Schnizer W, Mesrogli M, Seichert N, Schöps P, Knorr H, Schneider J, Wassmann M
Institut für Medizinische Balneologie und Klimatologie der Universität München.
Zentralbl Gynakol. 1989;111(13):864-70.
The effect of a 40 minute thermoneutral bath on diuretic function and blood volume in a total of 27 pregnant women (13 healthy and 14 pregnant women with edema rsep. EPH-gestosis) was investigated. In both groups water immersion led to a significant increase of urine flow, natriuresis, kaliuresis, osmotic and free water clearance. Plasma volume increased about 8-9%. The patients with gestosis showed a higher creatinine clearance. The same group also showed a higher osmotic clearance and relatively more sodium excretion. Regarding the flushing effect of bath, two mechanism of water immersion that originated in hydrostatic pressure have to be discussed-activation of renal functions and mobilisation of interstitial fluid.
研究了40分钟热中性浴对总共27名孕妇（13名健康孕妇和14名分别患有水肿、妊娠高血压综合征的孕妇）利尿功能和血容量的影响。在两组中，水浸均导致尿流量、钠排泄、钾排泄、渗透清除率和自由水清除率显著增加。血浆容量增加约8-9%。妊娠高血压综合征患者的肌酐清除率较高。同一组还表现出较高的渗透清除率和相对较多的钠排泄。关于浴的冲洗作用，必须讨论源于静水压力的两种水浸机制——肾功能的激活和间质液的动员。
