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口服避孕药(炔雌醇甲醚)治疗是否通过诱发交感神经功能亢进增强大鼠肾性高血压?

Does oral contraceptive (Enovid) treatment enhance renal hypertension in rats by inducing sympathetic hyperactivity?

作者信息

Buñag R D

出版信息

Pharmacology. 1980;20(6):292-7. doi: 10.1159/000137383.

Abstract

One-kidney renal hypertension was induced in rats that had been given Enovid or corn oil by daily gavage for 5 weeks, and treatment was then continued postoperatively for 10 weeks more. Systolic pressures began to rise almost immediately after hypertension was induced, and from the 4th postoperative week on, the pressure elevation was consistently more pronounced in Enovid-treated than in corn oil-treated rats. When autonomic ganglia were subsequently blocked with mecamylamine, the ensuing blood pressure fall was invariably larger in Enovid-treated than in corn oil-treated rats. In contrast, responses to beta-adrenergic blockade with propranolol were equivocal; heart rates fell while systolic pressures rose slightly to about the same extent in both groups. The larger hypotensive response to ganglion blockade in Enovid-treated rats is in accord with the interpretation that Enovid treatment augments development of renal hypertension by increasing sympathetic vasomotor tone.

摘要

通过每日灌胃给予炔雌醇或玉米油5周,诱导大鼠产生单肾肾性高血压,然后术后继续治疗10周。高血压诱导后收缩压几乎立即开始升高,术后第4周起,炔雌醇治疗组大鼠的血压升高始终比玉米油治疗组更为明显。随后用美加明阻断自主神经节时,炔雌醇治疗组大鼠随后的血压下降总是比玉米油治疗组更大。相比之下,两组对普萘洛尔β肾上腺素能阻断的反应不明确;心率下降,而两组收缩压均略有上升至大致相同程度。炔雌醇治疗组大鼠对神经节阻断的降压反应更大,这与炔雌醇治疗通过增加交感缩血管张力增强肾性高血压发展的解释一致。

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