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在固定颈动脉压力下,兔子对主动脉神经刺激的心血管反应。

Rabbit cardiovascular responses to aortic nerve stimulation at fixed carotid pressure.

作者信息

Stinnett H O, Peterson D F, Bishop V S

出版信息

Am J Physiol. 1979 May;236(5):H769-74. doi: 10.1152/ajpheart.1979.236.5.H769.

Abstract

In pentobarbital-anesthetized rabbits with aortic nerves cut, reflex heart rate and mean arterial pressure (MAP) changes were quantified in response to maximal central stimulation of the left aortic nerve (LANS) before and during steady-state changes in isolated carotid intrasinus pressure (ISP). To distinguish possible vagally mediated cardiopulmonary influences, responses were measured before and after vagotomy. Changes in MAP observed by altering ISP within +/- 15 mmHg of the equilibrium pressure (EP) were linear and inversely correlated to changes in ISP, with a slope of approximately 3 both before and after vagotomy (r greater than or equal to 0.929, P less than 0.05). The peak fall in MAP during LANS was dependent upon ISP. The change in the MAP responses to LANS for each mmHg change in ISP ranged from 1.7 with vagi intact to 1.3 after vagotomy. Heart rate was unaltered by isolation of the carotid sinus and was independent of the small changes in ISP between +/- 15 mmHg of EP. These results indicate that blood pressure changes elicited by the aortic baroreflex are extremely sensitive to the degree of carotid sinus compensation. Thus, to assess the sensitivity of any arterial reflex area, the existing level of compensation by other barosensitive areas must be known.

摘要

在切断主动脉神经的戊巴比妥麻醉兔中,在孤立的颈动脉窦内压(ISP)稳态变化之前和期间,对左主动脉神经(LANS)的最大中枢刺激作出反应时,对反射性心率和平均动脉压(MAP)变化进行了量化。为了区分可能的迷走神经介导的心肺影响,在迷走神经切断术前和术后测量反应。在平衡压力(EP)的±15 mmHg范围内改变ISP时观察到的MAP变化呈线性,且与ISP变化呈负相关,迷走神经切断术前和术后的斜率均约为3(r≥0.929,P<0.05)。LANS期间MAP的最大下降取决于ISP。ISP每变化1 mmHg,对LANS的MAP反应变化范围从迷走神经完整时的1.7到迷走神经切断后的1.3。颈动脉窦隔离未改变心率,且心率与EP的±15 mmHg之间的ISP小变化无关。这些结果表明,主动脉压力反射引起的血压变化对颈动脉窦代偿程度极为敏感。因此,为了评估任何动脉反射区域的敏感性,必须了解其他压力敏感区域的现有代偿水平。

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