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家兔心率和血管阻力的压力反射差异控制。颈动脉、主动脉和心肺压力感受器的相对作用。

Differential baroreflex control of heart rate and vascular resistance in rabbits. Relative role of carotid, aortic, and cardiopulmonary baroreceptors.

作者信息

Guo G B, Thames M D, Abboud F M

出版信息

Circ Res. 1982 Apr;50(4):554-65. doi: 10.1161/01.res.50.4.554.

Abstract

We assessed the relative roles of aortic (ABR), carotid sinus (CBR), and vagal cardiopulmonary baroreceptors in the reflex control of heart rate and vascular resistance during changes in arterial blood pressure. Injections of phenylephrine (PE) and nitroglycerin (NG) were given intravenously to anesthetized rabbits (chloralose-urethane). Reflex, heart rate responses were impaired significantly by denervation (X) of either CBR or ABR. In contrast, reflex vascular responses in the hindlimb (perfused at constant blood flow) were preserved except for a slight impairment of reflex vasoconstriction after ABRX. Vagotomy with intact CBR and ABR impaired only the reflex bradycardia. After vagotomy, neither CBRX nor ABRX altered significantly the reflex heart rate or vascular responses except, again, for an impairment of reflex vasoconstriction after ABRX. Combined CBRX and ABRX eliminated all reflex responses except for a small bradycardia and a biphasic change in perfusion pressure (constrictor-dilator) during PE. Vagotomy eliminated the bradycardia and the dilator phase; the constrictor phase persisted and was abolished by lumbar sympathectomy. The results indicate that (1) reflex control of heart rate may be impaired when reflex control of hindlimb resistance is preserved; thus reflex changes in heart rate may not be used as a reliable index of the integrity of arterial baroreceptor control of the total circulation; (2) one set of arterial baroreceptors does not compensate for the absence of the other with respect to activation of vagal neurons; in contrast, one set of baroreceptors compensates fully for the absence of the other with respect to inhibition of sympathetic neurons; (3) cardiopulmonary and other baroreceptors contribute minimally to reflex responses only during large PE-induced increases in arterial pressure.

摘要

我们评估了主动脉(ABR)、颈动脉窦(CBR)和迷走神经心肺压力感受器在动脉血压变化期间对心率和血管阻力的反射控制中的相对作用。对用氯醛糖-乌拉坦麻醉的家兔静脉注射去氧肾上腺素(PE)和硝酸甘油(NG)。CBR或ABR去神经支配(X)会显著损害反射性心率反应。相比之下,后肢(以恒定血流灌注)的反射性血管反应得以保留,但ABR去神经支配后反射性血管收缩略有受损。在CBR和ABR完整的情况下进行迷走神经切断术仅损害反射性心动过缓。迷走神经切断术后,除ABR去神经支配后反射性血管收缩再次受损外,CBR去神经支配和ABR去神经支配均未显著改变反射性心率或血管反应。CBR去神经支配和ABR去神经支配联合消除了所有反射反应,但在注射PE期间有轻微心动过缓和灌注压力双相变化(收缩-舒张)。迷走神经切断术消除了心动过缓和舒张期;收缩期持续存在,并被腰交感神经切除术消除。结果表明:(1)当后肢阻力的反射控制得以保留时,心率的反射控制可能受损;因此,心率的反射变化可能不能用作动脉压力感受器对全身循环控制完整性的可靠指标;(2)就迷走神经神经元的激活而言,一组动脉压力感受器不能补偿另一组的缺失;相比之下,就交感神经神经元的抑制而言,一组压力感受器能完全补偿另一组的缺失;(3)仅在PE诱导的动脉压大幅升高期间,心肺和其他压力感受器对反射反应的贡献最小。

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