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生长抑素对门静脉高压大鼠内脏血流动力学及血浆胰高血糖素的影响。

Effects of somatostatin on splanchnic hemodynamics and plasma glucagon in portal hypertensive rats.

作者信息

Kravetz D, Bosch J, Arderiu M T, Pizcueta M P, Casamitjana R, Rivera F, Rodés J

机构信息

Liver Unit, Hospital Clínic i Provincial de Barcelona, Spain.

出版信息

Am J Physiol. 1988 Mar;254(3 Pt 1):G322-8. doi: 10.1152/ajpgi.1988.254.3.G322.

Abstract

The effects of somatostatin infusion on splanchnic and systemic hemodynamics and plasma glucagon levels were investigated in rats with portal hypertension. Forty-four male Sprague-Dawley rats were studied. Portal hypertension was induced in 26 rats by partial portal vein ligation (PVL). These rats were divided in two experimental groups to receive blindly 1) somatostatin (PVL-SMT, n = 13) at a dose of 25 micrograms/kg body wt during 30 min preceded by a bolus injection of 15 micrograms/kg body wt or 2) placebo (saline) (PVL-P, n = 13) infused at the same rate as in the previous group. The remaining 18 rats were used as normal controls and received somatostatin (n = 9) or saline infusion (n = 9). Regional blood flows and cardiac output were measured using radioactive microspheres. Arterial and portal pressures were also measured. In portal hypertensive rats somatostatin infusion produced significant reductions in the increased portal venous inflow, reductions in portal pressure, and significantly increased portal venous resistance. Reduction of portal venous inflow was due to splanchnic vasoconstriction, evidenced by increased splanchnic arteriolar resistance. No significant differences were observed in systemic hemodynamic parameters between PVL-SMT and PVL-P rats. Plasma glucagon levels were significantly reduced by somatostatin to levels similar to those observed in sham-operated rats. In sham-operated rats, somatostatin also caused significant reduction in portal venous inflow and plasma glucagon concentration, although these changes were of lesser magnitude than in portal hypertensive rats.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

研究了生长抑素输注对门静脉高压大鼠内脏和全身血流动力学及血浆胰高血糖素水平的影响。对44只雄性斯普拉格 - 道利大鼠进行了研究。通过部分门静脉结扎(PVL)在26只大鼠中诱导门静脉高压。这些大鼠被随机分为两个实验组,分别盲法接受:1)生长抑素(PVL - SMT,n = 13),在30分钟内以25微克/千克体重的剂量输注,之前先推注15微克/千克体重;或2)安慰剂(生理盐水)(PVL - P,n = 13),以与前一组相同的速率输注。其余18只大鼠作为正常对照,接受生长抑素输注(n = 9)或生理盐水输注(n = 9)。使用放射性微球测量局部血流量和心输出量。还测量了动脉压和门静脉压。在门静脉高压大鼠中,输注生长抑素可使增加的门静脉血流量显著减少,门静脉压力降低,并使门静脉阻力显著增加。门静脉血流量的减少是由于内脏血管收缩,内脏小动脉阻力增加证明了这一点。PVL - SMT组和PVL - P组大鼠的全身血流动力学参数没有显著差异。生长抑素可使血浆胰高血糖素水平显著降低至假手术大鼠中观察到的水平。在假手术大鼠中,生长抑素也导致门静脉血流量和血浆胰高血糖素浓度显著降低,尽管这些变化的幅度小于门静脉高压大鼠。(摘要截短至250字)

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