Finke R, Gross R, Hackenthal E, Huber J, Kirchheim H R
Pflugers Arch. 1983 Oct;399(2):102-10. doi: 10.1007/BF00663904.
The effect of varying renal artery pressure between 160 and 40 mm Hg on renal blood flow and renin release was studied in seven conscious foxhounds under beta-adrenergic blockade receiving a normal sodium diet (4.1 mmol/kg/day). Pressure was either increased by bilateral common carotid occlusion or reduced in steps and maintained constant by a control-system using an inflatable renal artery cuff. Carotid occlusion itself had no influence on renal blood flow and renin release when renal artery pressure was kept constant and the beta-receptors in the kidney were blocked. Between 160 mm Hg and resting pressure there was no change in renal blood flow; between resting blood pressure and the lower limit of autoregulation (average 63.9 mm Hg) renal blood flow increased slightly (average 7%) indicating a high efficiency of renal blood flow autoregulation. The relationship between renal artery pressure and renin release could be approximated by two linear sections: a low sensitivity to a pressure change (average slope: -0.69 +/- 0.26 ng AI/min/mm Hg) was found above a threshold pressure (average: 89.8 +/- 3.3 mm Hg) and a high sensitivity to a pressure change (average slope: -64.4 +/- 20.8 ng AI/min/mm Hg) was observed between threshold pressure and 60 mm Hg. There was no further increase of renin release between 60 and 40 mm Hg.(ABSTRACT TRUNCATED AT 250 WORDS)
在七只清醒的猎狐犬中,研究了在接受正常钠饮食(4.1 mmol/kg/天)且处于β-肾上腺素能阻滞状态下,肾动脉压力在160至40 mmHg之间变化对肾血流量和肾素释放的影响。通过双侧颈总动脉闭塞使压力升高,或逐步降低压力,并使用可充气的肾动脉袖带控制系统将压力维持恒定。当肾动脉压力保持恒定且肾脏中的β受体被阻断时,颈总动脉闭塞本身对肾血流量和肾素释放没有影响。在160 mmHg和静息压力之间,肾血流量没有变化;在静息血压和自动调节下限(平均63.9 mmHg)之间,肾血流量略有增加(平均7%),表明肾血流量自动调节效率很高。肾动脉压力与肾素释放之间的关系可以用两个线性部分来近似:在阈值压力(平均:89.8±3.3 mmHg)以上,对压力变化的敏感性较低(平均斜率:-0.69±0.26 ng AI/min/mm Hg);在阈值压力和60 mmHg之间,对压力变化的敏感性较高(平均斜率:-64.4±20.8 ng AI/min/mm Hg)。在60至40 mmHg之间,肾素释放没有进一步增加。(摘要截断于250字)