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在麻醉犬中,用脉动和非脉动压力刺激颈动脉、主动脉和冠状动脉压力感受器时的血管反应。

Vascular responses to stimulation of carotid, aortic and coronary artery baroreceptors with pulsatile and non-pulsatile pressures in anaesthetized dogs.

作者信息

McMahon N C, Drinkhill M J, Hainsworth R

机构信息

Institute for Cardiovascular Research, University of Leeds, UK.

出版信息

Exp Physiol. 1996 Nov;81(6):969-81. doi: 10.1113/expphysiol.1996.sp003997.

DOI:10.1113/expphysiol.1996.sp003997
PMID:8960703
Abstract

This research was designed to compare coronary, carotid and aortic arch baroreceptors in terms of the ranges of pressures required to elicit reflex vascular responses and the possible differences between the responses to pulsatile and non-pulsatile stimuli. Dogs were anaesthetized with alpha-chloralose, artificially ventilated and the chests opened wide. A perfusion circuit allowed independent control of pressures distending the three baroreceptor regions. A cardiopulmonary bypass and ventricular fibrillation prevented cardiac pulsations from influencing coronary baroreceptor pressure. The caudal region of the animal was perfused at constant flow and vascular resistance responses were assessed from changes in perfusion pressure. Only tests in which the overall response exceeded 3 kPa (22.5 mmHg) were analyzed. Reflex responses were obtained to significantly lower coronary pressures than were required to induce responses from other regions. The inflexion points of the stimulus-response curves for pulsatile coronary, carotid and aortic pressures were 10.5 +/- 0.6, 15.5 +/- 1.8 and 16.4 +/- 1.7 kPa (79 +/- 5, 116 +/- 14 and 123 +/- 13 mmHg, respectively; values are means +/- S.E.M.). When the responses to pulsatile stimuli were compared with those to non-pulsatile stimuli, it was noted that for the carotid receptors, lower pressures were required to induce responses (inflexion pressure less) and the slope of the stimulus-response curve was less. Pulsatile aortic pressures induced a parallel (downward) displacement of the curve but no change in inflexion point or slope. The coronary baroreceptor stimulus-response relationship was unaffected by pulsatility. These results show differences between the characteristics of the three baroreceptors with coronary receptors being unaffected by pressure pulsatility but likely to be of importance in hypotensive situations.

摘要

本研究旨在比较冠状动脉、颈动脉和主动脉弓压力感受器在引发反射性血管反应所需压力范围以及对搏动性和非搏动性刺激反应的可能差异。用α-氯醛糖麻醉犬,进行人工通气并广泛打开胸腔。一个灌注回路可独立控制使三个压力感受器区域扩张的压力。体外循环和心室颤动可防止心脏搏动影响冠状动脉压力感受器压力。以恒定流量灌注动物的尾部区域,并根据灌注压力变化评估血管阻力反应。仅分析总体反应超过3 kPa(22.5 mmHg)的测试。与引发其他区域反应所需的压力相比,冠状动脉压力显著降低时即可获得反射反应。搏动性冠状动脉、颈动脉和主动脉压力刺激-反应曲线的拐点分别为10.5±0.6、15.5±1.8和16.4±1.7 kPa(分别为79±5、116±14和123±13 mmHg;数值为平均值±标准误)。当将对搏动性刺激的反应与对非搏动性刺激的反应进行比较时,发现对于颈动脉感受器,引发反应所需的压力较低(拐点压力较小),且刺激-反应曲线的斜率较小。搏动性主动脉压力导致曲线平行(向下)位移,但拐点或斜率无变化。冠状动脉压力感受器刺激-反应关系不受搏动性影响。这些结果表明三种压力感受器的特性存在差异,冠状动脉感受器不受压力搏动性影响,但在低血压情况下可能很重要。

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