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人体渗透压诱导的血管加压素分泌和口渴的体温调节

Body temperature modification of osmotically induced vasopressin secretion and thirst in humans.

作者信息

Takamata A, Mack G W, Stachenfeld N S, Nadel E R

机构信息

John B. Pierce Laboratory, Yale University School of Medicine, New Haven, Connecticut 06519, USA.

出版信息

Am J Physiol. 1995 Oct;269(4 Pt 2):R874-80. doi: 10.1152/ajpregu.1995.269.4.R874.

Abstract

We examined the effect of increased body core temperature (Tes) on the plasma arginine vasopressin concentration ([AVP]p) and thirst responses to increased plasma osmolality (Posm) induced by 3% NaCl infusion for 120 min in seven healthy humans. Tes was increased by immersion of the lower legs in 41 degrees C water in a 28 degrees C room (passive heating; HT). Immersion of the lower legs in 34.5 degrees C water on a separate day served as the control (thermoneutral; NT). The 120-min hypertonic saline infusion was initiated 30 min after the onset of leg immersion and was followed by a 30-min rehydration period. Tes in HT increased by 0.21 +/- 0.04 degree C before infusion and by 0.86 +/- 0.08 degree C at the end of infusion. The change in Tes in NT before and after the infusion was negligible. Posm was increased by 15.0 +/- 1.0 mosmol/kgH2O by infusion in both NT and HT. [AVP]p increased by 3.48 +/- 0.72 pg/ml in NT and by 7.59 +/- 1.02 pg/ml in HT. Thus the increase in [AVP]p at a given increase in Posm was markedly higher in HT than in NT. The plasma renin activity response to hypertonic saline infusion in both conditions was similar. Subjective thirst rating and cumulative water intake during rehydration were higher in HT than in NT.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们研究了在7名健康人体中,体核温度(Tes)升高对血浆精氨酸加压素浓度([AVP]p)以及对3%氯化钠输注120分钟诱导的血浆渗透压(Posm)升高的渴觉反应的影响。通过将小腿浸入28摄氏度房间的41摄氏度水中来升高Tes(被动加热;HT)。在另一天将小腿浸入34.5摄氏度水中作为对照(热中性;NT)。在小腿浸入开始30分钟后开始120分钟的高渗盐水输注,随后是30分钟的补液期。HT组在输注前Tes升高0.21±0.04摄氏度,输注结束时升高0.86±0.08摄氏度。NT组输注前后Tes的变化可忽略不计。NT组和HT组输注后Posm均升高15.0±1.0 mosmol/kgH2O。NT组[AVP]p升高3.48±0.72 pg/ml,HT组升高7.59±1.02 pg/ml。因此,在Posm给定升高时,HT组[AVP]p的升高明显高于NT组。两种情况下对高渗盐水输注的血浆肾素活性反应相似。HT组补液期间的主观渴觉评分和累积饮水量高于NT组。(摘要截断于250字)

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