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新型心脏选择性β受体阻滞剂比索洛尔引起的肾功能急性变化。

Acute changes in renal function induced by bisoprolol, a new cardioselective beta-blocking agent.

作者信息

Glück Z, Reubi F C

出版信息

Eur J Clin Pharmacol. 1986;31(1):107-11. doi: 10.1007/BF00870997.

DOI:10.1007/BF00870997
PMID:2877882
Abstract

The acute effects of bisoprolol 10 mg i.v., a new beta1-selective adrenoceptor antagonist, on heart rate, mean blood pressure (mBP), glomerular filtration rate (GFR), para-aminohippuric acid clearance (CPAH), sodium clearance, urine volume and plasma renin activity (PRA), were studied in 6 patients with essential hypertension. Heart rate decreased by 23%, mBP remained unchanged, and GFR decreased by 14% and CPAH by 23%. PRA was depressed on average by 25%. Urine volume and sodium clearance also declined by 9 and 13%, respectively, but the changes were not statistically significant. The fall in heart rate was significantly correlated with that in GFR and CPAH. Changes in GFR were correlated significantly with those in CPAH. The acute changes in renal function induced by bisoprolol are considered to be due to a reduction in cardiac output and increased systemic vascular resistance.

摘要

在6例原发性高血压患者中研究了新型β1选择性肾上腺素能受体拮抗剂比索洛尔静脉注射10 mg对心率、平均血压(mBP)、肾小球滤过率(GFR)、对氨基马尿酸清除率(CPAH)、钠清除率、尿量和血浆肾素活性(PRA)的急性影响。心率下降23%,mBP保持不变,GFR下降14%,CPAH下降23%。PRA平均降低25%。尿量和钠清除率也分别下降了9%和13%,但这些变化无统计学意义。心率下降与GFR和CPAH下降显著相关。GFR的变化与CPAH的变化显著相关。比索洛尔引起的肾功能急性变化被认为是由于心输出量减少和全身血管阻力增加所致。

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1
Acute changes in renal function induced by bisoprolol, a new cardioselective beta-blocking agent.新型心脏选择性β受体阻滞剂比索洛尔引起的肾功能急性变化。
Eur J Clin Pharmacol. 1986;31(1):107-11. doi: 10.1007/BF00870997.
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本文引用的文献

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Renal function and hemodynamic studies in low- and normal-renin essential hypertension.低肾素型和正常肾素型原发性高血压的肾功能及血流动力学研究
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[Beta-receptors and renal hemodynamics in humans].[人类的β受体与肾血流动力学]
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[Comparative study of the influence of beta-adrenergic stimulants and adrenergic blocking drugs on renal function in normal humans].[β-肾上腺素能兴奋剂与肾上腺素能阻断药物对正常人体肾功能影响的比较研究]
Minerva Med. 1969 Apr 4;60(27):1229-32.
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Immediate hemodynamic effects of beta-adrenergic blockade with propranolol in normotensive and hypertensive man.普萘洛尔对血压正常和高血压男性进行β-肾上腺素能阻滞的即时血流动力学效应。
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