应保持不变。尽管ABRX或CBRX后基础RSNA增强,但注射NP期间RSNA的反射性抑制幅度与去神经支配前相似,而注射NP期间RSNA的反射性兴奋幅度降低(P<0.05)。(3)完全的窦主动脉去神经支配(SAD)后,注射PE或NP后动脉压的变化增强,但HR、HVR和RSNA的反射性变化显著减弱(P<0.001)。(4)迷走神经切断术消除了SAD后观察到的残余反射性变化。结果表明,主动脉和颈动脉压力感受器可能以简单相加的方式调节HR,而主动脉压力感受器似乎更重要。此外,主动脉和颈动脉压力感受器在HVR和RSNA的反射控制中可能都起重要作用,并通过抑制性总和的方式相互作用。