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胎儿羔羊呼吸运动与心率和血压变异性的关联

Association of breathing movements to the variability of heart rate and blood pressure in foetal lambs.

作者信息

Metsälä T, Siimes A, Antila K, Välimäki I

机构信息

Department of Physiology, University of Turku, Finland.

出版信息

Acta Physiol Scand. 1993 Feb;147(2):213-9. doi: 10.1111/j.1748-1716.1993.tb09491.x.

Abstract

Heart rate (HR) variability and arterial blood pressure (BP) variability were analysed as functions of foetal breathing movements (FBMs) by means of power spectral analysis in seven foetal lambs during the third trimester of gestation. No evidence of FBM-related changes, either in mean HR, mean systolic or diastolic arterial pressures, were found. Mean arterial pulse pressure, HR variability, and BP variability increased during FBMs. The increase in BP variability occurred at frequencies higher than 0.35 Hz, i.e. those of FBMs. The increase in HR variability occurred at 0.07-1.0 Hz, i.e. at every frequency band except the lowest one. Thus, the increase in HR variability was not frequency-specifically related to FBMs. During FBMs the periodic variability of HR at frequencies > 0.35 Hz was only 10% of total HR variability. We suggest that the FBM-related changes of BP variability may be mediated by direct peripheral, hydraulic mechanisms. HR changes involve autonomic control systems: the vagal component of baroreflex seems to be relatively insensitive, whereas the very slow vasomotor component of HR variability is dominant.

摘要

在妊娠晚期的七只胎羊中,通过功率谱分析将心率(HR)变异性和动脉血压(BP)变异性作为胎儿呼吸运动(FBMs)的函数进行分析。未发现FBM相关变化在平均心率、平均收缩压或舒张压方面的证据。平均动脉脉压、HR变异性和BP变异性在FBMs期间增加。BP变异性的增加发生在高于0.35Hz的频率,即FBMs的频率。HR变异性的增加发生在0.07 - 1.0Hz,即在除最低频段之外的每个频段。因此,HR变异性的增加并非频率特异性地与FBMs相关。在FBMs期间,频率>0.35Hz时HR的周期性变异性仅占总HR变异性的10%。我们认为,BP变异性的FBM相关变化可能由直接的外周液压机制介导。HR变化涉及自主控制系统:压力反射的迷走神经成分似乎相对不敏感,而HR变异性中非常缓慢的血管运动成分占主导。

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