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迷走神经切断术后颈动脉窦压力感受性反射系统缺乏时间依赖性增强。

Lack of time-dependent augmentation of carotid sinus baroreflex system after vagotomy.

作者信息

Hosomi H, Yokoyama K

出版信息

Am J Physiol. 1982 Apr;242(4):H580-4. doi: 10.1152/ajpheart.1982.242.4.H580.

Abstract

The purpose of this experiment was to study whether the carotid sinus baroreflex system (CS system) increases its gain with time after vagotomy in compensation for the loss of the vagally mediated arterial pressure control system (V system). In 7 dogs anesthetized with pentobarbital sodium we determined the responsiveness of the V system by repeatedly measuring the overall open-loop gain (G) of the negative feedback control system. G was assessed as (delta API/delta APS) -- 1, where delta API and delta APS are, respectively, the immediate and steady-state falls in arterial pressure at the aortic arch following a stepwise reduction in blood volume. delta API, delta APS, and G in intact condition were -12.0 +/- 1.8 mmHg, -1.1 +/- 0.2 mmHg, and 10.1 +/- 0.7 (SD), respectively. delta API, delta APS, and G after vagotomy, i.e., G of the CS system (GCS), were -15.6 +/- 3.6 mmHg, -6.4 +/- 1.9 mmHg, and 1.6 +/- 0.4 GCS did not change with time over 4 h after vagotomy. We conclude that the CS system cannot augment its ability to restore arterial pressure in compensation for the lost function of the V system within 4 h after vagotomy in the anesthetized dog.

摘要

本实验的目的是研究在迷走神经切断术后,颈动脉窦压力感受性反射系统(CS系统)是否会随着时间推移增加其增益,以补偿迷走神经介导的动脉血压控制系统(V系统)功能的丧失。在7只戊巴比妥钠麻醉的犬中,我们通过反复测量负反馈控制系统的总开环增益(G)来确定V系统的反应性。G的计算公式为(ΔAPI/ΔAPS)-1,其中ΔAPI和ΔAPS分别是在血容量逐步减少后,主动脉弓处动脉血压的即时下降和稳态下降。完整状态下的ΔAPI、ΔAPS和G分别为-12.0±1.8 mmHg、-1.1±0.2 mmHg和10.1±0.7(标准差)。迷走神经切断术后的ΔAPI、ΔAPS和G,即CS系统的G(GCS),分别为-15.6±3.6 mmHg、-6.4±1.9 mmHg和1.6±0.4。迷走神经切断术后4小时内,GCS并未随时间变化。我们得出结论,在麻醉犬中,迷走神经切断术后4小时内,CS系统无法增强其恢复动脉血压的能力以补偿V系统丧失的功能。

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