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右侧与左侧迷走神经感觉神经在清醒犬心肺反射中的作用。

Roles of right versus left vagal sensory nerves in cardiopulmonary reflexes of conscious dogs.

作者信息

Barron K W, Bishop V S

出版信息

Am J Physiol. 1985 Sep;249(3 Pt 2):R301-7. doi: 10.1152/ajpregu.1985.249.3.R301.

Abstract

This study examined the relative roles of the right vs. left vagi in mediating the inhibitory influence of vagal sensory input on sympathetic outflow to the cardiovascular system. This objective was pursued through examination of responses to 1) interruption of tonic vagal input and 2) intracoronary administration of veratridine (Bezold-Jarisch effect). Bilateral vagal cold block (BVB) (n = 16) increased arterial pressure 25 +/- 3 mmHg and heart rate 66 +/- 7 beat/min, whereas right vagal cold block (RVB) and left vagal cold block (LVB) increased arterial pressure 13 +/- 2 and 4 +/- 2 mmHg, respectively. The relative differences in the change in mean arterial pressure were independent of heart rate since similar changes in arterial pressure were observed with preelevation of heart rate with atropine. Sinoaortic baroreceptor denervation augmented the pressure responses approximately fourfold, with the relative pressure changes produced by BVB, RVB, or LVB remaining proportionally the same. Intracoronary administration of veratridine (0.1 g/kg) produced a hypotension action (-44 +/- 6 mmHg), bradycardia (-48 +/- 8 beat/min), and a negative intropic effect (-482 +/- 68 mmHg/s, left ventricular (LV) (dP/dt)max. During RVB the depressor effect of veratridine was reduced to -18 +/- 5 mmHg, and changes in heart rate or LV (dP/dt)max were abolished. Veratridine administration during LVB decreased arterial pressure (-39 +/- 6 mmHg), heart rate (-22 +/- 6 beat/min), and LV (dP/dt)max (-250 +/- 60 mmHg). We conclude that in the conscious dog the tonic inhibitory influence of vagal afferent nerves on vasomotor outflow is predominantly associated with the right vagus as in Bezold-Jarisch effect.

摘要

本研究考察了右侧迷走神经与左侧迷走神经在介导迷走神经感觉输入对心血管系统交感神经输出的抑制作用中的相对作用。通过检测对以下两种情况的反应来实现这一目标:1)中断紧张性迷走神经输入;2)冠状动脉内注射藜芦碱(贝佐尔德-雅里什效应)。双侧迷走神经冷阻断(BVB)(n = 16)使动脉压升高25±3 mmHg,心率加快66±7次/分钟,而右侧迷走神经冷阻断(RVB)和左侧迷走神经冷阻断(LVB)分别使动脉压升高13±2 mmHg和4±2 mmHg。平均动脉压变化的相对差异与心率无关,因为在使用阿托品使心率预先升高时观察到了类似的动脉压变化。窦主动脉压力感受器去神经支配使压力反应增加约四倍,BVB、RVB或LVB产生的相对压力变化仍保持相同比例。冠状动脉内注射藜芦碱(0.1 g/kg)产生降压作用(-44±6 mmHg)、心动过缓(-48±8次/分钟)和负性变力作用(-482±68 mmHg/s,左心室(LV)(dP/dt)max)。在RVB期间,藜芦碱的降压作用降至-18±5 mmHg,心率或LV(dP/dt)max的变化消失。在LVB期间注射藜芦碱使动脉压降低(-39±6 mmHg)、心率降低(-22±6次/分钟)和LV(dP/dt)max降低(-250±60 mmHg)。我们得出结论,在清醒犬中,迷走神经传入神经对血管运动输出的紧张性抑制作用主要与右侧迷走神经有关,如同贝佐尔德-雅里什效应一样。

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