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清醒兔对动脉压变化的肾交感神经反应。

Renal sympathetic responses to changes in arterial pressure in conscious rabbits.

作者信息

Sano N, Way D, McGrath B P

机构信息

Monash University Department of Medicine, Prince Henry's Hospital, Melbourne, Vic., Australia.

出版信息

J Auton Nerv Syst. 1989 Oct;28(1):75-83. doi: 10.1016/0165-1838(89)90009-x.

Abstract

Renal sympathetic nerve activity (RSNA) at rest and in response to changes in mean arterial pressure (MAP) were examined by measuring norepinephrine (NE) spillover rate across the kidney in 14 conscious rabbits. NE spillover rate was calculated from veno-arterial difference in plasma NE concentrations across the kidney corrected by the fractional extraction of infused tritiated NE. Renal NE spillover rate (mean +/- S.E.M.) at rest in 14 conscious rabbits was 14.7 +/- 0.9 ng/min. During sodium nitroprusside infusions at 10 and 20 micrograms/kg/min, renal NE spillover rate significantly increased by 55 and 101% in response to falls in MAP of 15 and 19% respectively. During phenylephrine infusion at 2 micrograms/kg/min, renal NE spillover rate significantly decreased by 40% in response to a 14% rise in MAP. The relative contribution of renal to total NE spillover rate decreased during sympathetic stimulation, while this ratio was unchanged during sympathetic inhibition. This study demonstrates that the renal NE spillover method is sufficiently sensitive and reliable to detect the responses in RSNA to physiological stimuli in conscious rabbits. The difference observed in the degree of stimulation of renal versus total NE spillover rate during hypotension produces confirmation that sympathetic responses are not uniformly distributed in the body.

摘要

通过测量14只清醒家兔肾脏去甲肾上腺素(NE)溢出率,研究了静息状态下以及平均动脉压(MAP)变化时的肾交感神经活动(RSNA)。NE溢出率通过经注入的氚标记NE的分数提取校正后的肾脏血浆NE浓度的动静脉差值来计算。14只清醒家兔静息时的肾NE溢出率(平均值±标准误)为14.7±0.9 ng/min。在以10和20微克/千克/分钟的速度输注硝普钠期间,随着MAP分别下降15%和19%,肾NE溢出率分别显著增加55%和101%。在以2微克/千克/分钟的速度输注去氧肾上腺素期间,随着MAP升高14%,肾NE溢出率显著下降40%。交感神经兴奋时,肾脏对总NE溢出率的相对贡献降低,而在交感神经抑制期间该比例不变。本研究表明,肾NE溢出方法对于检测清醒家兔RSNA对生理刺激的反应足够敏感和可靠。低血压期间观察到的肾脏与总NE溢出率刺激程度的差异证实了交感神经反应在体内并非均匀分布。

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