Baumbach G L, Heistad D D
Circ Res. 1983 May;52(5):527-33. doi: 10.1161/01.res.52.5.527.
The purpose of this study was to determine directly segmental cerebral vascular resistance during sympathetic stimulation and changes in arterial pressure. We measured pressure in pial arteries in anesthetized rabbits and cats with a servo-null pressure-measuring device. Cerebral blood flow was measured with microspheres. Using these measurements we calculated large artery resistance and small vessel resistance. Under control conditions, large artery resistance accounted for approximately 40% of total cerebral vascular resistance. Sympathetic stimulation increased large artery resistance and reduced pial artery pressure. Cerebral blood flow and total cerebral vascular resistance did not change significantly. To examine constrictor responses of small cerebral vessels, we raised cerebral perfusion pressure by obstructing the descending aorta. During increases in arterial pressure from 70 to 110 mm Hg, large artery resistance tended to increase and small vessel resistance increased significantly. We conclude that, although sympathetic stimulation has little effect on total cerebral vascular resistance under normal conditions, it has important effects on segmental vascular resistance and cerebral microvascular pressure, and that sympathetic stimulation and increases in systemic arterial pressure within the physiological range have markedly different effects on segmental resistance; i.e., sympathetic stimulation produces constriction only in large arteries, and increases in systemic arterial pressure within the physiological range produce constriction primarily in small vessels.
本研究的目的是直接测定交感神经刺激期间的节段性脑血管阻力以及动脉血压的变化。我们使用伺服零压力测量装置测量了麻醉兔和猫软脑膜动脉的压力。用微球测量脑血流量。利用这些测量值,我们计算了大动脉阻力和小血管阻力。在对照条件下,大动脉阻力约占总脑血管阻力的40%。交感神经刺激增加了大动脉阻力并降低了软脑膜动脉压力。脑血流量和总脑血管阻力没有明显变化。为了研究脑小血管的收缩反应,我们通过阻塞降主动脉来提高脑灌注压。在动脉压从70毫米汞柱升至110毫米汞柱的过程中,大动脉阻力趋于增加,小血管阻力显著增加。我们得出结论,尽管在正常情况下交感神经刺激对总脑血管阻力影响不大,但它对节段性血管阻力和脑微血管压力有重要影响,并且在生理范围内交感神经刺激和全身动脉压升高对节段性阻力有明显不同的影响;即,交感神经刺激仅使大动脉收缩,而在生理范围内全身动脉压升高主要使小血管收缩。