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传出控制对颈动脉分叉处机械敏感感受器有直接影响的证据。

Evidence for a direct influence of efferent control upon the mechano-sensitive receptors in the carotid bifurcation.

作者信息

Brattström A, Kähler G, Schmeiduch K H

出版信息

Acta Biol Med Ger. 1980;39(11-12):1177-81.

PMID:7245986
Abstract

An efferent control upon the carotid baroreceptor could be achieved by two distinct ways, 1. by influencing the vessel wall mechanics, and 2. by modifying the sensitivity of the receptors. To give evidence that the last mentioned way is really involved, the ganglioglomerular nerve supplying the carotid bifurcation was stimulated with single electrical pulses triggered by the R-wave of the ECG. The time delay between R-wave and electrical stimulus was varied stepwise. Since the baroreflex pathway was kept intact, any changes in the sensitivity of the receptors should result in a blood pressure response. A maximum response was observed by applying the stimulus with a time delay of 45 ms after the R-wave. Because a biological latency has to be added, a gross latency was assumed of about 60 to 80 ms. The systolic pulse in the carotid bifurcation started with a similar time delay after the R-wave of about 65 +/- 3 ms. Therefore the coincidental relationship between increased sensitivity of the receptors caused by stimulation with the systolic pulse was assumed to be the real reason for eliciting the maximum response. The possible importance for the baroreceptor reflex regulation of the circulatory system is discussed.

摘要

对颈动脉压力感受器的传出控制可以通过两种不同方式实现

  1. 影响血管壁力学;2. 改变感受器的敏感性。为了证明上述最后一种方式确实起作用,用由心电图R波触发的单个电脉冲刺激供应颈动脉分叉处的神经节小球神经。R波与电刺激之间的时间延迟逐步变化。由于压力反射通路保持完整,感受器敏感性的任何变化都应导致血压反应。在R波后45毫秒的时间延迟施加刺激时观察到最大反应。由于必须加上生物潜伏期,假定总潜伏期约为60至80毫秒。颈动脉分叉处的收缩期脉搏在R波后约65±3毫秒开始,具有相似的时间延迟。因此,由收缩期脉搏刺激引起的感受器敏感性增加之间的巧合关系被认为是引发最大反应的真正原因。讨论了其对循环系统压力感受器反射调节的可能重要性。

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