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主动脉和颈动脉窦压力感受器对清醒家兔压力感受器-心率反射的相对贡献。

Relative contributions of aortic and carotid sinus baroreceptors to the baroreceptor-heart rate reflex of the conscious rabbit.

作者信息

Blombery P A, Korner P I

出版信息

J Auton Nerv Syst. 1979 Dec;1(2):161-71. doi: 10.1016/0165-1838(79)90014-6.

Abstract

Conscious rabbits with previously implanted perivascular balloons for altering blood pressure were studied before and 6 days after: (i) sham-operation (n = 6); (ii) section of carotid sinus nerves alone (n = 7); (iii) section of aortic nerves alone (n = 5); and (iv) combined sino-aortic denervation (n = 5). Sigmoid mean arterial pressure (MAP)-heart period (HP) baroreflex curves were derived and were characterized by: (i) the HP range (HPR) between upper and lower plateau levels; (ii) the median blood pressure (BP50); and (iii) the average gain (G). Resting MAP and HP and the 3 baroreflex parameters were not altered significantly 6 days after sham-operation. After section of the carotid sinus nerves alone resting MAP and BP50 rose by 18 +/- 2.6 mm Hg, resting HP fell by 31 +/- 4.2 msec, whilst HPR and G fell to about 45% and 20 % respectively of initial preoperative control. After cutting the aortic nerves alone there was a similar fall in resting HP as after carotid denervation. However, the rises in resting MAP and BP50 were only about half of those observed after carotid denervation (P < 0.05) and the changes in HPR and G to 65% and 58% of control respectively were also less marked (P ¿ 0.01). The aortic baroreceptor zone also exerted smaller effects on the sympathetic efferent component of the baroreflex HP response. Despite the different effects exerted by each zone on the reflex parameters there was little difference in threshold pressure for producing cardiac slowing. After combined sino-aortic denervation there was a similar rise in resting MAP (19 mm Hg) as after carotid sinus denervation alone, but there was more marked tachycardia, with a fall in resting HP of 82 msec (P < 0.001) and both resting and baroreflex-mediated vagal tones were completely abolished. The small residual pressure-determined HP changes of about 8 msec were entirely sympathetic and probably mediated through cardiopulmonary baroreceptors.

摘要

对先前植入血管周围气囊以改变血压的清醒家兔,在以下操作前及操作后6天进行研究:(i)假手术(n = 6);(ii)单独切断颈动脉窦神经(n = 7);(iii)单独切断主动脉神经(n = 5);以及(iv)联合窦-主动脉去神经支配(n = 5)。得出了乙状结肠平均动脉压(MAP)-心动周期(HP)压力感受性反射曲线,其特征为:(i)上下平台水平之间的HP范围(HPR);(ii)中位血压(BP50);以及(iii)平均增益(G)。假手术后6天,静息MAP、HP以及3个压力感受性反射参数均无显著改变。单独切断颈动脉窦神经后,静息MAP和BP50升高18±2.6 mmHg,静息HP降低31±4.2毫秒,而HPR和G分别降至术前初始对照的约45%和20%。单独切断主动脉神经后,静息HP下降与颈动脉去神经支配后相似。然而,静息MAP和BP50的升高仅约为颈动脉去神经支配后观察到的一半(P < 0.05),HPR和G分别变为对照的65%和58%,变化也较小(P < 0.01)。主动脉压力感受器区对压力感受性反射HP反应的交感传出成分的影响也较小。尽管每个区域对反射参数的影响不同,但产生心脏减慢的阈值压力几乎没有差异。联合窦-主动脉去神经支配后,静息MAP升高与单独颈动脉窦去神经支配后相似(19 mmHg),但心动过速更明显,静息HP下降82毫秒(P < 0.001),静息和压力感受性反射介导的迷走神经张力均完全消失。约8毫秒的由压力决定的HP小残留变化完全是交感神经介导的,可能通过心肺压力感受器介导。

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