Yamamoto H, Makimoto K, Kawakami M, Ohinata Y, Takahashi H
Department of Otolaryngology, Osaka Medical College, Japan.
ORL J Otorhinolaryngol Relat Spec. 1995 Jul-Aug;57(4):171-6. doi: 10.1159/000276734.
To understand the importance of oxygen transport to the inner ear tissue, we studied, in guinea pigs, the relationship between cochlear blood flow and endocochlear direct-current potential (EP) under different respiratory conditions. EP, a functional parameter of the stria vascularis, was recorded by a microelectrode inserted into the lateral wall of the chochlea. To measure the cochlear blood flow (CoBF), we employed laser Doppler flowmetry and recorded the flow with a probe placed on the same spot on the lateral wall. During 3 min of asphyxia, CoBF and systemic blood pressure showed irregular biphasic increases, while the EP decreased to reach a negative value. In the hypoxemia experiment, which was induced by stepwise reduction of the respiratory rate to 60%, increases in CoBF and blood pressure were evident during hypoventilation with an intermediate position of EP in the positive range. The mechanisms of these increases in two parameters are discussed from the viewpoints of sympathicotonic activity in the autonomic nervous system and the vasodilating action of CO2 during hypercapnia. In the hyperoxemia experiment, which was induced by stepwise increase in the respiratory rate to 140%, CoBF and blood pressure were found to decrease during hyperventilation with no significant change of EP. The decrease in blood pressure was considered to be due to the increase in intrathoracic pressure caused by the increased rate of artificial respiration. As for the concomitant decrease in CoBF, chemical regulation of PCO2 in the vascular bed of the lateral wall of the cochlea was thought to be a contributory factor.
为了解氧气运输对内耳组织的重要性,我们在豚鼠身上研究了不同呼吸条件下耳蜗血流量与内淋巴直流电电位(EP)之间的关系。EP是血管纹的一个功能参数,通过插入耳蜗外侧壁的微电极进行记录。为测量耳蜗血流量(CoBF),我们采用激光多普勒血流仪,并使用放置在外侧壁同一位置的探头记录血流情况。在窒息3分钟期间,CoBF和全身血压呈不规则双相增加,而EP下降至负值。在通过逐步将呼吸频率降至60%诱发的低氧血症实验中,通气不足期间CoBF和血压明显增加,EP处于正值范围内的中间位置。从自主神经系统的交感神经活动以及高碳酸血症期间二氧化碳的血管舒张作用的角度讨论了这两个参数增加的机制。在通过逐步将呼吸频率提高至140%诱发的高氧血症实验中,通气过度期间CoBF和血压下降,EP无明显变化。血压下降被认为是由于人工呼吸频率增加导致胸内压升高所致。至于CoBF随之下降的情况,耳蜗外侧壁血管床中PCO2的化学调节被认为是一个促成因素。