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α-氯醛糖会改变下尿路的自主反射功能。

alpha-Chloralose alters autonomic reflex function of the lower urinary tract.

作者信息

Rudy D C, Downie J W, McAndrew J D

机构信息

Division of Urology, University of Texas School of Medicine, Houston 770301.

出版信息

Am J Physiol. 1991 Dec;261(6 Pt 2):R1560-7. doi: 10.1152/ajpregu.1991.261.6.R1560.

Abstract

The effects of alpha-chloralose on the micturition reflex were evaluated using an efficiently voiding decerebrate cat model. At laparotomy cannulas were introduced into the urethra and/or bladder for measurement of urethral perfusion pressure and/or bladder pressure during bladder filling and voiding. After establishment of efficient voiding in the anesthetic-free decerebrate cat, chloralose, 50 mg/kg iv, was administered. Parameters assessed before and after anesthetic included bladder pressure at peak of contraction (voiding pressure), intravesical pressure at onset of bladder contraction (threshold pressure), contraction amplitude, duration of bladder contraction, bladder volume at onset of bladder contraction (volume threshold), and residual bladder volume after voiding (postvoid residual). In addition to these parameters, preparations with intact bladder-urethra and with divided bladder-urethra were used to assess effects of chloralose on voiding efficiency and coordination between bladder and urethra, respectively. Chloralose significantly reduced voiding pressure, contraction amplitude, and voiding efficiency. Neither vehicle for the chloralose nor sympathetic denervation of the lower urinary tract affected these reductions. Chloralose had no effect on direct contraction of the bladder and urethra produced by intra-arterial acetylcholine (25-100 micrograms). Chloralose converted the synergic bladder and urethral responses during voiding to dyssynergic responses. Neuromuscular blockade with gallamine, 10 mg/kg iv, improved voiding efficiency.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

使用高效排尿的去大脑猫模型评估了α-氯醛糖对排尿反射的影响。在剖腹手术时,将插管插入尿道和/或膀胱,以测量膀胱充盈和排尿期间的尿道灌注压和/或膀胱压力。在无麻醉的去大脑猫建立高效排尿后,静脉注射50mg/kg氯醛糖。评估麻醉前后的参数包括收缩峰值时的膀胱压力(排尿压力)、膀胱收缩开始时的膀胱内压力(阈值压力)、收缩幅度、膀胱收缩持续时间、膀胱收缩开始时的膀胱容量(容量阈值)以及排尿后的残余膀胱容量(排尿后残余量)。除了这些参数外,还分别使用膀胱-尿道完整和膀胱-尿道分离的标本评估氯醛糖对排尿效率以及膀胱与尿道之间协调性的影响。氯醛糖显著降低了排尿压力、收缩幅度和排尿效率。氯醛糖的溶媒以及下尿路的交感神经去支配均未影响这些降低作用。氯醛糖对动脉内注射乙酰胆碱(25 - 100微克)引起的膀胱和尿道直接收缩没有影响。氯醛糖将排尿期间膀胱和尿道的协同反应转变为不协调反应。静脉注射10mg/kg加拉明进行神经肌肉阻滞可提高排尿效率。(摘要截短至250字)

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