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利尿对排尿的影响。

Effects of diuresis on micturition.

作者信息

Levin R M, Wein A J, Eika B, Tammela T L, Longhurst P A

机构信息

Division of Urology, University of Pennsylvania School of Medicine, Philadelphia, USA.

出版信息

Neurourol Urodyn. 1995;14(2):169-76. doi: 10.1002/nau.1930140209.

Abstract

Micturition can be characterized experimentally by monitoring both the frequency and volume of micturition. Previous studies demonstrated that the functional capacity of the rat and rabbit bladder, as determined by cystometry, is approximately equal to the maximal single micturition volume as recorded over a 24 hour period. Studies in many laboratories have demonstrated that chronic increases in diuresis induce increases in micturition frequency and capacity, and an increase in bladder mass. The current study compares the temporal relationship among these parameters in three models of diuresis: streptozotocin-induced diabetes in rats, sucrose-induced diuresis in rats, and furosemide-induced diuresis in rabbits. In both sucrose diuresis in rats and furosemide diuresis in rabbits there were immediate increases in both the frequency and volume of micturition. The magnitude of the increases in micturition frequency and micturition volume paralleled the increase in the total volume of urine excreted. Bladder mass increased progressively over the time course of the study. Streptozotocin-induced diabetes resulted in a more gradual (but parallel) increase in micturition frequency and volume, and again a more gradual increase in bladder mass. These studies demonstrate that functional bladder capacity is increased immediately upon the initiation of diuresis with sucrose or furosemide, as is the frequency of micturition. This indicates that functional bladder capacity is probably under neuronal regulation and the change in capacity is not a function of the increased bladder mass which occurs at a later time period.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

排尿可通过监测排尿频率和尿量进行实验性表征。先前的研究表明,通过膀胱测压法测定的大鼠和兔膀胱的功能容量,大约等于24小时内记录的最大单次排尿量。许多实验室的研究表明,慢性利尿增加会导致排尿频率和容量增加,以及膀胱质量增加。本研究比较了三种利尿模型中这些参数之间的时间关系:链脲佐菌素诱导的大鼠糖尿病、蔗糖诱导的大鼠利尿和速尿诱导的兔利尿。在大鼠蔗糖利尿和兔速尿利尿中,排尿频率和尿量均立即增加。排尿频率和排尿量增加的幅度与总尿量的增加平行。在研究过程中,膀胱质量逐渐增加。链脲佐菌素诱导的糖尿病导致排尿频率和尿量逐渐增加(但呈平行关系),膀胱质量同样逐渐增加。这些研究表明,用蔗糖或速尿开始利尿后,功能性膀胱容量立即增加,排尿频率也是如此。这表明功能性膀胱容量可能受神经调节,容量的变化不是后期出现的膀胱质量增加的函数。(摘要截短至250字)

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