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胎儿、新生和成年绵羊的动脉血压与心率的关系。

Relationship of arterial pressure and heart rate in fetal, new-born and adult sheep.

作者信息

Dawes G S, Johnston B M, Walker D W

出版信息

J Physiol. 1980 Dec;309:405-17. doi: 10.1113/jphysiol.1980.sp013516.

Abstract
  1. Baroreflex activity was assessed in nine fetal, four new-born and six adult sheep, using the relationship between heart period and arterial pressure. Arterial pressure was raised either by inflating a balloon in the dorsal aorta, by rapid intravenous injection of phenylephrine or methoxamine, or by slow intravenous infusion of methoxamine. 2. In the fetus the three methods gave different estimates of baroreflex sensitivity (balloon, 1.3 +/- 0.7 mmHg; injections, 5.4 +/- 0.5 msec mmHg; infusions, 7.2 +/- 0.9 msec/mmHg) whereas they were comparable in the new-born and adult. 3. Estimates of baroreflex sensitivity were significantly lower in the fetus and new-born than in the adult whichever method was used. 4. In the fetus there were variable changes of heart period when arterial pressure was raised by inflation of the balloon. The responses to injection of phenylephrine or methoxamine were also variable. 5. This variability was not associated with changes in electrocortical activity, the presence or absence of breathing movements or limb movements, or changes of blood gases. 6. In the fetus the heart period frequently did not change unless the arterial pressure was raised by approximately 15 mmHg (to 61 mmHg), suggesting that the threshold for baroreflex activity is above the normal range of arterial pressure before birth.
摘要
  1. 利用心动周期与动脉压之间的关系,对9只胎儿、4只新生羊和6只成年羊的压力感受性反射活动进行了评估。通过向胸主动脉内充气气球、快速静脉注射去氧肾上腺素或甲氧明,或缓慢静脉输注甲氧明来升高动脉压。2. 在胎儿中,这三种方法得出了不同的压力感受性反射敏感性估计值(气球法,1.3±0.7 mmHg;注射法,5.4±0.5毫秒/mmHg;输注法,7.2±0.9毫秒/mmHg),而在新生羊和成年羊中它们是可比的。3. 无论使用哪种方法,胎儿和新生羊的压力感受性反射敏感性估计值均显著低于成年羊。4. 在胎儿中,当通过向气球内充气升高动脉压时,心动周期会有不同变化。对注射去氧肾上腺素或甲氧明的反应也各不相同。5. 这种变异性与脑电活动的变化、呼吸运动或肢体运动的有无、或血气变化无关。6. 在胎儿中,除非动脉压升高约15 mmHg(至61 mmHg),心动周期通常不会改变,这表明压力感受性反射活动的阈值高于出生前动脉压的正常范围。

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