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胍法辛和可乐定治疗及撤药对正常血压和肾性高血压大鼠血压和心率的影响。

The effects of treatment and of withdrawal of treatment with guanfacine and clonidine on blood pressure and heart rate in normotensive and renal hypertensive rats.

作者信息

Salzmann R

出版信息

J Pharm Pharmacol. 1979 Apr;31(4):212-6. doi: 10.1111/j.2042-7158.1979.tb13481.x.

Abstract

Disagreement in the literature about the occurrence of rebound hypertension (hypertensive overshoot) in animal models initiated this investigation. Oral doses of clonidine (0.03 mg kg-1) or guanfacine (0.3 mg kg-1) were administered twice daily during three weeks to groups of normotensive and renal hypertensive rats. Blood pressure and heart rate were measured immediately before and 3 h after the first daily dose, and compared with values obtained from placebo-treated control rats. Treatment with either drug induced large daily fluctuations rather than sustained falls in blood pressure. In the normotensive, but not in the hypertensive groups, the morning blood pressures measured before the first daily dose were significantly elevated over those of the control groups after 9 and 5 days of treatment with clonidine or guanfacine. This elevation persisted for 3 days after drug withdrawal. It is concluded that in the rat the duration of action of both drugs was short, so that twice daily administration of both drugs similarly produced large daily fluctuations rather than sustained falls in blood pressure. Blood pressure rises developed during treatment rather than after withdrawal in normotensive rats only. Therefore, this type of study does not relate well to the human situation and different experimental approaches to this problem are needed.

摘要

关于动物模型中反弹性高血压(高血压过冲)的发生,文献中存在分歧,这引发了本研究。在三周内,每天给正常血压和肾性高血压大鼠组口服两次可乐定(0.03毫克/千克)或胍法辛(0.3毫克/千克)。在每日首次给药前和给药后3小时测量血压和心率,并与安慰剂处理的对照大鼠获得的值进行比较。两种药物治疗均引起每日血压大幅波动,而非持续下降。在正常血压组而非高血压组中,在使用可乐定或胍法辛治疗9天和5天后,每日首次给药前测量的早晨血压显著高于对照组。停药后这种升高持续了3天。结论是,在大鼠中,两种药物的作用持续时间较短,因此每日两次给药同样会引起每日血压大幅波动,而非持续下降。仅在正常血压大鼠中,血压升高是在治疗期间而非停药后出现。因此,这类研究与人类情况不太相关,需要针对这个问题采用不同的实验方法。

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