巴罗反射缓冲和对血管活性药物的敏感性
Jens Jordan1, Jens Tank, John R Shannon
1Franz-Volhard Clinical Research Center and Helios Klinikum, Medical Faculty of the Charité, Humboldt-University, Berlin, Germany. jordan@fvk-berlin.de
Circulation
|March 27, 2002
概括
巴罗反射缓冲显著影响身体对血管活性药物的反应. 即使是巴罗反射功能的微小变化也会大大改变药物敏感性,影响血压调节.
科学领域:
- 心血管生理学心血管生理学
- 自主神经系统功能 自主神经系统功能
- 药理学 药理学 是一个学科.
背景情况:
- 血压调节涉及直接的血管调效应和间接的巴罗反射缓冲.
- 巴罗反射功能的变化影响了对血管活性药物的反应,但其大小尚不清楚.
研究的目的:
- 调查巴罗反射功能与血管活性药物反应之间的关系.
- 量化巴罗反射缓冲对不同患者群体药物敏感性的影响.
主要方法:
- 在健康对照组和患有静态不耐受症,精性高血压,单一性高血压和多个系统缩的患者中,表征着巴罗反射功能和血管活性药物反应.
- 测量了烯和酸的敏感性,以评估气体反射缓冲和药物反应.
主要成果:
- 血管活性药物敏感性在不同组之间有显著的差异,与巴罗反射缓冲能力有很强的相关性.
- 与对照组和静止不耐症患者相比,患有精性高血压,单一性高血压和多重系统缩的患者表现出更高的药物敏感性.
- 巴罗反射缓冲是药物敏感性的更强的决定因素,而不是心率的巴罗反射控制.
结论:
- 巴罗反射血压缓冲在确定对血管活性药物的敏感性方面发挥着至关重要的作用.
- 气体反射功能的中度变化可以导致血管活性药物的有效性发生重大变化.
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