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前列腺素合成抑制剂引起的骨骼肌血管收缩;对泵灌注的依赖性

Skeletal muscle vasoconstriction produced by prostaglandin synthesis inhibitors; dependence on pump perfusion.

作者信息

Falotico R, Zimmerman B G

出版信息

Prostaglandins. 1981 Jun;21(6):917-32. doi: 10.1016/0090-6980(81)90161-1.

Abstract

A comparison was made of the effect of prostaglandin synthesis inhibitors (PGSI) on systemic blood pressure and hindlimb muscle vascular resistance of anesthetized dogs under different experimental conditions. When muscle blood flow was monitored using an extracorporeal or noncannulating electromagnetic blood flow probe, indomethacin (5 mg/kg i.v.) increased blood pressure slightly, but did not change vascular resistance. Administration of PGSI (indomethacin, meclofenamate, or naproxen, 5 mg/kg i.v.) after 2 hr of pump perfusion of the hindlimb caused a 22% increase in blood pressure, and 39% increase in vascular resistance 30 min afterwards. When administered immediately after instituting pump perfusion, indomethacin caused no significant change in blood pressure or vascular resistance at the 30 min interval, but at 60 min vascular resistance was increased. A similar vasoconstrictor response to indomethacin was obtained when it was infused in a lower dose intraarterially to the hindlimb, or when given i.v. after ligation of the renal pedicles. The results indicate that pump perfusion results in elaboration of a nonrenal prostaglandin(s) which maintains a vasodilator influence on the skeletal muscle vascular bed.

摘要

在不同实验条件下,对前列腺素合成抑制剂(PGSI)对麻醉犬全身血压和后肢肌肉血管阻力的影响进行了比较。当使用体外或非插管式电磁血流探头监测肌肉血流时,吲哚美辛(5毫克/千克静脉注射)使血压略有升高,但未改变血管阻力。在后肢进行2小时泵灌注后给予PGSI(吲哚美辛、甲氯芬那酸或萘普生,5毫克/千克静脉注射),30分钟后血压升高22%,血管阻力增加39%。在开始泵灌注后立即给予吲哚美辛,30分钟时血压和血管阻力无显著变化,但60分钟时血管阻力增加。当以较低剂量动脉内注入后肢或在结扎肾蒂后静脉注射时,对吲哚美辛可获得类似的血管收缩反应。结果表明,泵灌注导致一种非肾源性前列腺素的产生,该前列腺素对骨骼肌血管床维持血管舒张作用。

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