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进食和消化过程中的内脏及整体心血管血流动力学。

Splanchnic and overall cardiovascular hemodynamics during eating and digestion.

作者信息

Chou C C

出版信息

Fed Proc. 1983 Apr;42(6):1658-61.

PMID:6832382
Abstract

The cardiovascular system responds to feeding in two distinctly different phases. During anticipation and ingestion of food, cardiac output, heart rate, aortic pressure, and vascular resistance in various vascular beds are altered in a pattern that mimics an increase in sympathetic neural activity. Myocardial oxygen consumption and adenosine concentration increase. Cardiovascular responses to exercise performed during this period are similar to those that occur during fasting except that the exercise-induced skeletal muscle hyperemia is smaller during the ingestion phase. Within 5-30 min after a meal, all cardiovascular responses to feeding subside except that blood flow to the digestive organs increases while that to skeletal muscle decreases in resting animals. The times of onset, duration, and localization of the hyperemia in the digestive organs appear to be related to the feeding-induced changes in tissue and organ activities. Exercise performed during the digestion phase does not affect intestinal hyperemia but severe excitement can actually decrease intestinal blood flow. Digestion is accompanied by an increase in total body, splanchnic, and intestinal oxygen consumption. The increase in oxygen consumption, however, is proportionally greater than the increases in splanchnic and intestinal blood flow.

摘要

心血管系统对进食的反应分为两个截然不同的阶段。在预期进食和进食过程中,心输出量、心率、主动脉压以及各血管床的血管阻力会以一种模拟交感神经活动增强的模式发生改变。心肌耗氧量和腺苷浓度增加。在此期间进行运动时,心血管反应与禁食期间相似,只是在进食阶段运动诱导的骨骼肌充血量较小。进食后5 - 30分钟内,除了在静息动物中流向消化器官的血流量增加而流向骨骼肌的血流量减少外,所有对进食的心血管反应都会消退。消化器官充血的起始时间、持续时间和部位似乎与进食引起的组织和器官活动变化有关。在消化阶段进行运动不会影响肠道充血,但严重兴奋实际上会减少肠道血流量。消化过程伴随着全身、内脏和肠道耗氧量的增加。然而,耗氧量的增加与内脏和肠道血流量的增加相比,比例更大。

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