Taguchi Y, Austin G M
No To Shinkei. 1985 Dec;37(12):1163-71.
Autoregulation and CO2 response of cortical blood flow and their relationship to cortical oxygen tension is not fully known. We have examined autoregulation and CO2 response of local cortical blood flow (CoBF) and cortical oxygen tension (bPO2), using 41 New Zealand white rabbits. CoBF was measured continuously by using the heated thermocouple technique and bPO2 was monitored by the polarographic method. Intravenous injection of phenylephrine hydrochloride or trimethaphan camsylate was used to test for autoregulation by increasing or decreasing perfusion pressure. The data was analyzed in the range between 50 and 140 mmHg of mean arterial blood pressure (MABP). The range of autoregulation was determined by our own analytical method. PaCO2 was manipulated between 18.3 and 63.2 mmHg. It was increased by raising the concentration of CO2 in the inspired gas mixture. Hypocapnia was induced by hyperventilation. The mean values of CoBF and bPO2 were 36.2 +/- 5.3 ml/100 g/min and 32.9 +/- 12.8 mmHg respectively at 90 mmHg of MABP during the test for autoregulation. The changes in both CoBF and bPO2 with changing perfusion pressure were often relatively small at near baseline blood pressure and became more pronounced with large increase or decrease in MABP. On returning from high MABP to baseline blood pressure, a hysteresis effect on CoBF was observed in 20 out of twenty two cases. The autoregulation of CoBF was maintained in the range between 80 and 100 mmHg of MABP. On the other hand, bPO2 was maintained constant in the range between 75 and 110 mmHg of MABP.(ABSTRACT TRUNCATED AT 250 WORDS)
皮质血流的自动调节和二氧化碳反应及其与皮质氧张力的关系尚未完全明确。我们使用41只新西兰白兔研究了局部皮质血流(CoBF)和皮质氧张力(bPO2)的自动调节及二氧化碳反应。通过加热热电偶技术连续测量CoBF,用极谱法监测bPO2。静脉注射盐酸去氧肾上腺素或樟磺咪芬,通过升高或降低灌注压来测试自动调节功能。在平均动脉血压(MABP)50至140 mmHg范围内分析数据。自动调节范围通过我们自己的分析方法确定。将动脉血二氧化碳分压(PaCO2)控制在18.3至63.2 mmHg之间。通过提高吸入气体混合物中二氧化碳的浓度来升高PaCO2,通过过度通气诱导低碳酸血症。在自动调节测试期间,MABP为90 mmHg时,CoBF和bPO2的平均值分别为36.2±5.3 ml/100 g/min和32.9±12.8 mmHg。在接近基线血压时,CoBF和bPO2随灌注压变化的幅度通常较小,而在MABP大幅升高或降低时变化更为明显。从高MABP恢复到基线血压时,22例中有20例观察到CoBF存在滞后效应。CoBF的自动调节在MABP 80至100 mmHg范围内维持。另一方面,bPO2在MABP 75至110 mmHg范围内保持恒定。(摘要截断于250字)