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清醒犬后肢血流的自动调节

Autoregulation of hind-limb blood flow in conscious dogs.

作者信息

Britton S L, Metting P J, Ronau T F, Strader J R, Weldy D L

出版信息

J Physiol. 1985 Nov;368:409-22. doi: 10.1113/jphysiol.1985.sp015865.

Abstract

We evaluated the efficiency of blood flow autoregulation of the hind-limb vascular bed of eleven conscious dogs during: resting conditions; graded levels of treadmill exercise; and increases in oxygen consumption produced by the administration of 2,4-dinitrophenol (DNP). Blood flow to the left hind limb was measured with an electromagnetic flow probe on the left external iliac artery. Hind-limb perfusion pressure was measured from a catheter in the deep femoral artery and was controlled via an externally inflatable occlusion cuff positioned just distal to the flow probe. Arterial pressure was measured in the abdominal aorta. Experiments were performed 5-16 days after instrumentation. Hind-limb pressure-flow (P-F) relationships were evaluated by decreasing hind-limb perfusion pressure in 4-5 small sequential 'square-wave' steps of 10-15 mmHg each while measuring flow. Each step decrease in perfusion pressure was maintained for 2 min. The efficiency of autoregulation was quantified by calculating the closed-loop gain of flow regulation (Gc) at each decrement in perfusion pressure utilizing the equation: Gc = 1-[(F0-Fn/F0)/(P0-Pn/P0)] where F0 and P0 are the starting (control) flows and pressures prevailing prior to decreasing perfusion pressure, and Fn and Pn are the new flows and pressures at each decrement in perfusion pressure. A Gc value less than 0 indicates a predominantly passive P-F relationship, while a Gc of 1 is perfect autoregulation of flow. When the dogs were at rest, decrements in hind-limb perfusion pressure were accompanied by almost equivalent decreases in flow, i.e. no autoregulation occurred, and Gc averaged -0.177 +/- 0.044 over the pressure range from 100-40 mmHg. During all levels of treadmill exercise (on gradients of 0, 7, or 21%), however, positive Gc values were found that averaged from 0.258 +/- 0.046 at a gradient of 0% to 0.392 +/- 0.041 at a gradient of 21% and were significantly different from Gc values found during rest at perfusion pressure ranges from 90-40 mmHg. The administration of DNP directly into the hind-limb circulation increased hind-limb blood flow from 199 to 481 ml/min. In the presence of DNP, Gc values were positive over perfusion pressure ranges from 100-40 mmHg and averaged 0.473 +/- 0.054. These data demonstrate that hind-limb blood flow is not autoregulated in resting dogs, but that significant autoregulation is manifest during conditions that increase oxygen consumption.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

我们评估了11只清醒犬在以下状态下后肢血管床的血流自动调节效率:静息状态;不同强度的跑步机运动;以及注射2,4-二硝基苯酚(DNP)导致的耗氧量增加。通过电磁流量探头测量左髂外动脉的左后肢血流量。通过股深动脉内的导管测量后肢灌注压,并通过位于流量探头远端的外部可充气阻塞袖带进行控制。在腹主动脉测量动脉压。在植入仪器后5 - 16天进行实验。通过以10 - 15 mmHg的4 - 5个连续小“方波”步骤降低后肢灌注压并测量流量来评估后肢压力-流量(P - F)关系。每次灌注压降低步骤维持2分钟。利用公式计算每次灌注压降低时流量调节的闭环增益(Gc)来量化自动调节效率:Gc = 1 - [(F0 - Fn / F0)/(P0 - Pn / P0)],其中F0和P0是降低灌注压之前的起始(对照)流量和压力,Fn和Pn是每次灌注压降低时的新流量和压力。Gc值小于0表示主要是被动的P - F关系,而Gc为1表示流量的完美自动调节。当犬处于静息状态时,后肢灌注压降低伴随着几乎同等程度的流量降低,即未发生自动调节,在100 - 40 mmHg的压力范围内,Gc平均为 - 0.177 ± 0.044。然而,在所有水平的跑步机运动(坡度为0%、7%或21%)期间,发现正的Gc值,从坡度为0%时的0.258 ± 0.046到坡度为21%时的0.392 ± 0.041,并且在90 - 40 mmHg的灌注压范围内与静息时的Gc值有显著差异。将DNP直接注入后肢循环使后肢血流量从199增加到481 ml/min。在存在DNP 的情况下,在100 - 40 mmHg的灌注压范围内Gc值为正,平均为0.473 ± 0.054。这些数据表明,静息犬的后肢血流量未进行自动调节,但在增加耗氧量的情况下会出现显著的自动调节。(摘要截断于400字)

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