在 Carotid Endarterectomy 之后,影响巴罗受体敏感性变化的独立因素
Shatlyk Yagshyyev1, Briain Haney1, Yi Li1
1Department of Vascular Surgery, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
首次动静脉内关节切除术 (Eversion carotid endarterectomy,简称E-CEA) 最初会导致血压升高和巴罗受体敏感度降低. 这些血液动力学变化是暂时的,在手术后两天没有观察到显著差异.
科学领域:
- 血管外科 血管外科
- 心血管生理学心血管生理学
背景情况:
- 动脉内关节切除术 (CEA) 是治疗动脉狭窄的标准,旨在预防中风.
- CEA可能会导致血液动力学调节失调.
- 常规CEA (E-CEA) 和常规CEA (C-CEA) 在手术技术上有所不同.
研究的目的:
- 在术后血压方面比较E-CEA和C-CEA.
- 评估术前和术后巴罗受体敏感性 (BRS) 的变化.
- 在CEA后确定影响BRS变化的因素.
主要方法:
- 在111名患者 (50名C-CEA,61名E-CEA) 的前性研究中.
- 非侵入性Finometer用于BRS测量手术前和手术后的1,2,7天.
- 在术后监测血压.
主要成果:
- E-CEA组在手术当天和手术后的第一天显示出血压明显升高.
- 最初在E-CEA组中需要更高的抗高血压治疗.
- 在手术后一天的E-CEA组显著降低了BRS.
- 手术技术和患者年龄影响了BRS变化.
结论:
- 在手术后的前两天,E-CEA与暂时的高血压和较低的BRS有关.
- 在CEA后的血液动力学失调是短期的,在第二天没有显著的差异.
- 手术技术和年龄是影响BRS后CEA的关键因素.
更多相关视频
06:30Quantifying Acute Changes in Renal Sympathetic Nerve Activity in Response to Central Nervous System Manipulations in Anesthetized Rats
Published on: September 11, 2018
07:51Mesenteric Artery Contraction and Relaxation Studies Using Automated Wire Myography
Published on: September 22, 2011
相关概念视频
Neural Regulation of Blood Pressure
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
Regulation of the Cardiovascular System
The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...
Factors Influencing Heart Rate
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Autoregulation of Blood Flow
Chemical Signaling in Autoregulation
Chemical signaling operates at the precapillary sphincter level, inciting either contraction or relaxation....
Hypertension and Regulation of Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
