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麻醉山羊的脑反应性充血与动脉血压

Cerebral reactive hyperaemia and arterial pressure in anaesthetized goats.

作者信息

García J L, Fernandez N, Garcia-Villalon A L, Monge L, Gomez B, Dieguez G

机构信息

Departamento de Fisiología, Facultad de Medicina, Universidad Autónoma, Madrid, Spain.

出版信息

Acta Physiol Scand. 1995 Apr;153(4):355-63. doi: 10.1111/j.1748-1716.1995.tb09873.x.

Abstract

The effects of arterial pressure on cerebral reactive hyperaemia were studied in anaesthetized goats measuring electromagnetically middle cerebral artery flow and performing arterial occlusions of 5-30 s. Under normotension (mean arterial pressure, MAP = 11 +/- 0.3 kPa), reactive hyperaemia (peak hyperaemic flow to control flow and repayment to debt ratios) increased, and cerebrovascular resistance during peak hyperaemic flow decreased, as ischaemia duration lengthened; the virtual maximal changes were obtained after 20 s ischaemia. During hypertension by aorta constriction (MAP = 18 +/- 0.7 kPa) or by i.v. infusion of noradrenaline (MAP = 19 +/- 0.8 kPa) middle cerebral artery flow did not change significantly and cerebrovascular resistance increased 25 and 46%, respectively (P < 0.05). During both types of hypertension reactive hyperaemia was over 50% higher, and the decrement in cerebrovascular resistance during peak hyperaemic flow was also higher, than under normotension. During hypotension by constriction of the inferior vena cava (MAP = 5 +/- 0.5 kPa) or by i.v. infusion of isoproterenol (MAP = 6 +/- 0.5 kPa), middle cerebral artery flow decreased 35% or did not change, and cerebrovascular resistance decreased 41 and 45%, respectively (P < 0.05). In these conditions, reactive hyperaemia and the decrement in cerebrovascular resistance during peak hyperaemic flow were reduced 80%, and it was similar in both types of hypotension. The absolute levels of cerebrovascular resistance obtained during peak hyperaemia were similar during normotension, hypertension and hypotension. Thus, arterial pressure is a main determinant of postocclusive cerebral reactive hyperaemia, and myogenic mechanisms may be of significance in determining the early stage of cerebral reactive hyperaemia after brief ischaemias. Adrenergic mechanisms might be of minor significance in this type of cerebral reactive hyperaemia.

摘要

在麻醉山羊中,通过电磁测量大脑中动脉血流并进行5 - 30秒的动脉闭塞,研究动脉压对脑反应性充血的影响。在正常血压(平均动脉压,MAP = 11±0.3 kPa)下,随着缺血时间延长,反应性充血(充血峰值血流与对照血流及偿还亏欠比值)增加,充血峰值血流时的脑血管阻力降低;缺血20秒后获得几乎最大变化。在通过主动脉缩窄(MAP = 18±0.7 kPa)或静脉输注去甲肾上腺素(MAP = 19±0.8 kPa)导致高血压期间,大脑中动脉血流无显著变化,脑血管阻力分别增加25%和46%(P < 0.05)。在两种类型的高血压期间,反应性充血均高出50%以上,充血峰值血流时脑血管阻力的降低也高于正常血压时。在通过下腔静脉缩窄(MAP = 5±0.5 kPa)或静脉输注异丙肾上腺素(MAP = 6±0.5 kPa)导致低血压期间,大脑中动脉血流降低35%或无变化,脑血管阻力分别降低41%和45%(P < 0.05)。在这些情况下,反应性充血和充血峰值血流时脑血管阻力的降低减少了80%,两种类型的低血压情况相似。充血峰值时获得的脑血管阻力绝对水平在正常血压、高血压和低血压期间相似。因此,动脉压是闭塞后脑反应性充血的主要决定因素,肌源性机制可能在短暂缺血后脑反应性充血的早期阶段起重要作用。在这种类型的脑反应性充血中,肾上腺素能机制可能作用较小。

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