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氯化托品对下尿路功能的影响

[Effects of trospium chloride on the lower urinary tract function].

作者信息

Suzuki T, Nishizawa O, Sugaya K, Kohama T, Matsuzaki A, Fukuda T, Tsukada T, Harada T, Tsuchida S

机构信息

Department of Urology, Akita University School of Medicine.

出版信息

Hinyokika Kiyo. 1990 Sep;36(9):1047-51.

PMID:2239610
Abstract

The effects of trospium chloride on the lower urinary tract function were studied by combined recording of cystometry and sphincter electromyogram in 13 decerebrated dogs. Micturition was induced by bladder filling before and after drug administration. A statistical analysis was carried out on the urodynamic parameters. Trospium chloride at the dose of 0.1 mg/kg showed a small but significant decrease in the threshold pressure during the collecting phase. In the urodynamic parameters of the emptying phase which is considered to be influenced by cholinergic activity, there was a significant decrease in maximum bladder pressure at 0.03, 0.1, and 0.3 mg/kg and a significant increase in residual urine at 0.3 mg/kg. Trospium chloride is probably acting as a antimuscarinic agent in this study. Trospium chloride appears to be useful for the relief of symptoms associated with hyperactive bladder contraction.

摘要

通过联合记录13只去大脑犬的膀胱测压和括约肌肌电图,研究了氯化托品对下尿路功能的影响。在给药前后通过膀胱充盈诱导排尿。对尿动力学参数进行了统计分析。剂量为0.1mg/kg的氯化托品在收集期的阈值压力有小幅但显著的降低。在被认为受胆碱能活性影响的排空期尿动力学参数中,0.03、0.1和0.3mg/kg时最大膀胱压力显著降低,0.3mg/kg时残余尿量显著增加。在本研究中,氯化托品可能作为一种抗毒蕈碱剂起作用。氯化托品似乎有助于缓解与膀胱过度活动收缩相关的症状。

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