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P物质在家兔延髓腹侧面加压区的升压作用及其机制探讨 被引量:3
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作者 符史干 邓子夫 +1 位作者 黄承钧 胡新武 《生理学报》 CAS CSCD 北大核心 1997年第3期273-280,共8页
在乌拉坦麻醉、三碘季铵酚制动、人工呼吸的家兔上观察到,延髓腹侧面加压区(VSMP)给予P物质(SP)使血压(BP)呈剂量依赖性升高,但对心率无明显影响。VSMP给予SP受体阻断剂使BP明显降低并可阻断SP升压效应。VSMP给予酚妥拉明或哌... 在乌拉坦麻醉、三碘季铵酚制动、人工呼吸的家兔上观察到,延髓腹侧面加压区(VSMP)给予P物质(SP)使血压(BP)呈剂量依赖性升高,但对心率无明显影响。VSMP给予SP受体阻断剂使BP明显降低并可阻断SP升压效应。VSMP给予酚妥拉明或哌唑嗪预处理使SP升压效应减弱或消失,而给予育亨宾或心得安对SP升压效应无明显影响。VSMP给予SP可使肾交感神经放电(RSND)显著增加,并伴有BP显著升高;VSMp给予DSP使RSND和BP明显降低并可阻断SP的RSND增加和升压效应。结果表明:SP在VSMP具有升压作用,这是由于激活VSMp的SP受体所致,并有该局部α1受体参与介导。此升压效应主要是通过交感神经活动增强使外周血管阻力增加而实现的。VSMp的内源性SP有参与维持交感缩血管紧张性和BP水平的作用。 展开更多
关键词 P物质 延髓腹侧加压区 升压作用
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延髓腹侧脑膜瘤的显微外科治疗
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作者 李美华 徐庚生 +1 位作者 洪涛 曾春晖 《中华神经外科疾病研究杂志》 CAS 2002年第3期272-272,共1页
我科自1995年3月~2000年12月行显微手术切除延髓腹侧脑膜瘤9例,效果满意,现报告如下. 一、对象与方法 1. 临床资料:本组男3例,女6例.年龄37~62岁,平均49.6岁.病程3个月~6.5年,平均25个月.表现为颈部疼痛6例,肢体感觉障碍5例,肢体肌... 我科自1995年3月~2000年12月行显微手术切除延髓腹侧脑膜瘤9例,效果满意,现报告如下. 一、对象与方法 1. 临床资料:本组男3例,女6例.年龄37~62岁,平均49.6岁.病程3个月~6.5年,平均25个月.表现为颈部疼痛6例,肢体感觉障碍5例,肢体肌力下降或肌肉萎缩5例,肌张力增高或出现病理征7例,小脑功能障碍4例,后组颅神经麻痹3例,呼吸困难3例.均行颅颈交界区MRI检查,肿瘤最大径2.5~4.4 cm 7例,大于4.5 cm 2例;肿瘤在T1像呈等信号或稍高信号,T2像呈高信号或等信号,增强后均明显强化;肿瘤与脑干有明显分界者6例,界面欠清者3例. 展开更多
关键词 延髓腹侧脑膜瘤 显微外科 治疗 手术入路
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一例远外侧入路切除延髓腹侧巨大占位患者的围手术期护理
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作者 过骁忆 《护士进修杂志》 2015年第12期1150-1151,共2页
延髓腹侧解剖关系复杂,周围毗邻脑干、后组颅神经及椎‐基底动脉等重要神经血管组织[1],而远外侧入路的手术方式是目前切除该部位肿瘤的最佳方式,一直以来也是神经外科手术的重点和难点[2]。其手术风险仍极大,难度很高。患者术... 延髓腹侧解剖关系复杂,周围毗邻脑干、后组颅神经及椎‐基底动脉等重要神经血管组织[1],而远外侧入路的手术方式是目前切除该部位肿瘤的最佳方式,一直以来也是神经外科手术的重点和难点[2]。其手术风险仍极大,难度很高。患者术中可能因延髓损伤,心跳、呼吸停止;椎动脉损伤,导致术中大出血;后组颅神经损害,导致不可逆的声音嘶哑、呛咳、吞咽困难;所以该类患者围手术期的护理尤为重要。2014年,我院曾收治一例该类患者,经我科周详的围术期护理,为手术的成功提供了保障,患者最终康复出院,现报告如下。 展开更多
关键词 延髓腹侧 肿瘤 远外入路 围手术期 护理
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臂旁核和延髓头端腹外侧区在黑质升压效应中的作用
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作者 张黎明 顾蕴辉 《动物学报》 SCIE CAS CSCD 1989年第3期294-299,共6页
本实验室观察到黑质具有升压效应。用L-谷氨酸钠微量注入黑质可使血压升高,此效应可被DA受体阻断剂氟哌啶醇(Halo)微量注入臂旁核加压区基本阻断。我们过去的工作证明延髓头端腹外侧区(RVL)及其内的α-受体中介臂旁核的加压效应,本实验... 本实验室观察到黑质具有升压效应。用L-谷氨酸钠微量注入黑质可使血压升高,此效应可被DA受体阻断剂氟哌啶醇(Halo)微量注入臂旁核加压区基本阻断。我们过去的工作证明延髓头端腹外侧区(RVL)及其内的α-受体中介臂旁核的加压效应,本实验将酚妥拉明注入RVL能明显衰减黑质的加压效应,而将Halo注入RVL加压区对黑质加压效应无明显影响。以上结果提示臂旁核-RVL(α-受体)加压系统参与黑质加压效应。 展开更多
关键词 臂旁核 延髓头端 黑质
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吸入高浓度CO_2后对廷髓Fos蛋白表达的影响 被引量:1
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作者 田国峰 钱梓文 +1 位作者 苏清芬 张镜如 《上海医科大学学报》 CSCD 1996年第2期138-141,共4页
细胞内Fos蛋白表达增加,一般表明细胞活动的加强,因而Fos蛋白表达的分布广泛用于确定某种刺激所引起的活动加强的细胞群的所在部位。本工作采用吸入高浓度CO2后观察延髓Fos蛋白表达的变化的方法,初步观察CO2兴奋呼吸... 细胞内Fos蛋白表达增加,一般表明细胞活动的加强,因而Fos蛋白表达的分布广泛用于确定某种刺激所引起的活动加强的细胞群的所在部位。本工作采用吸入高浓度CO2后观察延髓Fos蛋白表达的变化的方法,初步观察CO2兴奋呼吸过程中延髓哪些核团参与活动。实验把12只大鼠分两组进行,实验组6只吸入14%~15%CO21h,对照组6只吸入空气1h,然后处死动物用ABC法测定其延髓脑组织中Fos蛋白表达的密度。结果发现在实验组动物的延髓较广泛的区域均可见到Fos蛋白样免疫阳性反应(FLI)细胞,其密度明显地超过对照组动物。FLI细胞的分布相对集中于延髓的孤束核(NTS)、面神经后核(NRF)、外周橄榄腹外侧核(LVPO)、斜方体后核(NRT)、巨细胞旁外侧核(LPGi)、外侧网状核(LRt)、前庭内侧核(MVe)、下橄榄内侧核B亚核(IOB)等核团。其中尤以NTS和NRF区最为密集。初步提示这些核团活动的加强可能与吸入CO2的呼吸兴奋反应有关。 展开更多
关键词 延髓腹侧核团 FOS蛋白表达 二氧化碳
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Relationship Between the Central Hypotensive Effect of Acupuncture or Melatonin and the Changes of Medullary Amino Acid Neurotransmitter 被引量:1
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作者 王延荣 王锦 +4 位作者 李莉 沈霖霖 曹银祥 朱大年 崔学军(翻译) 《Journal of Acupuncture and Tuina Science》 2007年第5期274-280,共7页
To investigate whether changes of amino acid neurotransmitter releases in the rostral ventrolateral medulla (rVLM) were related to acupuncture and to the antihypertensive effect of melatonin (Mel) microinjected in... To investigate whether changes of amino acid neurotransmitter releases in the rostral ventrolateral medulla (rVLM) were related to acupuncture and to the antihypertensive effect of melatonin (Mel) microinjected into the anterior hypothalamic area (AHA) of rats with stress-induced hypertension (SIH), as well as to compare and analyze the relationship between the both antihypertensive mechanisms of acupuncture and of Mel in the AHA. Methods: Animal model of SIHR was made by electric foot shocks combined with noises. Electroacupuncture (EA) was used and “Zusanli” acupoint of both side was selected. The technique of drug microinjection into the brain was used to observe the change of blood pressure (BP), and synchronously, brain microdialysis was performed for collecting dialysate samples, and then the concentration of amino acid neurotransmitters in the dialysate samples was determined by high performance liquid chromatography combined with fluorescent detection (HPLC-FD). Results: After the animal received stress treatment, the BP elevated, synchronously, the release of glutamate (Glu) in the rVLM increased, and when EA was performed, the elevated BP of the rats with SIH decreased, simultaneously, the release of Glu in the rVLM decreased also. After Mel was microinjected of into the AHA of the SIHR, the elevated BP attenuated, meanwhile, the release of Glu decreased, and those of γ-aminobutyric acid (GABA) and taurine (Tau) increased in the rVLM.Administration of bicuculline, an antagonist of GABAA receptor, into the rVLMprior to microinjection of Mel imo the AHA could partially block the depressor effect of Mel in the AHA. Conclusion: The decrease in the release of Glu in the rVLM contributes to the antihypertensive effect of both acupuncture and Mel in the AHA in the rats with SIH, and the increase in the release of GABA and Tau in the rVLM is also im0ortam to Mel in the AHA. 展开更多
关键词 ACUPUNCTURE Blood Pressure MELATONIN Anterior Hypothalamic Area RostralVentrolateral Medulla Amino Acid Neurotransmitters
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Angiotensin Ⅱ-derived reactive oxygen species underpinning the processing of the cardiovascular reflexes in the medulla oblongata
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作者 Valdir A.Braga Eduardo Colombari Mariana G.Jovita 《Neuroscience Bulletin》 SCIE CAS CSCD 2011年第4期269-274,共6页
The brainstem is a major site in the central nervous system involved in the processing of the cardiovascular reflexes such as the baroreflex and the peripheral chemoreflex. The nucleus tractus solitarius and the rostr... The brainstem is a major site in the central nervous system involved in the processing of the cardiovascular reflexes such as the baroreflex and the peripheral chemoreflex. The nucleus tractus solitarius and the rostral ventrolateral medulla are 2 important brainstem nuclei, and they play pivotal roles in autonomic cardiovascular regulation. Angiotensin II is one of the neurotransmitters involved in the processing of the known that one of the mechanisms by which angiotensin II exerts cardiovascular reflexes within the brainstem. It is well- its effect is via the activation of pathways that generate reactive oxygen species (ROS). In the central nervous system, ROS are reported to be involved in several pathological dis- eases such as hypertension, heart failure and sleep apnea. However, little is known about the role of ROS in the processing of the cardiovascular reflexes within the brainstem. The present review mainly discussed some recent findings documenting a role for ROS in the processing of the baroreflex and the peripheral chemoreflex in the brainstem. 展开更多
关键词 angiotensin superoxide rostral ventrolateral medulla nucleus tractus solitarius BAROREFLEX peripheralchemoreflex
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Mechanism of the Reversal Effect of Acupuncture on the Fall of Blood Pressure Induced by Angiotensin-(1-7)in the Caudal Ventrolateral Medulla of Rats
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作者 王锦 沈霖霖 +2 位作者 曹银祥 朱大年 朱忠春(Translator) 《Journal of Acupuncture and Tuina Science》 2006年第4期201-205,共5页
Objective:To investigate the mechanism of the reversal effect of acupuncture on the fall of blood pressure induced by angiotensin (1-7)[Ang-(1 7)] in the caudal ventrolateral medulla (CVLM) of rats. Methods: A... Objective:To investigate the mechanism of the reversal effect of acupuncture on the fall of blood pressure induced by angiotensin (1-7)[Ang-(1 7)] in the caudal ventrolateral medulla (CVLM) of rats. Methods: Ang-(1-7) and its selective receptor antagonist (DAla7), Ang(1-7) and Ang(779) were microinjected into the CVLM respectively to induce the change of blood pressure, during which, the concentrations of amino acid neurotransmitters were detected by means of microdialysis and high performance liquid chromatography (HPLC)combined with fluorescent detector, on the other hand, the effects of electro-acupuncture (EA) on the level of blood pressure and the concentrations of amino acid neurotransmitters were also observed. Results: Unilateral microinjection of Ang(1 7) into the CVLM could decrease the blood pressure (BP), which was accompanied by an increase in the release of Glu and a decrease in the release of Tau in the same site; Whereas microinjection of Ang-779 into the CVLM could elevate BP, which was accompanied by a decrease in the release of Glu and an increase in the release of Tau; EA at acupoint Zusanli (ST 36) for 20 min could inhibit the fall of blood pressure induced by microinjection of Ang-(1-7) into the CVLM and the elevation of blood pressure induced by microinjection of Ang-779 into the CVLM, and in the meantime, it could inhibit the changes of the release of Glu and Tau induced by microinjection of Ang-(1-7) and Ang-779 into the CVLM. Conclusion: The reversal effect of EA on the fall or elevation of blood pressure induced by microinjection of Ang-(1-7) or Ang-779 into the CVLM might be related to the changes of Glu and Tau release. 展开更多
关键词 Caudal Ventrolateral Medulla ELECTRO-ACUPUNCTURE Blood Pressure Amino Acid Neurotransmitters
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