Tripathi A, Shi X, Wenger C B, Nadel E R
J Appl Physiol Respir Environ Exerc Physiol. 1984 Nov;57(5):1384-92. doi: 10.1152/jappl.1984.57.5.1384.
To investigate the interaction of thermal reflexes and baroreflexes in the control of the peripheral veins, we studied in supine humans the effects of lower body negative pressure (LBNP) and neck suction (NS) on forearm veins at ambient temperatures (Ta) of 18, 28, and 37 degrees C. Forearm venous volume (FVV)-venous pressure (FVP) relations (forearm venous capacitance) on six subjects showed an increase from 18 through 28 to 37 degrees C (P less than 0.001). Heart rate increased (P less than 0.001) and forearm venous capacitance decreased (P less than 0.001) in proportion to the level of LBNP applied from 20 to 50 Torr at all Ta. At 50 Torr LBNP, FVV at 30 cmH2O, FVP decreased from control values of 2.5, 3.8, and 4.4 to 1.6, 2.7, and 3.4 ml/100 ml at 18, 28, and 37 degrees C, respectively. We also studied venomotor responses using the occluded limb technique. Although LBNP caused venoconstriction, NS applied either alone or during LBNP produced no change in venomotor tone. Therefore we concluded that carotid baroreceptors play little role in reflex venomotor adjustments. Since changes in mean arterial and pulse pressures during LBNP did not account for the observed venomotor responses, we concluded that low-pressure baroreceptors initiate significant venoconstrictor reflexes over a wide range of Ta.
为研究热反射与压力感受性反射在控制外周静脉方面的相互作用,我们对仰卧位的人体进行了研究,观察在18、28和37摄氏度的环境温度(Ta)下,下体负压(LBNP)和颈部抽吸(NS)对前臂静脉的影响。六名受试者的前臂静脉容量(FVV)-静脉压力(FVP)关系(前臂静脉顺应性)显示,从18摄氏度到28摄氏度再到37摄氏度呈增加趋势(P<0.001)。在所有Ta下,心率随LBNP从20托增加到50托而增加(P<0.001),前臂静脉顺应性降低(P<0.001)。在50托LBNP时,30 cmH2O下的FVV,FVP在18、28和37摄氏度时分别从对照值2.5、3.8和4.4降至1.6、2.7和3.4 ml/100 ml。我们还使用肢体阻断技术研究了静脉舒缩反应。尽管LBNP引起静脉收缩,但单独应用NS或在LBNP期间应用NS均未引起静脉舒缩张力的变化。因此,我们得出结论,颈动脉压力感受器在反射性静脉舒缩调节中作用很小。由于LBNP期间平均动脉压和脉压的变化不能解释观察到的静脉舒缩反应,我们得出结论,低压压力感受器在很宽的Ta范围内引发显著的静脉收缩反射。