Cornish K G, Gilmore J P, McCulloch T
Department of Physiology and Biophysics, University of Nebraska College of Medicine, Omaha 68105-1065.
Am J Physiol. 1988 Apr;254(4 Pt 2):H693-701. doi: 10.1152/ajpheart.1988.254.4.H693.
Conscious intact (I) and sinoaortic-denervated monkeys (SAD) were studied to determine the extent to which high-pressure receptors contribute to the maintenance of arterial blood pressure (BP) when venous return is decreased by hemorrhage (H) or lower body negative pressure (LBNP). In the I animals, mean BP did not decrease significantly until 5% of the estimated blood volume (EBV) was removed, whereas, with sinoaortic denervation, mean BP decreased significantly when less than 2% of EBV was removed. Left atrial pressure (LAP) decreased similarly in both groups of animals. In the I group during LBNP, mean BP did not change significantly, whereas pulse pressure decreased significantly when LBNP was decreased to -5 cmH2O. In the SAD animals, mean BP decreased significantly at an LBNP of -2 cmH2O, and at -5 cmH2O mean BP declined from 134.1 +/- 4 to 102.7 +/- 7 mmHg. LAP decreased similarly in both groups of animals. The data support the view that a nonhypotensive reduction in venous return unloads arterial baroreceptors sufficiently to activate the arterial baroreflex, probably through reductions in pulse pressure. In addition, low-pressure receptors by themselves do not appear to contribute importantly to blood pressure maintenance when venous return is decreased by either LBNP or a nonhypotensive hemorrhage.
对清醒正常(I)和去窦主动脉神经支配的猴子(SAD)进行了研究,以确定当通过出血(H)或下体负压(LBNP)使静脉回流减少时,高压感受器对维持动脉血压(BP)的贡献程度。在I组动物中,直到估计血容量(EBV)的5%被移除时,平均血压才显著下降,而在去窦主动脉神经支配的情况下,当EBV的不到2%被移除时,平均血压就显著下降。两组动物的左心房压力(LAP)下降情况相似。在I组动物进行LBNP期间,平均血压没有显著变化,而当LBNP降至-5 cmH2O时,脉压显著下降。在SAD组动物中,当LBNP为-2 cmH2O时平均血压显著下降,在-5 cmH2O时平均血压从134.1±4降至102.7±7 mmHg。两组动物的LAP下降情况相似。这些数据支持这样一种观点,即静脉回流的非低血压性降低足以卸载动脉压力感受器,从而激活动脉压力反射,可能是通过脉压的降低。此外,当通过LBNP或非低血压性出血使静脉回流减少时,低压感受器本身似乎对血压维持没有重要贡献。