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从人体外周神经记录到的皮肤交感神经活动的心脏节律性。

Cardiac rhythmicity of skin sympathetic activity recorded from peripheral nerves in man.

作者信息

Bini G, Hagbarth K E, Wallin B G

出版信息

J Auton Nerv Syst. 1981 Jun;4(1):17-24. doi: 10.1016/0165-1838(81)90003-5.

Abstract

In previous microelectrode recordings of sympathetic impulse activity in human peripheral nerves a marked cardiac rhythmicity has been found in the spontaneous firing of vasoconstrictor neurones supplying the vascular bed of skeletal muscles. Evidence has been presented that this rhythmicity depends on a potent baroreflex control of these neurones which are significantly involved in blood pressure regulation. In contrast, no cardiac rhythmicity has previously been seen in the spontaneous firing of sympathetic fibres supplying vessels and sweat glands in the human skin. The present study shows that when strong sudomotor activity is induced in skin nerves by a rise in ambient temperature, the sudomotor impulses tend to occur in volleys time-locked to the cardiac cycle. A similar cardiac rhythmicity is not exhibited by the skin vasoconstrictor fibres which can be activated by lowering of the ambient temperature. Induced falls in blood pressure do not produce any baroreflex modulations of the sudomotor outflow, suggesting that the cardiac rhythmicity of the sudomotor impulses is mot dependent on the action of this reflex.

摘要

在以往对人类外周神经交感神经冲动活动的微电极记录中,发现在为骨骼肌血管床供血的血管收缩神经元的自发放电中存在明显的心脏节律性。有证据表明,这种节律性取决于对这些神经元的有效压力反射控制,而这些神经元在血压调节中起着重要作用。相比之下,以往在为人类皮肤血管和汗腺供血的交感神经纤维的自发放电中未观察到心脏节律性。本研究表明,当环境温度升高在皮肤神经中诱发强烈的发汗运动活动时,发汗运动冲动往往以与心动周期锁时的群集形式出现。皮肤血管收缩纤维在环境温度降低时可被激活,但它们并未表现出类似的心脏节律性。诱导的血压下降不会对发汗运动输出产生任何压力反射调节,这表明发汗运动冲动的心脏节律性并不依赖于该反射的作用。

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