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两种不同钙拮抗剂对犬肾小球血流动力学的影响。

The effect of two different calcium antagonists on the glomerular haemodynamics in the dog.

作者信息

Heller J, Horácek V

机构信息

Institute for Clinical and Experimental Medicine, Prague, Czechoslovakia.

出版信息

Pflugers Arch. 1990 Mar;415(6):751-5. doi: 10.1007/BF02584016.

Abstract

Kidney function of beagles fed a constant amount of food containing 3 mmol sodium.kgbodywt-1.day-1, and anaesthetized with pentobarbitone was investigated by clearance and micropuncture techniques during an intrarenal infusion of saline or the calcium antagonists verapamil (VER, 4 micrograms.kgbodywt-1.min-1) or nifedipine (NIF, 0.3 microgram.kgbodywt-1.min-1). Neither drug changed the mean arterial pressure. Apart from the natriuresis and diuresis, which were significantly greater with NIF than with VER, the response to both drugs was similar. Increases in renal blood flow (RBF; 17% with VER, 20% with NIF), glomerular filtration rate (GFR; VER: 34%; NIF: 39%) and filtration fraction (VER: 12%; NIF: 14%) were observed; similar values were obtained at the single nephron level. Pressure in glomerular capillaries, measured directly after ablation of a thin layer of cortex corticis, was increased by 11% with VER and 10% with NIF; no changes in proximal tubular and peritubular capillary pressure were seen. The glomerular ultrafiltration coefficient (Kf) did not change with either drug. Total arteriolar resistance was decreased (VER: 20%; NIF: 15%) due to a decrease in afferent resistance (VER: 31%; NIF: 27%) with no corresponding change in efferent resistance. The cause of the lack of responsiveness of the efferent arteriole remains unclear. In conclusion, in acute experiments with intrarenal administration, both drugs increase RBF and GFR by a preferential afferent dilatory mechanism without any change in Kf.

摘要

对食用恒定数量含3 mmol钠·kg体重⁻¹·天⁻¹食物的比格犬,用戊巴比妥麻醉后,在肾内输注生理盐水或钙拮抗剂维拉帕米(VER,4微克·kg体重⁻¹·分钟⁻¹)或硝苯地平(NIF,0.3微克·kg体重⁻¹·分钟⁻¹)期间,通过清除率和微穿刺技术研究其肾功能。两种药物均未改变平均动脉压。除了NIF引起的利钠和利尿作用显著大于VER外,对两种药物的反应相似。观察到肾血流量(RBF;VER增加17%,NIF增加20%)、肾小球滤过率(GFR;VER增加34%;NIF增加39%)和滤过分数(VER增加12%;NIF增加14%)升高;在单个肾单位水平获得了类似的值。在切除一层薄的皮质后直接测量的肾小球毛细血管压力,VER使其升高11%,NIF使其升高10%;近端小管和肾小管周围毛细血管压力未见变化。两种药物均未使肾小球超滤系数(Kf)改变。由于入球阻力降低(VER降低31%;NIF降低27%),而使出球阻力无相应变化,总小动脉阻力降低(VER降低20%;NIF降低15%)。出球小动脉缺乏反应性的原因尚不清楚。总之,在肾内给药的急性实验中,两种药物均通过优先的入球扩张机制增加RBF和GFR,而Kf无任何变化。

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