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动态运动期间主动肌化学反射对主动肌血管阻塞的潜伏期

Latency of muscle chemoreflex to vascular occlusion of active muscle during dynamic exercise.

作者信息

Sheriff D D

机构信息

Division of Cardiovascular Research, St. Elizabeth's Medical Center, Boston, Massachusetts 02135, USA.

出版信息

Am J Physiol. 1997 Apr;272(4 Pt 2):H1981-5. doi: 10.1152/ajpheart.1997.272.4.H1981.

DOI:10.1152/ajpheart.1997.272.4.H1981
PMID:9139986
Abstract

When oxygen delivery to active muscle is too low for the ongoing rate of metabolism, metabolites accumulate and activate a muscle chemoreflex that raises arterial pressure. During static muscular contractions, the latency of the onset of increments in sympathetic activity attributed to the muscle chemoreflex is long (1-2 min). This long latency might be caused by slow accumulation of metabolites attributable to low rates of metabolism. Because shortening contractions at a given force per unit time have a much higher energy cost than do static contractions, the muscle chemoreflex should have a much shorter latency during dynamic exercise than during static contractions, and the latency should shorten further with rising exercise intensity. To test these ideas, the latency to the onset of the rise in arterial pressure induced by the muscle chemoreflex following vascular occlusion of active muscle was measured in four dogs exercising on a treadmill. During steady-state exercise of mild to moderate intensity, pressor responses to muscle ischemia were elicited by rapid, complete occlusion of the terminal aorta; this procedure mimics the blockage of muscle blood flow that occurs normally during static contractions. There was a statistically significant effect of exercise intensity on latency (P < 0.001). The latency was 23.5 +/- 4.5, 16.4 +/- 5.6, and 10.1 +/- 2.3 s (means +/- SE) at 3.2 km/h 0% grade, 6.5 km/h 0% grade, and 6.5 km/h 10% grade, respectively. Also, the rate of rise of arterial pressure during chemoreflex activation increased progressively with rising exercise intensity from 0.8 +/- 0.2 mmHg/s during exercise at 3.2 km/h 0% grade to 2.0 +/- 0.5 mmHg/s during exercise at 6.5 km/h 10% grade. Thus the latency of the muscle chemoreflex in response to vascular occlusion during mild dynamic exercise is shorter than has been reported during static contractions of moderate intensity.

摘要

当输送到活跃肌肉的氧气量对于当前的代谢速率过低时,代谢产物会积累并激活肌肉化学反射,从而升高动脉血压。在静态肌肉收缩过程中,归因于肌肉化学反射的交感神经活动增加开始的潜伏期很长(1 - 2分钟)。这种长潜伏期可能是由于代谢速率低导致代谢产物缓慢积累所致。因为在单位时间内以给定力量进行的缩短收缩比静态收缩具有更高的能量消耗,所以在动态运动期间肌肉化学反射的潜伏期应比静态收缩期间短得多,并且随着运动强度增加潜伏期应进一步缩短。为了验证这些观点,在四只在跑步机上运动的狗身上测量了在活跃肌肉血管闭塞后由肌肉化学反射引起的动脉血压升高开始的潜伏期。在轻度至中度强度的稳态运动期间,通过快速、完全闭塞终末主动脉引发对肌肉缺血的升压反应;此过程模拟了静态收缩期间正常发生的肌肉血流阻断。运动强度对潜伏期有统计学显著影响(P < 0.001)。在3.2 km/h 0%坡度、6.5 km/h 0%坡度和6.5 km/h 10%坡度时,潜伏期分别为23.5 ± 4.5、16.4 ± 5.6和10.1 ± 2.3秒(平均值 ± 标准误)。此外,在化学反射激活期间动脉血压的上升速率随着运动强度增加而逐渐增加,从3.2 km/h 0%坡度运动时的0.8 ± 0.2 mmHg/s增加到6.5 km/h 10%坡度运动时的2.0 ± 0.5 mmHg/s。因此,在轻度动态运动期间,肌肉化学反射对血管闭塞的反应潜伏期比在中等强度静态收缩期间所报道的要短。

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