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动脉和心肺机械感受器在清醒犬休息和运动期间动脉血压调节中的作用。

Role of arterial and cardiopulmonary mechanoreceptors in the regulation of arterial pressure during rest and exercise in conscious dogs.

作者信息

Walgenbach S C, Shepherd J T

出版信息

Mayo Clin Proc. 1984 Jul;59(7):467-75. doi: 10.1016/s0025-6196(12)60435-2.

Abstract

Techniques have been developed to study the role of arterial and vagally innervated cardiopulmonary mechanoreceptors in conscious dogs during rest, exercise, and anxiety or emotional stress. These techniques involve, among others, bilateral reversible vascular isolation of the carotid sinuses and acute reversible interruption of the aortic baroreflex. The carotid sinus, the aortic arch, and the cardiopulmonary receptors tonically inhibit the vasomotor center in the resting dog. The arterial receptors, but not the cardiopulmonary receptors, minimize the lability in arterial pressure at rest and during exercise. During exercise, the arterial baroreceptors are reset to a higher operating point, limit the increase in arterial blood pressure that develops with increasing severity of exercise, and act to return the pressure quickly to the resting level when exercise ceases. The effects on arterial blood pressure are due to reflex changes in total systemic vascular resistance; cardiac output and heart rate are controlled independently of the arterial and cardiopulmonary mechanoreflexes. The cardiopulmonary reflexes have no evident role in the control of arterial pressure during exercise but, in the chronic absence of the arterial baroreflexes, act to decrease the total systemic vascular resistance when exercise ceases.

摘要

已经开发出一些技术来研究在清醒犬休息、运动、焦虑或情绪应激期间,动脉和迷走神经支配的心肺机械感受器的作用。这些技术尤其包括双侧可逆性隔离颈动脉窦以及急性可逆性中断主动脉压力反射。在静息犬中,颈动脉窦、主动脉弓和心肺感受器持续抑制血管运动中枢。动脉感受器而非心肺感受器,可使静息和运动时动脉血压的波动最小化。运动期间,动脉压力感受器被重新设定到更高的工作点,限制随着运动强度增加而出现的动脉血压升高,并在运动停止时促使血压迅速恢复到静息水平。对动脉血压的影响是由于全身总血管阻力的反射性变化;心输出量和心率的控制独立于动脉和心肺机械反射。心肺反射在运动期间对动脉血压的控制中没有明显作用,但在长期缺乏动脉压力反射的情况下,运动停止时可促使全身总血管阻力降低。

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