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体循环静脉和动脉阻抗的双端口分析。

Two-port analysis of systemic venous and arterial impedances.

作者信息

Rose W C, Shoukas A A

机构信息

Biomedical Engineering Department, Johns Hopkins Medical School, Baltimore, Maryland 21205.

出版信息

Am J Physiol. 1993 Nov;265(5 Pt 2):H1577-87. doi: 10.1152/ajpheart.1993.265.5.H1577.

Abstract

Hemodynamic properties of the systemic vasculature were measured in eight anesthetized dogs using two-port impedance analysis. Blood pressures and flows were measured at the aortic root and the caval-atrial junction. Impedances were computed from 0.05 to 20 Hz to characterize the systemic vasculature. Pseudorandom variations in flow were produced with an extracorporeal perfusion system. Impedance measurements were made at carotid baroreceptor pressures of 50, 125, and 200 mmHg. A six-parameter lumped-element model best fitted the measured impedance spectra. At 125 mmHg, the mean parameter values were venous inertance, 13.5 g.kg.cm-4; venous and arterial compliances, 0.769 and 0.0214 ml.mmHg-1.kg-1; venous and arterial characteristic impedances, 0.028 and 0.084 mmHg.kg.min.ml-1; and arterial-to-venous small-vessel resistance, 0.706 mmHg.kg.min.ml-1. Regression analysis showed significant dependence of small-vessel resistance on baroreceptor pressure. The other parameters were not dependent on carotid sinus pressure, which is consistent with baroreflex control of venous unstressed volume but not compliance. We conclude that two-port impedance analysis is a useful tool for studying venous hemodynamics and the dynamic coupling between the veins and the right heart.

摘要

使用双端口阻抗分析测量了八只麻醉犬的体循环血管系统的血流动力学特性。在主动脉根部和腔静脉-心房交界处测量血压和血流量。计算了0.05至20Hz的阻抗,以表征体循环血管系统。使用体外灌注系统产生血流的伪随机变化。在50、125和200mmHg的颈动脉压力感受器压力下进行阻抗测量。一个六参数集总元件模型最适合测量的阻抗谱。在125mmHg时,平均参数值为静脉惯性,13.5g.kg.cm-4;静脉和动脉顺应性,0.769和0.0214ml.mmHg-1.kg-1;静脉和动脉特性阻抗,0.028和0.084mmHg.kg.min.ml-1;以及动静脉小血管阻力,0.706mmHg.kg.min.ml-1。回归分析表明小血管阻力对压力感受器压力有显著依赖性。其他参数不依赖于颈动脉窦压力,这与压力感受器反射对静脉无应力容积的控制一致,但与顺应性无关。我们得出结论,双端口阻抗分析是研究静脉血流动力学以及静脉与右心之间动态耦合的有用工具。

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