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膀胱扩张对麻醉犬肾传出纤维活动的影响。

The effect of distension of the urinary bladder on activity in efferent renal fibres in anaesthetized dogs.

作者信息

Drinkhill M J, Mary D A, Ramadan M R, Vacca G

机构信息

Department of Cardiovascular Studies, University of Leeds.

出版信息

J Physiol. 1989 Feb;409:357-69. doi: 10.1113/jphysiol.1989.sp017502.

Abstract
  1. To test whether distension of the urinary bladder causes a consistent change in activity in efferent renal nerve fibres, bladder distension was performed in anaesthetized dogs. The carotid sinuses were vascularly isolated and perfused with blood at constant flow. Both ureters were cannulated and the urinary bladder was distended with warm Ringer solution at a steady intravesical pressure. 2. In a first series of experiments all twenty-six renal nerve fibres in eleven dogs which responded to changes in carotid sinus pressure and changes in the nature of the blood perfusing the carotid sinuses also responded to distension of the bladder. 3. In a second series of experiments, graded bladder distension over a range of pressure of 0-9.2 kPa led to a graded increase in activity in thirteen efferent renal fibres in six dogs. The magnitude of the renal nerve response was greater at low than at high carotid sinus pressure. Over a range of carotid sinus pressure of 9-30 kPa, the greatest renal nerve activity was obtained at the lower end of this range in the presence of bladder distension. 4. Thus distension of the urinary bladder resulted in the response of a consistent increase in efferent renal nerve activity, which could be graded according to intravesical pressure. The magnitude of the responses to bladder distension was affected by carotid sinus pressure.
摘要
  1. 为了测试膀胱扩张是否会导致肾传出神经纤维的活动发生持续变化,在麻醉的狗身上进行了膀胱扩张实验。将颈动脉窦进行血管分离,并以恒定流量灌注血液。双侧输尿管插管,用温林格溶液以稳定的膀胱内压扩张膀胱。2. 在第一系列实验中,11只狗的26条肾神经纤维对颈动脉窦压力变化以及灌注颈动脉窦的血液性质变化有反应,它们对膀胱扩张也有反应。3. 在第二系列实验中,在0 - 9.2 kPa的压力范围内对膀胱进行分级扩张,导致6只狗的13条肾传出纤维的活动分级增加。在低颈动脉窦压力下,肾神经反应的幅度大于高颈动脉窦压力时。在9 - 30 kPa的颈动脉窦压力范围内,在膀胱扩张的情况下,在该范围的下限可获得最大的肾神经活动。4. 因此,膀胱扩张导致肾传出神经活动持续增加的反应,该反应可根据膀胱内压进行分级。对膀胱扩张的反应幅度受颈动脉窦压力的影响。

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