Kobayashi Atsuko
Department of Anesthesiology, Kyoto Prefectural University of Medicine, 465 Kajiicho, Kawaramachi-Hirokoji, Kamigyo-ku, 602, Kyoto, Japan.
J Anesth. 1994 Jun;8(2):154-158. doi: 10.1007/BF02514704.
The glomerular filtration rate (GFR), renal plasma flow (RPF), renal blood flow (RBF), filtration fraction (FF), and the ratio of mean arterial pressure (MAP) to RBF (MAP/RBF), reflecting renal vascular resistance (RVR) were determined to investigate the effects of intravenously administered prostaglandin E (PGE) on renal hemodynamics in humans. PGE produced no significant changes in GFR, but did cause significant increases in RPF and RBF and significant decreases in FF and MAP/RBF. The relationships between MAP and GFR, MAP and RBF, and MAP and MAP/RBF were investigated. PGE suppressed the increase of MAP/RBF along with the increase of MAP, increased the RBF along with the increase of MAP, and kept the GFR constant, regardless of MAP. Also, the effects of PGE on renal pericapillary vessels were simulated. According to this simulation, PGE had a vasodilator action on both preglomerular and postglomerular capillaries.
测定肾小球滤过率(GFR)、肾血浆流量(RPF)、肾血流量(RBF)、滤过分数(FF)以及反映肾血管阻力(RVR)的平均动脉压(MAP)与RBF的比值(MAP/RBF),以研究静脉注射前列腺素E(PGE)对人体肾血流动力学的影响。PGE对GFR无显著影响,但可使RPF和RBF显著增加,FF和MAP/RBF显著降低。研究了MAP与GFR、MAP与RBF以及MAP与MAP/RBF之间的关系。无论MAP如何变化,PGE均能抑制MAP/RBF随MAP升高而增加,使RBF随MAP升高而增加,并保持GFR恒定。此外,还模拟了PGE对肾周毛细血管的作用。根据该模拟结果,PGE对肾小球前和肾小球后毛细血管均有舒张作用。