Hynynen M, Ilmarinen R, Tikkanen I, Fyhrquist F
Department of Anaesthesia, Helsinki University Central Hospital, Finland.
Eur J Appl Physiol Occup Physiol. 1993;67(3):286-9. doi: 10.1007/BF00864230.
The purpose of this study was to evaluate the possible contribution of atrial natriuretic factor (ANF) to cold-induced diuresis. Seven healthy men, dressed in shorts, were exposed to a cold environment (+12 degrees C) for 90 min, and also to a thermoneutral environment. Exposure to cold increased urine output and sodium excretion significantly but plasma ANF concentration remained unchanged. The increase in urinary potassium excretion during cold exposure was not significant (P = 0.0636) and plasma renin activity did not change either. Exposure to cold increased mean arterial pressure significantly but it did not affect heart rate. We concluded that acute exposure to the cold environment induced a diuretic response, which was a solute diuresis in its nature. Our results did not give support to the hypothesis that ANF might be involved in the renal response to cold exposure.
本研究的目的是评估心房利钠因子(ANF)对冷诱导利尿的可能作用。七名身着短裤的健康男性,分别暴露于寒冷环境(12摄氏度)90分钟,以及热中性环境。暴露于寒冷环境显著增加尿量和钠排泄,但血浆ANF浓度保持不变。寒冷暴露期间尿钾排泄增加不显著(P = 0.0636),血浆肾素活性也未改变。暴露于寒冷环境显著增加平均动脉压,但不影响心率。我们得出结论,急性暴露于寒冷环境会诱发利尿反应,其本质为溶质利尿。我们的结果不支持ANF可能参与肾脏对寒冷暴露反应的假说。