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胍乙啶化学性交感神经切除术:脊髓和坐骨神经血流量

Guanethidine chemical sympathectomy: spinal cord and sciatic nerve blood flow.

作者信息

Kinoshita Y, Monafo W W

机构信息

Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110.

出版信息

Am J Physiol. 1993 Oct;265(4 Pt 2):H1155-9. doi: 10.1152/ajpheart.1993.265.4.H1155.

Abstract

The spinal cord vasculature is innervated by noradrenergic nerve fibers, the role of which in the regulation of regional spinal cord blood flow (RSCBF) is presently unclear. We used the distribution of [14C]butanol to simultaneously measure RSCBF at seven cord levels and the regional blood flow in sciatic nerve (NBF), truncal skin, and biceps femoris muscle. The subjects were control rats and rats that had been given parenteral guanethidine sulfate for 5 wk to induce selective postganglionic "chemical sympathectomy." Flows were measured under basal conditions (group I) and immediately after an arterial hemorrhage (group II). The results indicate that RSCBF was unchanged from control after guanethidine administration in both groups; however, NBF was elevated after guanethidine by 47% in group I and by 41% in group II. We conclude that in the spinal cord as in the brain, sympathetic inflow does not appear to have an important role in the regulation of regional blood flow. Sympathetic inflow appears to partly regulate NBF, however, probably by varying vascular tone.

摘要

脊髓血管系统由去甲肾上腺素能神经纤维支配,目前其在调节脊髓局部血流(RSCBF)中的作用尚不清楚。我们利用[14C]丁醇的分布来同时测量七个脊髓节段的RSCBF以及坐骨神经、躯干皮肤和股二头肌的局部血流。研究对象为对照大鼠和经胃肠外给予硫酸胍乙啶5周以诱导选择性节后“化学交感神经切除术”的大鼠。在基础条件下(I组)和动脉出血后立即(II组)测量血流。结果表明,两组给予胍乙啶后RSCBF与对照相比均无变化;然而,I组胍乙啶给药后NBF升高47%,II组升高41%。我们得出结论,在脊髓中,如同在大脑中一样,交感神经传入似乎在局部血流调节中不起重要作用。然而,交感神经传入似乎部分调节NBF,可能是通过改变血管张力来实现的。

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