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人体低压感受器刺激期间的外周血管反应。

Peripheral vascular responses during stimulation of the low pressure receptors in man.

作者信息

Duprez D, De Pue N, Clement D

机构信息

Department of Cardiology, University Hospital, Ghent, Belgium.

出版信息

J Hypertens Suppl. 1985 Dec;3(3):S135-6.

PMID:2856691
Abstract

Several studies have been devoted to the cardiovascular responses to stimulation of low pressure receptors in animals. Yet, in man, the vascular participation in this reflex response is not fully documented. In the present work, the response of forearm and finger blood vessels was studied in a group of healthy subjects during stimulation of the low pressure receptors, using lower body negative pressure (LBNP) at -10, -20 and -40 mmHg. Blood flow was measured simultaneously at the forearm and the finger with an electrocardiogram (ECG)-triggered venous occlusion plethysmograph. Blood pressure remained unchanged at LBNP -10 and -20 mmHg, while there was a significant decrease of systolic and mean arterial blood pressure at LBNP -40 mmHg. Heart rate significantly increased at LBNP -20 and -40 mmHg, while no change in heart rate was seen at LBNP -10 mmHg. There was a significant decrease of blood flow at the forearm and a significant increase of the vascular resistance at LBNP -10, -20 and -40 mmHg. There were no changes in finger circulation. Thus, peripheral circulation is only partially involved in the cardiovascular response to stimulation of the low pressure receptors in men. There is a significant vasoconstriction of forearm blood vessels, occurring before any change in blood pressure and heart rate, while finger blood vessels do not participate in this reflex.

摘要

已有多项研究致力于动物体内低压感受器刺激的心血管反应。然而,在人类中,血管参与这种反射反应的情况尚未得到充分记录。在本研究中,使用-10、-20和-40 mmHg的下体负压(LBNP)刺激低压感受器,研究了一组健康受试者的前臂和手指血管反应。用心电图(ECG)触发的静脉阻断体积描记法同时测量前臂和手指的血流量。在LBNP为-10和-20 mmHg时血压保持不变,而在LBNP为-40 mmHg时收缩压和平均动脉血压显著下降。在LBNP为-20和-40 mmHg时心率显著增加,而在LBNP为-10 mmHg时心率未见变化。在LBNP为-10、-20和-40 mmHg时,前臂血流量显著减少,血管阻力显著增加。手指循环未见变化。因此,在男性中,外周循环仅部分参与对低压感受器刺激的心血管反应。在前臂血管中存在显著的血管收缩,发生在血压和心率出现任何变化之前,而手指血管不参与这种反射。

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