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前列腺素与肾功能。II. 前列腺素抑制对犬完整肾脏血流自身调节的影响。

Prostaglandins and renal function. II. The effect of prostaglandin inhibition on autoregulation of blood flow in the intact kidney of the dog.

作者信息

Venuto R C, O'Dorisio T, Ferris T F, Stein J H

出版信息

Prostaglandins. 1975 May;9(5):817-28. doi: 10.1016/0090-6980(75)90116-1.

Abstract

In order to evaluate the effect of prostaglandin release on renal autoregulation in the intact kidney of the dog, pressure-flow curves were obtained before and after the administration of either indomethacin or meclofenamate, two potent prostaglandin synthetase inhibitors. After drug administration renal venous prostaglandin E decreased in each of eight studies with a mean change from 286 to 141 pg/ml (p less than .001). In addition, prostaglandin inhibition was associated with a 31 percent decrease in renal blood flow and 58 percent increase in renal resistance. Yet, as renal perfusion pressure was decreased by aortic constriction, the change in flow per pressure reduction and the percent change in renal resistance were not significantly different after prostaglandin inhibition when compared to control values in the same animals. The magnitude of the pressure range over which autoregulation was maintained was also similar in the two groups although both the initial and lowest level of autoregulation were slightly higher after prostaglandin inhibition. It is concluded that the administration of these prostaglandin synthetase inhibitors does not significantly impair renal autoregulation in the intact dog kidney.

摘要

为了评估前列腺素释放对犬完整肾脏肾自动调节的影响,在给予两种强效前列腺素合成酶抑制剂吲哚美辛或甲氯芬那酸之前和之后获取压力-流量曲线。给药后,八项研究中的每一项肾静脉前列腺素E均下降,平均变化从286 pg/ml降至141 pg/ml(p小于0.001)。此外,前列腺素抑制与肾血流量减少31%和肾阻力增加58%相关。然而,当通过主动脉缩窄降低肾灌注压时,与同一动物的对照值相比,前列腺素抑制后每降低单位压力时的流量变化以及肾阻力的百分比变化并无显著差异。尽管前列腺素抑制后自动调节的初始水平和最低水平均略高,但两组维持自动调节的压力范围大小相似。得出的结论是,给予这些前列腺素合成酶抑制剂不会显著损害犬完整肾脏的肾自动调节。

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