激光多普勒血流灌注监测与仓鼠颊袋微循环红细胞压积的关系。

A Colantuoni, S Bertuglia
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引用次数: 12

摘要

本研究的目的是探讨激光多普勒灌注监测(LDPM)测量与微循环中不同系统血细胞比容在振荡血流模式变化方面的关系。采用荧光显微镜技术观察了仓鼠颊袋微血管,并在对照条件下以及用生理盐水和6%葡聚糖(MW为7万至26.1 +/- 2.1%)等容血液稀释后,从小动脉和小静脉获得LDPM信号。用傅里叶变换和自回归模型分析血管运动、微血管血流振荡(血流运动)和红细胞速度。LDPM记录显示血液稀释期间灌注单位(PU)显著增加——小动脉灌注单位为184 +/- 15,基线值为137 +/- 11 PU;小静脉灌注单位为40.2 +/- 3.5,基线值为28.6 +/- 4.3 PU——这与小动脉和小静脉红细胞流速的显著增加有关。小动脉血流运动的频率(2.9 +/- 0.5 cycles per m vs. 1.8 +/- 0.5 cpm)和频谱功率有所上升,而频谱功率的增加与小静脉血流运动频率(12.6 +/- 2.1 vs. 3.6 +/- 0.7 cpm)的降低有关。小动脉和静脉红细胞速度的振荡显示与血流运动模式一致的频率成分。目前的数据表明,LDPM测量比红细胞压积对速度更敏感。此外,血液稀释似乎影响不同的小动脉和静脉血流运动模式。
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Correlation between laser Doppler perfusion monitoring and hematocrit in hamster cheek pouch microcirculation.

The aim of this study was to investigate the relationships between laser Doppler perfusion monitoring (LDPM) measurements and different systemic hematocrits in microcirculation in terms of changes in oscillatory flow patterns. The hamster cheek pouch microvasculature was visualized by a fluorescent microscopy technique, and LDPM signals were derived from arterioles and venules under control conditions and after isovolemic hemodilution with saline and 6% dextran, MW 70,000 to 26.1 +/- 2.1%. Vasomotion, oscillations of microvascular blood flow (flow motion) and red blood cell (RBC) velocity were analyzed with Fourier transform and autoregressive modeling. LDPM recordings presented a significant increase in perfusion units (PU) during hemodilution-184 +/- 15 versus baseline 137 +/- 11 PU in arterioles and 40.2 +/- 3.5 versus 28.6 +/- 4.3 PU in venules-that was correlated with a significant increment in arteriolar and venular RBC velocity. There was a rise in the frequency [2.9 +/- 0.5 cycles per min (cpm) vs. 1.8 +/- 0.5 cpm] and spectral power of flow motion in arterioles whereas the increase in spectral power was related to a decrease in frequency (12.6 +/- 2.1 vs. 3.6 +/- 0.7 cpm) in venules. Oscillations in arteriolar and venular RBC velocity revealed coincident frequency components with flow motion patterns. The present data suggest that the LDPM measurements are more sensitive to velocity than hematocrit. Furthermore, hemodilution appears to affect differently arteriolar and venular flow motion patterns.

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