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膀胱遥测:一种评估生理和炎症条件下排尿行为的新方法。

Bladder telemetry: A new approach to evaluate micturition behavior under physiological and inflammatory conditions.

作者信息

Monjotin Nicolas, Farrié Martine, Vergnolle Nathalie, Le Grand Bruno, Gillespie James, Junquero Didier

机构信息

Institut de Recherche Pierre Fabre, Castres, France.

INSERM, U1043, Toulouse, France.

出版信息

Neurourol Urodyn. 2017 Feb;36(2):308-315. doi: 10.1002/nau.22970. Epub 2016 Feb 16.

Abstract

AIMS

To establish a new approach to cystometry using telemetry in conscious rats and to use this technique to determine the role of conscious decision making processes with respect to the initiation of voiding in physiological, inflammatory, and painful conditions.

METHODS

The pressure transducer of a telemetric transmitter was implanted in the dome of the urinary bladder. After a recovery period of at least 1 month, several investigations of urodynamic parameters were performed after diuresis activation by a pulse of furosemide. The model was characterized by tolterodine and mirabegron under physiological conditions and same animals were reused to evaluate the modification of the voiding pattern under bladder inflammation induced by cyclophosphamide.

RESULTS

The quality of traces and measurement of parameters recorded telemetrically were comparable to those with conventional cystometry. Furosemide induced a reproducible transient increase of urine production and a series of voids that persisted for 60 min. Tolterodine reduced the amplitude of micturition contractions although mirabegron was devoid of any effect. Seven hours after injection of CYP, voiding frequency increased significantly and the micturition amplitude contraction was not altered. However, the mean volume voided during individual micturitions and the total voided volume decreased. During a second exposure to furosemide 24H after CYP injection, the micturition pattern returned to control, however, the micturition volume was still lower than in control.

CONCLUSION

This telemetric model appears to be as accurate as previously described in conscious conventional cystometry, and allows the repeated evaluation of compounds which may modulate the voiding patterns. Neurourol. Urodynam. 36:308-315, 2017. © 2016 The Authors. Neurourology and Urodynamics published by Wiley Periodicals, Inc.

摘要

目的

建立一种在清醒大鼠中使用遥测技术进行膀胱测压的新方法,并利用该技术确定在生理、炎症和疼痛状态下,有意识决策过程在排尿起始方面的作用。

方法

将遥测发射器的压力传感器植入膀胱顶部。经过至少1个月的恢复期后,通过速尿脉冲激活利尿作用,对尿动力学参数进行了多项研究。在生理条件下,用托特罗定和米拉贝隆对该模型进行表征,并使用相同的动物来评估环磷酰胺诱导的膀胱炎症下排尿模式的改变。

结果

遥测记录的曲线质量和参数测量与传统膀胱测压相当。速尿可引起可重复的短暂尿量增加和持续60分钟的一系列排尿。托特罗定降低了排尿收缩的幅度,而米拉贝隆没有任何作用。注射环磷酰胺7小时后,排尿频率显著增加,排尿幅度收缩未改变。然而,单次排尿时的平均排尿量和总排尿量减少。在注射环磷酰胺24小时后再次注射速尿时,排尿模式恢复到对照状态,但排尿量仍低于对照。

结论

这种遥测模型似乎与先前描述的清醒传统膀胱测压一样准确,并允许对可能调节排尿模式的化合物进行重复评估。《神经泌尿学与尿动力学》36:308 - 315, 2017。© 2016作者。《神经泌尿学与尿动力学》由威利期刊公司出版。

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