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血压系统变化速率对正常血压和自发性高血压大鼠短期自动调节反应的意义。

Significance of the rate of systemic change in blood pressure on the short-term autoregulatory response in normotensive and spontaneously hypertensive rats.

作者信息

Barzó P, Bari F, Dóczi T, Jancsó G, Bodosi M

机构信息

Department of Neurosurgery, Albert Szent-Györgyi Medical University, Szeged, Hungary.

出版信息

Neurosurgery. 1993 Apr;32(4):611-8. doi: 10.1227/00006123-199304000-00018.

Abstract

Cerebral autoregulation, the physiological regulatory mechanism that maintains a constant cerebral blood flow (CBF) over wide ranges of arterial blood pressure, was investigated in normotensive and spontaneously hypertensive rats by means of laser-Doppler flowmetry. Systemic arterial hypertension was produced at rates ranging from 0.02 mm Hg/second to 11 mm Hg/second by constant infusion of epinephrine and norepinephrine. Systemic arterial hypotension was produced at rates ranging from -0.03 mm Hg/second to -12 mm Hg/second, either by bleeding the animals into a reservoir or by compressing the abdomen. In those cases with a low rate of change in systemic arterial blood pressure (SABP), the measurements lasted for 5 +/- 2 minutes, and in those with a high rate of change in SABP, measurements lasted for 40 +/- 30 seconds. The purpose was to record the time of onset and course of autoregulation in the basal ganglia in response to slow or rapid changes in SABP. CBF in the basal gray matter remained at baseline values (i.e., autoregulation was functioning) if the rate of increase of SABP did not exceed a critical value (0.10 mm Hg/second in the normotensive rats; 0.35 mm Hg/second in the spontaneously hypertensive rats). When hypertension was produced at faster rates, CBF followed arterial blood pressure passively, and no autoregulatory response was observed for 2 +/- 1 minutes. Hypotension did not change the baseline CBF when it was not produced at a rate faster than -0.4 mm Hg/second in normotensive rats and -0.15 mm Hg/second in spontaneously hypertensive rats.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

脑自动调节是一种生理调节机制,可在较宽的动脉血压范围内维持恒定的脑血流量(CBF)。本研究通过激光多普勒血流仪,对正常血压大鼠和自发性高血压大鼠的脑自动调节进行了研究。通过持续输注肾上腺素和去甲肾上腺素,以0.02 mmHg/秒至11 mmHg/秒的速率诱导全身动脉高血压。通过将动物血液放至储液器或按压腹部,以-0.03 mmHg/秒至-12 mmHg/秒的速率诱导全身动脉低血压。在全身动脉血压(SABP)变化率较低的情况下,测量持续5±2分钟;在SABP变化率较高的情况下,测量持续40±30秒。目的是记录基底神经节对SABP缓慢或快速变化的自动调节起始时间和过程。如果SABP的升高速率未超过临界值(正常血压大鼠为0.10 mmHg/秒;自发性高血压大鼠为0.35 mmHg/秒),基底灰质中的CBF保持在基线值(即自动调节功能正常)。当以更快的速率产生高血压时,CBF被动地跟随动脉血压变化,并且在2±1分钟内未观察到自动调节反应。在正常血压大鼠中,当低血压产生速率不超过-0.4 mmHg/秒,在自发性高血压大鼠中不超过-0.15 mmHg/秒时,低血压不会改变基线CBF。(摘要截选至250字)

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