Matsuura S, Sakamoto H, Hayashida Y, Kuno M
Brain Res. 1984 Jul 9;305(2):291-301. doi: 10.1016/0006-8993(84)90435-9.
Efferent discharges of the cervical sympathetic cardiovascular and vagal type 1 fibers in response to increased intracranial pressure (ICP) were simultaneously recorded in cats anesthetized with pentobarbitone and ventilated artificially. Sympathetic outflow of renal nerve fibers was also recorded in some animals. The type 1 fibers were assumed to be cardiac vagal fibers, from the response behavior such a pulse-synchronicity to respiratory and heart rhythm, reflex activation from arterial baroreceptors and reciprocal relationship of the activity to sympathetic ones during slower fluctuations of hemodynamic changes, and which occur spontaneously during Mayer waves. The vagal type 1 discharges increased to various amplitudes with increase in ICP and in the absence and the presence of pressor response. Efferent outflow of the renal and cervical sympathetic fibers frequently decreased with a moderate increase in ICP. There was a slight decrease or no apparent change in the blood pressure, and a higher elevation of ICP ensued. Heart rates decreased with increase in ICP, while the rate frequently increased with levels of ICP over about 120 mm Hg. Changes in the vagal and sympathetic discharges always began at a time before the initiation of cardiovascular response to the elevated ICP. However, when ICP was repeatedly increased, the increase in vagal discharges progressively decayed and was accompanied by vigorous sympathetic firings and a marked pressor response. The sympathetic outflow also decayed following the decrease in vagal activities. The present findings of changes in the vagal type 1 discharges demonstrate clear participation of parasympathetic as well as sympathetic nerve activity in the occurrence of cardiovascular responses to increased ICP. Changes in both these autonomic nerve responses may explain the initial fall in arterial blood pressure and pressor responses associated with bradycardia or tachycardia, at different levels of elevated ICP.
在戊巴比妥麻醉并人工通气的猫身上,同时记录了颈交感心血管纤维和迷走神经1型纤维对颅内压(ICP)升高的传出放电。在一些动物中还记录了肾神经纤维的交感神经传出。从其对呼吸和心律的脉冲同步性反应行为、动脉压力感受器的反射激活以及在血流动力学变化较慢波动期间与交感神经活动的相互关系,以及在迈尔波期间自发出现的情况来看,1型纤维被认为是心脏迷走神经纤维。随着ICP升高,无论有无升压反应,迷走神经1型放电均会增加到不同幅度。随着ICP适度升高,肾和颈交感神经纤维的传出放电频率经常降低。血压略有下降或无明显变化,随后ICP进一步升高。随着ICP升高,心率下降,而当ICP超过约120 mmHg时,心率经常升高。迷走神经和交感神经放电的变化总是在对升高的ICP产生心血管反应之前就开始了。然而,当ICP反复升高时,迷走神经放电的增加逐渐衰减,并伴有强烈的交感神经放电和明显的升压反应。交感神经传出也随着迷走神经活动的减少而衰减。目前关于迷走神经1型放电变化的研究结果表明,副交感神经和交感神经活动在对ICP升高的心血管反应发生中均有明显参与。这两种自主神经反应的变化可能解释了在不同升高水平的ICP下,动脉血压最初下降以及与心动过缓或心动过速相关的升压反应。
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