Korthuis R J, Granger D N, Townsley M I, Taylor A E
Am J Physiol. 1985 Jun;248(6 Pt 2):H835-42. doi: 10.1152/ajpheart.1985.248.6.H835.
The hypothesis that skeletal muscle capillary pressure and/or capillary filtration rate are autoregulated was tested in 10 isolated rat hindquarters. Capillary pressure was directly assessed with the venous occlusion technique as abdominal aortic pressure was reduced in 25-mmHg decrements from 125 to 25 mmHg. Capillary pressure was not altered by reduction of arterial pressure from 125 to 100 mmHg, but it decreased progressively when arterial pressure was reduced from 100 to 25 mmHg. As perfusion pressure was reduced, capillary filtration rate decreased progressively, while the capillary filtration coefficient increased. The progressive decrease in capillary pressures was less than that predicted for a totally passive system, implying that capillary pressure was autoregulated to some degree. However, analysis of pre- to postcapillary resistance ratios suggested that the degree of capillary pressure autoregulation was minimal when perfusion pressures varied over a range of 100-25 mmHg. Capillary filtration rate was maintained better than would be predicted from the measured fall in capillary pressure by readjustments of interstitial Starling forces. These results indicate that capillary pressure is poorly autoregulated in rat skeletal muscle but that compensatory readjustments in interstitial Starling forces help maintain fluid balance and prevent excess dehydration of the interstitium of skeletal muscle as arterial pressure is reduced.
在10个离体大鼠后肢中对骨骼肌毛细血管压力和/或毛细血管滤过率是否自动调节的假说进行了测试。采用静脉闭塞技术直接评估毛细血管压力,随着腹主动脉压力从125 mmHg以25 mmHg的降幅降至25 mmHg。动脉压从125 mmHg降至100 mmHg时,毛细血管压力未改变,但当动脉压从100 mmHg降至25 mmHg时,毛细血管压力逐渐降低。随着灌注压降低,毛细血管滤过率逐渐降低,而毛细血管滤过系数增加。毛细血管压力的逐渐降低小于完全被动系统预测的降幅,这意味着毛细血管压力在一定程度上是自动调节的。然而,对毛细血管前与毛细血管后阻力比值的分析表明,当灌注压在100 - 25 mmHg范围内变化时,毛细血管压力自动调节程度最小。通过间质Starling力的重新调整,毛细血管滤过率的维持情况优于根据测得的毛细血管压力下降所预测的情况。这些结果表明,大鼠骨骼肌中的毛细血管压力自动调节能力较差,但间质Starling力的代偿性重新调整有助于维持液体平衡,并在动脉压降低时防止骨骼肌间质过度脱水。