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实验性高血压中的压力感受器反射

The baroreceptor reflexes in experimental hypertension.

作者信息

Liard J F

出版信息

Clin Exp Hypertens (1978). 1980;2(3-4):479-98. doi: 10.3109/10641968009037126.

Abstract

Experimental hypertensions following sino-aortic deafferentation or manoeuvres not involving initially the baroreceptor reflexes are discussed in relation with a simple graphical analysis of these reflexes. Blood pressure increases only slightly as a result of interruption of the sino-aortic afferences, but its variability is markedly enhanced. On the other hand, the final level of arterial pressure in various forms and non-neurogenic hypertension appears independent from the presence of the baroreceptor reflexes ("resetting"). Thus, the baroreceptor reflexes are of primary importance in limiting variations around a given level of arterial pressure, but they do not really set this level since it can be modified easily by other blood pressure control systems. In order to emphasize the role of the baroreflex in the short-term regulation of blood pressure and other haemodynamic variables, its significance in "whole-body autoregulation" and in the cardiovascular effects of vasopressin is discussed.

摘要

结合对这些反射的简单图形分析,讨论了去窦主动脉传入神经后或最初不涉及压力感受器反射的操作所引发的实验性高血压。由于窦主动脉传入神经的中断,血压仅略有升高,但其变异性显著增强。另一方面,各种形式的非神经源性高血压中动脉压的最终水平似乎与压力感受器反射的存在(“重置”)无关。因此,压力感受器反射在限制动脉压给定水平附近的变化方面至关重要,但它们并不能真正设定该水平,因为它很容易被其他血压控制系统改变。为了强调压力反射在血压和其他血液动力学变量短期调节中的作用,还讨论了其在“全身自动调节”以及血管加压素心血管效应中的意义。

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