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外周动脉内膜增厚对局部振动的反应。

Occurrence of intimal thickening of the peripheral arteries in response to local vibration.

作者信息

Okada A, Inaba R, Furuno T

出版信息

Br J Ind Med. 1987 Jul;44(7):470-5. doi: 10.1136/oem.44.7.470.

Abstract

Experiments were performed to elucidate a possible mechanism for the peripheral circulatory disturbance caused by vibration. Rats were exposed to local vibration (60 Hz, 5 G) on their hind legs for four hours a day for 30 days or 90 days. With exposure for 30 days the small arteries at the exposed site did not change. With exposure for 90 days, however, disruption of the internal elastic lamina was observed in the small arteries. This disruption was followed by focal cell proliferation with regenerative formation of collagen and elastic fibres. The fibrocellular thickening of the intima was further augmented, and in addition a complete stenosis of the lumen of the small arteries was observed. Electron micrography showed that the fibrocellular thickening of the intima consisted of a proliferation of arterial smooth muscle cells and numerous collagen and elastic fibres. These alterations were not observed in the arteries of the controls. The thickness of the media did not differ between the control and exposed groups or in animals with different durations of exposure. Concerning plasma total cholesterol, HDL-cholesterol, and lipoperoxide, there were no significant differences between the control and exposed groups after either 30 or 90 days, but the whole blood viscosity was significantly increased by day 90. This finding may be related to the intimal thickening.

摘要

进行实验以阐明振动引起外周循环障碍的可能机制。将大鼠后腿暴露于局部振动(60赫兹,5G),每天4小时,持续30天或90天。暴露30天时,暴露部位的小动脉没有变化。然而,暴露90天时,在小动脉中观察到内弹性膜破坏。这种破坏之后是局灶性细胞增殖,并伴有胶原蛋白和弹性纤维的再生形成。内膜的纤维细胞增厚进一步加剧,此外还观察到小动脉管腔完全狭窄。电子显微镜检查显示,内膜的纤维细胞增厚由动脉平滑肌细胞增殖以及大量胶原蛋白和弹性纤维组成。对照组的动脉未观察到这些改变。对照组和暴露组之间以及不同暴露时长的动物之间,中膜厚度没有差异。关于血浆总胆固醇、高密度脂蛋白胆固醇和脂质过氧化物,对照组和暴露组在30天或90天后均无显著差异,但到90天时全血粘度显著增加。这一发现可能与内膜增厚有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376d/1007862/71fa966ac441/brjindmed00159-0040-a.jpg

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