Kvietys P R, Granger D N
Gastroenterology. 1981 Sep;81(3):450-7.
In the resting colon (empty lumen) both metabolic and myogenic mechanisms contribute to the overall regulation of blood flow and oxygenation. In the present study, the effects of Tyrode's solution absorption on blood flow, vascular resistance, oxygen extraction, and oxygen uptake were analyzed in autoperfused segments of dog colon. Colonic oxygen uptake increased during Tyrode's solution absorption. The increased oxygen demand during absorption was met entirely by an increase in oxygen extraction. A linear relationship between oxygen uptake and absorption rate was obtained, indicating that the oxygen requirements of the absorbing colon are dependent on the rate of transport. In another series of experiments, the effects of Tyrode's solution absorption on the ability of the colon to autoregulate its blood flow and oxygen uptake during arterial and venous pressure alterations were assessed. In the empty colon, graded alterations in arterial perfusion pressure resulted in a moderate autoregulation of oxygen uptake but no autoregulation of blood flow. When the metabolic demands of the colon were enhanced (Tyrode's solution in the lumen), similar maneuvers resulted in almost perfect autoregulation of oxygen uptake and moderate autoregulation of blood flow. Elevation of venous pressure increased vascular resistance in the empty colon, but did not affect resistance when Tyrode's solution was present in the lumen. The results of this study indicate that the enhanced autoregulation of colonic blood flow and oxygenation during periods of elevated metabolic activity is a result of an increased sensitivity of the vasculature to metabolic factors.
在静息状态的结肠(肠腔空虚)中,代谢机制和肌源性机制均对血流和氧合的整体调节起作用。在本研究中,分析了在犬结肠自身灌注段中,台氏液吸收对血流、血管阻力、氧摄取和氧耗的影响。在台氏液吸收过程中,结肠氧耗增加。吸收过程中增加的氧需求完全通过氧摄取的增加来满足。获得了氧耗与吸收率之间的线性关系,表明吸收状态下结肠的氧需求取决于转运速率。在另一系列实验中,评估了台氏液吸收对结肠在动脉压和静脉压改变期间自身调节血流和氧摄取能力的影响。在空虚结肠中,动脉灌注压的分级改变导致氧摄取有适度的自身调节,但对血流无自身调节。当结肠的代谢需求增强时(肠腔内有台氏液),类似操作导致氧摄取几乎完全自身调节,血流有适度自身调节。静脉压升高会增加空虚结肠的血管阻力,但当肠腔内有台氏液时,对阻力无影响。本研究结果表明,在代谢活动增强期间,结肠血流和氧合的自身调节增强是血管系统对代谢因子敏感性增加的结果。