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通过电刺激神经节小球神经对颈动脉压力感受器功能的调节

Modification of carotid baroreceptor function by electrical stimulation of the ganglioglomerular nerve.

作者信息

Brattström A

出版信息

J Auton Nerv Syst. 1981 Jun;4(1):81-92. doi: 10.1016/0165-1838(81)90008-4.

Abstract

The effect of ganglioglomerular nerve (GN) stimulation on canine carotid baroreceptors has been investigated. In the first group of experiments, a reflex response of the mean arterial blood pressure (MAP) was observed, MAP decreased during GN stimulation. The time-course and magnitude of the pressure decrease were dependent upon the stimulus frequency. In a second experimental group, isolated carotid bifurcations were continuously perfused with arterial blood (at constant flow rate) and changes in the perfusion pressure were used as an indicator of vessel wall reaction to GN stimulation. The vessel wall response began 15-20 sec after onset of the stimulation and a steady-state level was reached again after about 100 sec of stimulation. In a third group of experiments, the carotid baroreflex was investigated during periods with and without stimulation of the GN. During GN stimulation the magnitude of reflex responses was reduced, the working range of the baroreceptors displaced and the input-output relationship shifted towards lower intrasinus pressure values. From these findings it is concluded that efferent sympathetic activity (ESA) in the GN supplying the carotid bifurcation, affects the baroreceptor reaction in two ways: (i) by a short-lasting increase in baroreceptor sensitivity due to their direct influence; and (ii) by a more sustained and much slower-acting mechanism mediated by vessel wall stiffness (compliance) change (indirect influence).

摘要

已对犬类颈动脉压力感受器的神经节小球神经(GN)刺激的作用进行了研究。在第一组实验中,观察到平均动脉血压(MAP)的反射反应,在GN刺激期间MAP降低。压力降低的时间进程和幅度取决于刺激频率。在第二组实验中,用动脉血(以恒定流速)持续灌注分离的颈动脉分叉,并将灌注压力的变化用作血管壁对GN刺激反应的指标。血管壁反应在刺激开始后15 - 20秒开始,在刺激约100秒后再次达到稳态水平。在第三组实验中,研究了在有和没有GN刺激的时期内颈动脉压力反射。在GN刺激期间,反射反应的幅度降低,压力感受器的工作范围移位,输入 - 输出关系向较低的窦内压力值偏移。从这些发现可以得出结论,供应颈动脉分叉的GN中的传出交感神经活动(ESA)以两种方式影响压力感受器反应:(i)由于其直接影响,压力感受器敏感性短暂增加;(ii)通过由血管壁硬度(顺应性)变化介导的更持久且作用更慢的机制(间接影响)。

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