Blombery P A, Korner P I
J Auton Nerv Syst. 1982 May;5(3):303-15. doi: 10.1016/0165-1838(82)90073-x.
Graded 30 s manoeuvers were used to elicit cardiovascular responses in conscious instrumented rabbits by applying pressures from 2.5 to 20 mm Hg (Valsalva Pressure, VP) to the animal's respiratory valve and to a sphygmomanometer cuff wrapped around its thorax and abdomen. In normal rabbits the Valsalva-like manoeuvers elicited VP-related rises in total peripheral resistance (TPR), heart rate and in right atrial pressure (RAP), VP-related fall in cardiac output (CO) and no change in mean arterial pressure (MAP). The rises in TPR and heart rate and the maintenance of MAP were reflexly mediated, whilst the CO and RAP changes were largely a mechanical consequence of the manoeuver as assessed from the responses after autonomic effector blockade. In rabbits with selective section of the carotid sinus nerves the reflex responses were little altered from normal, but after selective section of the aortic nerves there was significant attenuation of the TPR response, indicating that the input from the aortic baroreceptors was more important for this response than that from the carotid receptors. After combined denervation of the aortic and carotid baroreceptor zones (but with the vagi intact) the reflex TPR and heart rate changes were completely abolished, with the responses the same as after autonomic effector block. The results indicate that the arterial baroreceptor zones make a major contribution to the reflex cardiovascular responses to the Valsalva manoeuver in the rabbit and that any reflex effects of cardiopulmonary baroreceptor stimulation are only expressed in the presence of an intact arterial baroreceptor input.
通过向动物的呼吸阀以及缠绕在其胸部和腹部的血压计袖带施加2.5至20毫米汞柱的压力(瓦尔萨尔瓦压力,VP),采用30秒分级动作来诱发清醒的、已植入仪器的兔子的心血管反应。在正常兔子中,类似瓦尔萨尔瓦动作诱发了与VP相关的总外周阻力(TPR)、心率和右心房压力(RAP)升高,与VP相关的心输出量(CO)下降,而平均动脉压(MAP)无变化。TPR和心率的升高以及MAP的维持是通过反射介导的,而CO和RAP的变化在很大程度上是该动作的机械结果,这是根据自主效应器阻断后的反应评估得出的。在选择性切断颈动脉窦神经的兔子中,反射反应与正常情况相比变化不大,但在选择性切断主动脉神经后,TPR反应明显减弱,这表明主动脉压力感受器的输入对该反应比颈动脉感受器的输入更重要。在主动脉和颈动脉压力感受器区域联合去神经支配(但迷走神经完整)后,反射性TPR和心率变化完全消失,其反应与自主效应器阻断后相同。结果表明,动脉压力感受器区域对兔子对瓦尔萨尔瓦动作的反射性心血管反应起主要作用,并且心肺压力感受器刺激的任何反射效应仅在完整的动脉压力感受器输入存在时才会表现出来。