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支配心脏的迷走神经和交感神经的相互和非相互作用。

Reciprocal and non-reciprocal action of the vagal and sympathetic nerves innervating the heart.

作者信息

Kollai M, Koizumi K

出版信息

J Auton Nerv Syst. 1979 Oct;1(1):33-52. doi: 10.1016/0165-1838(79)90004-3.

Abstract

Simultaneous recordings were made from vagal and sympathetic fibers innervating the heart in dogs anesthetized with chloralose. Reciprocal relationship between the two autonomic nerves was clearly seen in the baroreceptor reflex. Stimulation of chemoreceptors, however, evoked non-reciprocal responses of the two nerves; at the onset of the chemoreceptor reflex cardiac vagal and sympathetic discharges both increased, then, as baroreceptors became excited due to a pressor response, sympathetic nerve activity suddenly decreased while vagal discharges remained high, indicating the appearance of the reciprocal action typifying the baroreceptor reflex. Decrease in ventilatory volume and a slight increase in end-expired CO2 level augmented greatly both vagal and sympathetic discharges. As the phrenic-locked activity of the two nerves (i.e. the activity in vagus nerve occurs only in the absence of phrenic bursts while sympathetic discharges increase with phrenic bursts) increased, the alternate discharges between the two nerves became more conspicuous and the heart rate fluctuated with the respiratory (phrenic) rhythm. Thus, strong reciprocity between vagus and sympathetic can result in an oscillatory heart rate. When ventilatory volume was increased, both nerve activities decreased below control level. Mild hypoxia had similar effects to hypercapnia though changes in nerve activity were greater. When coactivation of vagal and sympathetic nerve was produced in reflex action, changes in vagal discharges occurred earlier and faster than in the sympathetic fibers. The magnitude of change in vagus activity was also far greater. The elimination of afferents in the vagi, the aortic and sinus nerves reduced cardiac vagal activity greatly. However, discharges were still present and occurred between phrenic bursts, indicating that the vagal "tone" is maintained centrally as well as peripherally by input from receptors in the cardiovascular system. The physiological significance of reciprocal and non-reciprocal control of vagal and sympathetic nerves innervating the heart was discussed.

摘要

在用氯醛糖麻醉的狗身上,同时记录支配心脏的迷走神经纤维和交感神经纤维的活动。在压力感受器反射中,可清楚地看到这两种自主神经之间的相互关系。然而,化学感受器的刺激引发了这两种神经的非相互反应;在化学感受器反射开始时,心脏迷走神经和交感神经放电均增加,随后,由于压力反应导致压力感受器兴奋,交感神经活动突然下降,而迷走神经放电仍保持较高水平,这表明出现了典型的压力感受器反射的相互作用。通气量减少和呼气末二氧化碳水平略有升高,极大地增强了迷走神经和交感神经的放电。随着这两种神经的膈神经锁定活动(即迷走神经活动仅在没有膈神经冲动时发生,而交感神经放电随膈神经冲动增加)增加,这两种神经之间的交替放电变得更加明显,心率随呼吸(膈神经)节律波动。因此,迷走神经和交感神经之间的强烈相互作用可导致心率振荡。当通气量增加时,两种神经活动均降至对照水平以下。轻度缺氧与高碳酸血症有类似的作用,尽管神经活动的变化更大。当在反射活动中产生迷走神经和交感神经的共同激活时,迷走神经放电的变化比交感神经纤维出现得更早、更快。迷走神经活动的变化幅度也大得多。切断迷走神经、主动脉神经和窦神经中的传入神经,可大大降低心脏迷走神经活动。然而,放电仍然存在,且发生在膈神经冲动之间,表示迷走神经“紧张性”通过心血管系统中感受器的输入在中枢和外周得到维持。文中讨论了支配心脏的迷走神经和交感神经的相互和非相互控制的生理意义。

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