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压力反射激活在β受体阻滞剂替他洛尔和普萘洛尔对清醒自发性高血压大鼠区域血流动力学影响中的作用

Role of baroreflex activation in the regional hemodynamic effects of the beta-blockers tertatolol and propranolol in conscious spontaneously hypertensive rats.

作者信息

Struyker-Boudier H A, van Essen H, Nievelstein H M, Smits J F

出版信息

Am J Nephrol. 1986;6 Suppl 2:25-9. doi: 10.1159/000167329.

Abstract

The effects of the beta-adrenoceptor-blocking drugs tertatolol and propranolol on regional hemodynamics were compared in intact and sinoaortic denervated (SAD) conscious spontaneously hypertensive rats (SHR). Miniaturized Doppler flow probes were used for the continuous determination of changes in flows and resistances in the renal, mesenteric, and hindquarter vascular beds. In intact animals 5 mg/kg propranolol i.v. caused an initial increase and a later gradual fall in mean arterial blood pressure (MAP) and an early rise in all three resistances. In SAD rats the reduction in MAP occurred more readily and no increases in RR and MR were observed. RR even decreased significantly. 0.5 mg/kg tertatolol i.v. caused a similar change in MAP as did propranolol. In contrast, tertatolol increased resistance only in the hindquarter vascular bed, both in intact and SAD animals. These data show an important role of sinoaortic baroreflex activation in the early peripheral vasoconstriction caused by propranolol in conscious SHR. Moreover, the data suggest that tertatolol inhibits the sympathetic nervous system-mediated reflex vasoconstriction.

摘要

在完整的和去窦主动脉神经(SAD)的清醒自发性高血压大鼠(SHR)中,比较了β-肾上腺素受体阻断药替他洛尔和普萘洛尔对局部血流动力学的影响。使用小型化多普勒血流探头连续测定肾、肠系膜和后肢血管床的血流和阻力变化。在完整动物中,静脉注射5mg/kg普萘洛尔会使平均动脉血压(MAP)先升高,随后逐渐下降,并使所有三种阻力早期升高。在去窦主动脉神经的大鼠中,MAP更容易降低,且未观察到肾阻力(RR)和肠系膜阻力(MR)增加。RR甚至显著降低。静脉注射0.5mg/kg替他洛尔引起的MAP变化与普萘洛尔相似。相比之下,替他洛尔仅使后肢血管床的阻力增加,在完整动物和去窦主动脉神经的动物中均如此。这些数据表明,在清醒SHR中,窦主动脉压力反射激活在普萘洛尔引起的早期外周血管收缩中起重要作用。此外,数据表明替他洛尔抑制交感神经系统介导的反射性血管收缩。

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