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[肾性高血压兔的动脉压力感受性反射]

[Arterial baroreflex in the renal hypertensive rabbits].

作者信息

Li Z, Ho S Y

出版信息

Sheng Li Xue Bao. 1989 Aug;41(4):338-45.

PMID:2602945
Abstract

In 14 anesthetized male rabbits subjected bilateral renal wrapping 12 weeks before, the baroreflex control of heart rate (HR), hindlimb vascular resistance (HVR) and renal sympathetic nerve activity (RSNA) was examined during arterial baroreceptor loading and unloading by injecting phenylephrine (PE) and nitroprusside (NP). The results were as follows: (1) The mean arterial pressure (131 +/- 9 mmHg) of the kidney-wrapped rabbits was significantly higher than that (95 +/- 10 mmHg) of the control rabbits (P less than 0.001). (2) With the buffer nerves intact, the baroreflex control of HR was obviously impaired in the hypertensive rabbits (P less than 0.01), whereas the reflex control of HVR and RSNA remained unchanged as compared with the normotensive rabbits (P greater than 0.05), indicating a dissociation of baroreflex control of HR from that of peripheral circulation. However, in response to local intraarterial injection of PE and NP, the changes in HVR showed no difference between the hypertensive and normotensive rabbits. (3) After aortic or carotid baroreceptor denervation, the reflex control of HR was further reduced in the hypertensive rabbits, and the reflex control of HVR and RSNA was also significantly reduced (P less than 0.01), suggesting an impairment of potential baroreflex regulation of the circulation. It is likely that the changes of baroreflex in hypertensive rabbits may be attributed to the abnormalities in both baroreceptor and central integrating mechanism.

摘要

在14只12周前接受双侧肾包裹的麻醉雄性家兔中,通过注射去氧肾上腺素(PE)和硝普钠(NP),在动脉压力感受器加载和卸载期间检查心率(HR)、后肢血管阻力(HVR)和肾交感神经活动(RSNA)的压力反射控制。结果如下:(1)肾包裹家兔的平均动脉压(131±9 mmHg)显著高于对照家兔(95±10 mmHg)(P<0.001)。(2)在缓冲神经完整的情况下,高血压家兔的心率压力反射控制明显受损(P<0.01),而与正常血压家兔相比,HVR和RSNA的反射控制保持不变(P>0.05),表明心率压力反射控制与外周循环的压力反射控制分离。然而,对局部动脉内注射PE和NP的反应,高血压和正常血压家兔之间HVR的变化没有差异。(3)在主动脉或颈动脉压力感受器去神经支配后,高血压家兔的心率反射控制进一步降低,HVR和RSNA的反射控制也显著降低(P<0.01),提示循环的潜在压力反射调节受损。高血压家兔压力反射的变化可能归因于压力感受器和中枢整合机制的异常。

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