Cox R H, Bagshaw R J
Am J Physiol. 1980 Nov;239(5):H681-91. doi: 10.1152/ajpheart.1980.239.5.H681.
The detailed characteristics of the carotid sinus reflex control of regional pressure-flow relations were compared in dogs anesthetized with chloralose, pentobarbital, or halothane. The carotid sinuses were isolated and perfused under conditions of controlled pulsatile pressure. Pressure and flow were measured in the ascending aorta and the celiac, mesenteric, renal, and iliac artery. Mean arterial pressure and peripheral resistance were highest under chloralose and lowest under halothane. For cardiac output this relation was reversed. Set point values of reflex gain and overall range of control were similar under chloralose and halothane and lowest under pentobarbital. These results were found both before and after bilateral cervical vagotomy. Operating point values of regional resistance were generally largest with chloralose and smallest with halothane. Operating point sensitivities of regional resistances were generally smallest under pentobarbital and similar under chloralose and halothane. Vagotomy was associated with increases in set point values of mean arterial pressure, set point gain, and overall range of control under all three anesthetics. With chloralose as a reference, halothane does not depress cardiovascular reflex mechanisms. Carotid sinus reflexes under halothane were as sensitive and well maintained as they were under chloralose. These reflexes were significantly depressed under pentobarbital compared with chloralose.
比较了用氯醛糖、戊巴比妥或氟烷麻醉的犬中,颈动脉窦反射对局部压力-血流关系的控制的详细特征。在控制搏动压力的条件下,分离并灌注颈动脉窦。测量升主动脉、腹腔动脉、肠系膜动脉、肾动脉和髂动脉的压力和血流。平均动脉压和外周阻力在氯醛糖麻醉下最高,在氟烷麻醉下最低。心输出量则相反。氯醛糖和氟烷麻醉下反射增益的设定点值和总体控制范围相似,戊巴比妥麻醉下最低。双侧颈迷走神经切断术前和术后均得到这些结果。局部阻力的工作点值通常在氯醛糖麻醉下最大,在氟烷麻醉下最小。局部阻力的工作点敏感性通常在戊巴比妥麻醉下最小,氯醛糖和氟烷麻醉下相似。在所有三种麻醉剂下,迷走神经切断术均与平均动脉压设定点值、设定点增益和总体控制范围增加有关。以氯醛糖为参照,氟烷不抑制心血管反射机制。氟烷麻醉下的颈动脉窦反射与氯醛糖麻醉下一样敏感且维持良好。与氯醛糖相比,戊巴比妥麻醉下这些反射明显受抑制。