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未麻醉猫中动脉压力感受器和心肺感受器对血压和心率的反射性控制。

Reflex control of blood pressure and heart rate by arterial baroreceptors and by cardiopulmonary receptors in the unanaesthetized cat.

作者信息

Ramirez A J, Bertinieri G, Belli L, Cavallazzi A, Di Rienzo M, Pedotti A, Mancia G

出版信息

J Hypertens. 1985 Aug;3(4):327-35. doi: 10.1097/00004872-198508000-00004.

Abstract

Studies in unanaesthetized animals have reported that section of the carotid sinus and aortic nerves is accompanied by an increased blood pressure variability but not by a sustained blood pressure rise, thus questioning the role of arterial baroreceptors in the long term control of mean blood pressure values. However, sino-aortic denervation (SAD) does not produce denervation of all baroreceptor areas, and it has been suggested that aortic baroreceptor fibres in the vagus and cardiopulmonary vagal afferents that restrain sympathetic vasoconstrictor tone prevent blood pressure from permanently rising. In unanaesthetized cats we recorded blood pressure intra-arterially for 8-12 h when baroreflexes were intact, 7 days after SAD and 1-2 days additional bilateral cervical vagotomy. Blood pressure signals were analysed by computer to provide means and coefficients of variation (CV, variabilities) for each recording period. In intact cats, mean blood pressure was 99 +/- 7 mmHg (average +/- s.e.) and CV 6 +/- 1%. SAD did not alter mean blood pressure but markedly increased CV (12 +/- 2%; P less than 0.01). Additional vagotomy did not alter mean blood pressure (104 +/- 6 mmHg), nor did it alter the increased CV observed after SAD alone. Vagotomy failed to affect mean blood pressure and CV even when performed in cats with intact carotid and aortic nerves. The lack of effect of vagotomy did not depend on simultaneous section of afferent and efferent fibres, because selective blockade of the latter by atropine also failed to affect mean blood pressure and CV.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对未麻醉动物的研究报告称,切断颈动脉窦和主动脉神经会伴随血压变异性增加,但不会导致血压持续升高,因此对动脉压力感受器在长期控制平均血压值方面的作用提出了质疑。然而,去窦弓神经支配(SAD)并不会使所有压力感受器区域都去神经化,有人提出,迷走神经中的主动脉压力感受器纤维以及抑制交感缩血管张力的心肺迷走传入神经可防止血压永久性升高。在未麻醉的猫中,我们在压力反射完整时、SAD后7天以及额外进行双侧颈迷走神经切断术后1 - 2天,经动脉记录血压8 - 12小时。通过计算机分析血压信号,以提供每个记录期的平均值和变异系数(CV,变异性)。在压力反射完整的猫中,平均血压为99±7 mmHg(平均值±标准误),CV为6±1%。SAD并未改变平均血压,但显著增加了CV(12±2%;P<0.01)。额外的迷走神经切断术并未改变平均血压(104±6 mmHg),也未改变仅在SAD后观察到的CV增加。即使在颈动脉和主动脉神经完整的猫中进行迷走神经切断术,也未能影响平均血压和CV。迷走神经切断术无效并不取决于传入和传出纤维的同时切断,因为用阿托品选择性阻断后者也未能影响平均血压和CV。(摘要截断于250字)

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