南方医科大学学报 ›› 2013, Vol. 33 ›› Issue (08): 1181-.

• • 上一篇    下一篇

高胆汁酸血症影响兔呼吸功能的实验研究

王斐,赵丛,田映红,尹艳茹   

  • 出版日期:2013-08-20 发布日期:2013-08-20

Effect of high blood levels of bile acid on respiratory functions of New Zealand rabbits

  • Online:2013-08-20 Published:2013-08-20

摘要: 目的比较研究经典血压下降反射性引起呼吸功能改变与高胆汁酸血症引起呼吸功能改变是否特性相同,为认识胆汁酸
调节呼吸功能提供实验依据。方法70只新西兰雄性大白兔,20%乌拉坦以5 ml/kg体质量耳缘静脉注射麻醉,颈部正中切开,
气管插管、颈总动脉插管,与呼吸、血压换能器相连,生物信号通过BL-420生物信号采集系统采集,显示记录。观察刺激迷走神
经、耳缘静脉注射稀释胆汁液、5种不同游离胆汁酸单品水溶液后血压、呼吸变化的特性。结果刺激迷走神经与注射稀释胆汁
液均可降低血压,两者在血压总的反应时间方面差异不大,但呼吸反应时间RT(胆汁)远远长于自身血压总反应时间T(胆汁),有9~10
倍的差异(P<0.001),呼吸幅度峰峰值RR(胆汁)明显大于经典反射性活动引起的RR(迷走神经)变化(P<0.001)。在RT1(胆汁)区间,RR(胆汁)
值显著高于RT2(胆汁)区间的RR(胆汁)值(P<0.001);熊脱氧胆酸对血压、呼吸没有明显影响(P>0.05);其他4种游离胆汁酸单品对呼
吸、血压有影响(P<0.001)。结论高胆汁酸血症引起的呼吸功能变化有反射性的因素,也有对呼吸功能直接的调节作用;在我
们的实验条件下,熊脱氧胆酸对血压、呼吸没有影响;其他4种单品均具有降低血压的能力,并且具有剂量依赖性;其他4种游离
胆汁酸单品对呼吸功能都有明显影响。

Abstract: Objective To compare the patterns of respiratory function variations resulting from the classical reflex of blood
pressure fall and high blood levels of bile acid, so as to provide evidence for the regulation of respiratory function via bile
acids. Methods Seventy New Zealand male Rabbits, under general anesthesia with 20% urethane, were subjected to tracheal
intubations and carotid artery cannulations via median incisions of the neck. Using a biological signal acquisition system, the
changes in the breathing and blood pressure were observed in response to stimulation of the pneumogastric nerves or to ear
vein injections of diluted bile acids or the water solutions of 5 dissociated bile acids. Results Stimulation of the pneumogastric
nerves and injections of diluted bile acids both lowered the blood pressure without significant differences in the total reaction
time (T). However, the total respiratory reaction time of bile acids, RT(bile acids), was 9-10 times longer than the total reaction time
of blood pressure T(bile acids) (P<0.001). The peak-peak values of respiratory range RR(bile acids) were higher than that RR(pneumogastric nerves)
resulting from the classical reflex (P<0.001). In the interval of RT1(bile acids), the values of RR(bile acids) were significantly higher than
those of RR(bile acids) in RT2(bile acids) interval. UDCA produced no significant influence on blood pressure or respiratory function (P>
0.05) as the other 4 dissociated bile acid reagents did (P<0.001). Conclusions High blood levels of bile acids not only act
through reflex factors but also have direct effects on respiratory function regulation. Under our experimental conditions,
UDCA has no effect on blood pressure or respiratory function, but the other 4 dissociated bile acid reagents can all
dose-dependently lower blood pressure and significantly affect respiratory function.