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犬在氟烷浓度递增时压力感受器对全身血流动力学的控制

Baroreceptor control of systemic haemodynamic at incremental halothane levels in the dog.

作者信息

Bagshaw R J, Cox R H

出版信息

Acta Anaesthesiol Scand. 1981 Oct;25(5):416-20. doi: 10.1111/j.1399-6576.1981.tb01677.x.

Abstract

The open-loop carotid sinus reflex control of systemic haemodynamics was studied in an acute dog preparation with isolated perfused carotid sinuses at three end-tidal halothane levels of 0.66 +/- 0.02% (HI); 0.88 +/- 0.02% (H2); and 1.17 +/- 0.02% (H3), in order to investigate the dose dependency of the carotid sinus reflex operating characteristics for halothane. Corresponding to the above halothane levels were reflex operating point pressures (set point pressures) of 104.9 +/- 2.9, 103.3 +/- 4.1 and 76.0 +/- 3.8 mmHg, respectively. Carotid sinus reflex gain decreased significantly with progressively increasing halothane levels (1.4. +/- 0.18; 0.84 +/- 0.12; 0.48 +/- 0.09), as did the range of reflex changes in systemic arterial pressure for equal overall changes in carotid sinus pressure (87.1 +/- 7.9; 64.1 +/- 7.4; 33.6 +/- 5.1 mmHg; P less than 0.01). For halothane levels below approximately 0.9%, this depression was not dependent upon changes in mean systemic arterial pressure. The relationship between reflex gain and halothane concentration could be described by a first-order exponential which suggested virtual ablation of the carotid sinus reflex control of mean arterial pressure at an end-tidal halothane concentration exceeding about 1.6%.

摘要

在急性犬实验准备中,通过分离灌注的颈动脉窦,在三个呼气末氟烷水平(分别为0.66±0.02%(HI)、0.88±0.02%(H2)和1.17±0.02%(H3))下研究了全身血流动力学的开环颈动脉窦反射控制,以探讨氟烷对颈动脉窦反射操作特性的剂量依赖性。与上述氟烷水平相对应的反射操作点压力(设定点压力)分别为104.9±2.9、103.3±4.1和76.0±3.8 mmHg。随着氟烷水平逐渐升高,颈动脉窦反射增益显著降低(分别为1.4±0.18、0.84±0.12、0.48±0.09),颈动脉窦压力总体同等变化时全身动脉压的反射变化范围也显著降低(分别为87.1±7.9、64.1±7.4、33.6±5.1 mmHg;P<0.01)。对于低于约0.9%的氟烷水平,这种抑制不依赖于平均全身动脉压的变化。反射增益与氟烷浓度之间的关系可用一阶指数描述,这表明呼气末氟烷浓度超过约1.6%时,颈动脉窦对平均动脉压的反射控制几乎完全消失。

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