Thrasher T N, Keil L C
Department of Surgery, University of Maryland, Baltimore, Maryland 21201, USA.
Am J Physiol. 1998 Dec;275(6):R1843-57. doi: 10.1152/ajpregu.1998.275.6.R1843.
The goal of this study was to determine the role of arterial baroreceptors in the reflex control of arginine vasopressin (AVP), renin, and cortisol secretion in response to a 30-ml/kg hemorrhage in conscious dogs. The hormonal responses were measured in six dogs under four treatment conditions: 1) intact, 2) acute cardiac denervation (CD) by intrapericardial infusion of procaine, 3) after sinoaortic denervation (SAD), and 4) during combined SAD + CD. In the intact condition, mean arterial pressure (MAP) was maintained at control levels until blood loss reached 20 ml/kg and the absolute magnitude of the fall at 30 ml/kg was 35 +/- 10 mmHg. Similar responses were obtained during acute CD. In contrast, MAP fell earlier (at 5 ml/kg, P < 0.05) and to much lower levels in both the SAD and SAD + CD conditions. The individual slopes relating systolic pressure to plasma AVP, renin activity (PRA), and cortisol were used to compare the treatment effects using a 2 x 2 factorial analysis. There was a significant (P < 0.01) effect of SAD on the slope relating AVP to systolic pressure but no effect of CD and no SAD x CD interaction. In contrast, there was no effect of either SAD or CD on the relationship between PRA or plasma cortisol and systolic pressure. These results indicate that maintenance of blood pressure and the normal pattern of AVP secretion during hemorrhage depend on intact arterial baroreceptor reflexes.
本研究的目的是确定动脉压力感受器在清醒犬对30 ml/kg出血反应中对精氨酸加压素(AVP)、肾素和皮质醇分泌的反射性控制中的作用。在六种犬的四种治疗条件下测量激素反应:1)完整状态;2)通过心包内注入普鲁卡因进行急性心脏去神经支配(CD);3)在窦主动脉去神经支配(SAD)后;4)在联合SAD + CD期间。在完整状态下,平均动脉压(MAP)维持在对照水平,直到失血达到20 ml/kg,在30 ml/kg时下降的绝对幅度为35±10 mmHg。在急性CD期间获得了类似的反应。相比之下,在SAD和SAD + CD条件下,MAP下降更早(在5 ml/kg时,P < 0.05)且降至低得多的水平。使用2×2析因分析,将收缩压与血浆AVP、肾素活性(PRA)和皮质醇的个体斜率用于比较治疗效果。SAD对AVP与收缩压的斜率有显著(P < 0.01)影响,但CD无影响,且无SAD×CD相互作用。相比之下,SAD或CD对PRA或血浆皮质醇与收缩压之间的关系均无影响。这些结果表明,出血期间血压的维持和AVP分泌的正常模式取决于完整的动脉压力感受器反射。