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家兔大脑皮质血流与氧张力的自动调节

Autoregulation of cortical blood flow and oxygen tension in the rabbit.

作者信息

Taguchi Y, Kaminogo M, Austin G M

出版信息

Neurol Res. 1984 Dec;6(4):159-62. doi: 10.1080/01616412.1984.11739682.

Abstract

The relationship between cerebral blood flow autoregulation and oxygen tension of cerebral tissue is not fully known. We have examined the autoregulation of local cortical blood flow (CoBF) and cortical oxygen tension (bPO2) in the rabbit. CoBF was measured continuously by using the heated thermocouple technique and bPo2 was monitored by the polarographic method. Intravenous injection of phenylephrine hydrochloride or trimethaphan camsylate was used to test for autoregulation by increasing or decreasing perfusion pressure. The mean values of CoBF and bPO2 were 36 +/- 5 ml/100g/min and 32 +/- 12 mmHg respectively at 90 mmHg mean arterial blood pressure (MABP). The changes in both CoBF and bPO2 with changing perfusion pressure were often relatively small at near baseline blood pressure and became more pronounced with large increases or decreases in MAPB. On returning from high MABP to baseline blood pressure, a hysteresis effect on CoBF was observed in 20 out of 22 cases. The autoregulation of CoBF was maintained in the range between 80 and 100 mmHg MABP. On the other hand, bPO2 was maintained constant in the range between 75 and 110 mmHg. This range is significantly wider than that of CoBF. We conclude that autoregulation of CoBF limits changes in local CoBF to maintain constant oxygen tension in brain tissue.

摘要

脑血流自动调节与脑组织氧张力之间的关系尚未完全明确。我们研究了家兔局部皮质血流(CoBF)和皮质氧张力(bPO2)的自动调节情况。采用加热热电偶技术连续测量CoBF,并用极谱法监测bPO2。静脉注射盐酸去氧肾上腺素或樟磺咪芬,通过升高或降低灌注压来测试自动调节功能。在平均动脉血压(MABP)为90 mmHg时,CoBF和bPO2的平均值分别为36±5 ml/100g/min和32±12 mmHg。在接近基线血压时,CoBF和bPO2随灌注压变化的幅度通常相对较小,而随着MAPB大幅升高或降低,变化则更为明显。从高MABP恢复到基线血压时,22例中有20例观察到CoBF存在滞后效应。CoBF的自动调节在MABP 80至100 mmHg范围内维持。另一方面,bPO2在75至110 mmHg范围内保持恒定。该范围明显宽于CoBF的范围。我们得出结论,CoBF的自动调节限制了局部CoBF的变化,以维持脑组织中的氧张力恒定。

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