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运动期间人体肠系膜、腹腔和内脏的血流情况。

Mesenteric, coeliac and splanchnic blood flow in humans during exercise.

作者信息

Perko M J, Nielsen H B, Skak C, Clemmesen J O, Schroeder T V, Secher N H

机构信息

Department of Cardiothoracic Surgery and The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Denmark.

出版信息

J Physiol. 1998 Dec 15;513 ( Pt 3)(Pt 3):907-13. doi: 10.1111/j.1469-7793.1998.907ba.x.

Abstract
  1. Exercise reduces splanchnic blood flow, but the mesenteric contribution to this response is uncertain. 2. In nineteen humans, superior mesenteric and coeliac artery flows were determined by duplex ultrasonography during fasting and postprandial submaximal cycling and compared with the splanchnic blood flow as assessed by the Indocyanine Green dye-elimination technique. 3. Cycling increased arterial pressure, heart rate and cardiac output, while it reduced total vascular resistance. These responses were not altered in the postprandial state. During fasting, cycling increased mesenteric, coeliac and splanchnic resistances by 76, 165 and 126 %, respectively, and it reduced corresponding blood flows by 32, 50 and 43 % (by 0.18 +/- 0.04, 0.42 +/- 0.03 and 0.60 +/- 0.04 l min-1). Postprandially, mesenteric and splanchnic vascular resistances decreased, thereby elevating regional blood flow, while the coeliac circulation was not influenced. Postprandial cycling did not influence the mesenteric resistance significantly, but its blood flow decreased by 22 % (0.46 +/- 0.28 l min-1). Coeliac and splanchnic resistance increased by 150 and 63 %, respectively, and the corresponding regional blood flow decreased by 51 and 31 % (0.49 +/- 0.07 and 0.96 +/- 0.28 l min-1). Splanchnic blood flow values assessed by duplex ultrasound and by dye-elimination techniques were correlated (r = 0.70; P < 0.01). 4. During submaximal exercise in humans, splanchnic resistance increases and blood flow is reduced following a 50 % reduction in the hepato-splenic and a 25 % reduction in the mesenteric blood flow.
摘要
  1. 运动可减少内脏血流量,但肠系膜对此反应的贡献尚不确定。2. 对19名受试者,采用双功超声测定空腹及餐后次极量骑行时肠系膜上动脉和腹腔动脉的血流,并与采用吲哚菁绿染料清除技术评估的内脏血流量进行比较。3. 骑行可使动脉压、心率和心输出量增加,同时降低总血管阻力。这些反应在餐后状态下未改变。空腹时,骑行使肠系膜、腹腔和内脏阻力分别增加76%、165%和126%,相应血流量分别减少32%、50%和43%(分别减少0.18±0.04、0.42±0.03和0.60±0.04升/分钟)。餐后,肠系膜和内脏血管阻力降低,从而增加局部血流量,而腹腔循环未受影响。餐后骑行对肠系膜阻力无显著影响,但其血流量减少22%(0.46±0.28升/分钟)。腹腔和内脏阻力分别增加150%和63%,相应局部血流量分别减少51%和31%(0.49±0.07和0.96±0.28升/分钟)。双功超声和染料清除技术评估的内脏血流量值具有相关性(r = 0.70;P < 0.01)。4. 在人体次极量运动期间,内脏阻力增加,肝脾血流量减少50%、肠系膜血流量减少25%后,内脏血流量随之减少。

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