Abdel-Razzak M
Arch Int Pharmacodyn Ther. 1977 Oct;229(2):227-34.
Using timed collection of blood returning via the renal veins, the renal blood flow was determined in anaesthetized dogs, following the intravenous injection of 3 beta-adrenergic blockers, namely propranolol, oxprenolol and pindolol. The test drugs were given as a bolus or as an infusion, and their effects on the renal blood flow and blood pressure were studied. All the test drugs produced diminution in both the renal blood flow and blood pressure. However, these effects were variable in degree. The diminution in the renal blood flow under the influence of beta-adrenergic blockers might be explained by concomitant reduction in the cardiac output and/or blockade of the renal vasodilator beta-adrenergic receptors. An added factor might by sympathetic stimulation with consequent renal vasoconstriction in the case of blockers with intrinsic sympathomimetic activity. Beta-adrenergic blocking drugs should be given with extreme caution in cases with impaired renal function.
通过对经肾静脉回流的血液进行定时采集,在静脉注射三种β - 肾上腺素能阻滞剂(即普萘洛尔、氧烯洛尔和吲哚洛尔)后,测定麻醉犬的肾血流量。受试药物以推注或输注方式给药,并研究它们对肾血流量和血压的影响。所有受试药物均使肾血流量和血压降低。然而,这些效应的程度各不相同。β - 肾上腺素能阻滞剂影响下肾血流量的减少可能是由于心输出量的相应减少和/或肾血管舒张性β - 肾上腺素能受体的阻断。对于具有内在拟交感活性的阻滞剂,另一个因素可能是交感神经刺激导致肾血管收缩。对于肾功能受损的病例,应极其谨慎地使用β - 肾上腺素能阻断药物。