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微循环的双端口分析:风箱模型的扩展

Two-port analysis of microcirculation: an extension of windkessel.

作者信息

Frasch H F, Kresh J Y, Noordergraaf A

机构信息

Center for Anesthesia Research, University of Pennsylvania, Philadelphia 19104, USA.

出版信息

Am J Physiol. 1996 Jan;270(1 Pt 2):H376-85. doi: 10.1152/ajpheart.1996.270.1.H376.

Abstract

We examined the suitability of the three-element windkessel as a reduced model of pulsatile pressure-flow relations at arteriolar and venular ends of a microcirculatory bed. Frequency domain (two-port) analysis of a distributed model of an idealized (single input, single output) microvascular network in skeletal muscle, consisting of 391 discrete vessel segments from a 20-microns-diameter arteriole to a 28-microns-diameter venule, demonstrated that the three-element windkessel is a good representation of arterial input impedance when pressure pulsations are absent at the venous end. The same model with different parameter values accounts well for venous pressure-flow relations if no pulsations occur at the arterial end. We showed that a five-element model (2 compliances, 3 resistors) provided a superior representation of pulsatile pressure-flow relations at both arterial and venous ends. Relating parameter values to known properties of the network revealed the physiological significance of the five elements. This model may prove a useful component in circulatory models incorporating both arteries and veins. While parameter values obtained herein were strictly valid for the particular microvascular network described, guidelines are provided based on physiological properties so that values may be estimated for different microvascular beds.

摘要

我们研究了三元件风箱模型作为微循环床小动脉端和小静脉端搏动性压力-流量关系简化模型的适用性。对理想化(单输入,单输出)骨骼肌微血管网络分布模型进行频域(双端口)分析,该模型由从直径20微米的小动脉到直径28微米的小静脉的391个离散血管段组成,结果表明,当静脉端无压力脉动时,三元件风箱模型能很好地表示动脉输入阻抗。如果动脉端无脉动,具有不同参数值的同一模型能很好地解释静脉压力-流量关系。我们表明,五元件模型(2个顺应性元件,3个电阻元件)能更好地表示动脉端和静脉端的搏动性压力-流量关系。将参数值与网络的已知特性相关联揭示了这五个元件的生理意义。该模型可能是包含动脉和静脉的循环模型中的一个有用组件。虽然本文获得的参数值仅对所描述的特定微血管网络严格有效,但基于生理特性提供了指导原则,以便可以为不同的微血管床估计参数值。

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