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正常妊娠大鼠与肾性高血压妊娠大鼠孕期的循环系统变化

Circulatory changes during pregnancy in spontaneously and renal hypertensive rats.

作者信息

Lundgren Y, Karlsson K, Ljungblad U

出版信息

Clin Sci (Lond). 1979 Dec;57 Suppl 5:337s-339s. doi: 10.1042/cs057337s.

Abstract
  1. Mean arterial pressure, heart rate, cardiac output (dye-dilution technique), stroke volume, total peripheral resistance (TPR), utero-placental blood supply (microsphere technique) and foetal weights were determined 2 days before expected birth in normotensive control (NC) rats, spontaneously hypertensive (SH) rats, rats with short-standing renal hypertension induced early in pregnancy and rats with established renal hypertension induced 4 weeks before pregnancy. Non-pregnant rats in comparable states served as controls. 2. In normal pregnancy cardiac output increased by 33% and blood pressure and TPR decreased by 17 and 38% respectively. The same principal changes were noted in SH rats and those with short-standing renal hypertension, but no changes were found in rats with established renal hypertension during pregnancy. 3. Myometrial and placental blood supply was lower in all hypertensive groups compared with NC rats, the reduction being 46 and 36% in SH rats and in rats with established renal hypertension as much as 74 and 68% respectively. 4. In SH rats foetal weights were reduced compared with NC rats, but despite the 68% reduction of placental blood flow in rats with established renal hypertension foetal weights were here unchanged.
摘要
  1. 在预产期前2天,测定了正常血压对照(NC)大鼠、自发性高血压(SH)大鼠、妊娠早期诱发短期肾性高血压的大鼠以及妊娠前4周诱发已确立肾性高血压的大鼠的平均动脉压、心率、心输出量(染料稀释技术)、每搏输出量、总外周阻力(TPR)、子宫胎盘血供(微球技术)和胎儿体重。处于类似状态的未孕大鼠作为对照。2. 在正常妊娠中,心输出量增加33%,血压和TPR分别降低17%和38%。在SH大鼠和短期肾性高血压大鼠中也观察到相同的主要变化,但在妊娠期间已确立肾性高血压的大鼠中未发现变化。3. 与NC大鼠相比,所有高血压组的子宫肌层和胎盘血供均较低,SH大鼠和已确立肾性高血压的大鼠的减少量分别为46%和36%,高达74%和68%。4. 与NC大鼠相比,SH大鼠的胎儿体重降低,但尽管已确立肾性高血压的大鼠胎盘血流量减少了68%,但其胎儿体重在此处未发生变化。

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