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坐骨神经刺激可诱发高血压 Dahl 大鼠出现低血压,但不会引起肾或腰交感神经抑制。

Sciatic nerve stimulation induces hypotension but not renal or lumbar sympathoinhibition in hypertensive Dahl rats.

作者信息

Kenney M J, Morgan D A

机构信息

Department of Anatomy and Physiology, College of Veterinary Medicine, Kansas State University, Manhattan 66506-5602.

出版信息

Clin Auton Res. 1993 Jun;3(3):163-8. doi: 10.1007/BF01826228.

Abstract

Sustained reductions in arterial pressure and sympathetic nerve activity occur after prolonged sciatic nerve stimulation in spontaneously hypertensive and pre-hypertensive Dahl salt-sensitive rats whereas these responses are not observed in renal hypertensive or Dahl resistant rats. These observations suggest that the development of post-stimulation hypotension and sympathoinhibition may be related to the genetic predisposition for hypertension rather than to the increased level of arterial pressure. However, it is not known whether the magnitude of the post-stimulation blood pressure and sympathetic nerve responses are influenced by the increased level of arterial pressure in addition to the genetic predisposition to hypertension. In the present study, we sought to determine if sustained sciatic nerve stimulation induces post-stimulation hypotension in hypertensive Dahl sensitive (DS) rats. For this purpose, mean arterial pressure (MAP), heart rate (HR), renal (RSNA) and lumbar (LSNA) sympathetic nerve activity were recorded during and after sciatic nerve stimulation in hypertensive DS rats (n = 17) fed an 8.0% NaCl diet for 7-8 weeks. Sciatic nerve stimulation increased HR (control, 443 +/- 10 b.p.m.; stimulation, 487 +/- 8 b.p.m.; p < 0.05) and tended to increase MAP, RSNA and LSNA. Two hours after stimulation, MAP was reduced (control 145 +/- 5 mmHg; recovery, 124 +/- 8 mmHg; p < 0.01) from control values. In contrast, RSNA and HR remained unchanged whereas LSNA was increased (69 +/- 20%; p < 0.05) from control values 120 min after stimulation. MAP, HR and RSNA were unchanged from control values during and for 2 h after sham stimulation in eight DS rats.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在自发性高血压和高血压前期的 Dahl 盐敏感大鼠中,长时间刺激坐骨神经后,动脉压和交感神经活动会持续降低,而在肾性高血压大鼠或 Dahl 抗性大鼠中未观察到这些反应。这些观察结果表明,刺激后低血压和交感神经抑制的发生可能与高血压的遗传易感性有关,而非与动脉压升高水平有关。然而,除了高血压的遗传易感性外,刺激后血压和交感神经反应的幅度是否受动脉压升高水平的影响尚不清楚。在本研究中,我们试图确定持续刺激坐骨神经是否会在高血压 Dahl 敏感(DS)大鼠中诱发刺激后低血压。为此,在喂食 8.0% NaCl 饮食 7 - 8 周的高血压 DS 大鼠(n = 17)中,记录了坐骨神经刺激期间及之后的平均动脉压(MAP)、心率(HR)、肾交感神经活动(RSNA)和腰交感神经活动(LSNA)。坐骨神经刺激使 HR 增加(对照,443 ± 10 次/分钟;刺激时,487 ± 8 次/分钟;p < 0.05),并倾向于使 MAP、RSNA 和 LSNA 增加。刺激后两小时,MAP 较对照值降低(对照 145 ± 5 mmHg;恢复时,124 ± 8 mmHg;p < 0.01)。相比之下,RSNA 和 HR 保持不变,而刺激后 120 分钟,LSNA 较对照值增加(69 ± 20%;p < 0.05)。在八只 DS 大鼠进行假刺激期间及之后 2 小时,MAP、HR 和 RSNA 与对照值相比无变化。(摘要截短于 250 字)

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