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全身缺氧对麻醉大鼠肾功能的影响。

The effects of systemic hypoxia on renal function in the anaesthetized rat.

作者信息

Neylon M, Marshall J M, Johns E J

机构信息

Department of Physiology, Medical School, Birmingham, UK.

出版信息

J Physiol. 1995 Sep 1;487 ( Pt 2)(Pt 2):497-511. doi: 10.1113/jphysiol.1995.sp020895.

DOI:10.1113/jphysiol.1995.sp020895
PMID:8558479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1156588/
Abstract
  1. In rats anaesthetized with Saffan, renal function was monitored from the left kidney from the 5th minute of spontaneous breathing of 12% O2 for two 20 min periods and during air breathing before, between and after the hypoxic periods. Two groups of animals (I and II) were used, each group comprising two subgroups in which the left kidney was innervated or denervated, respectively; in Group II, renal perfusion pressure (RPP) was maintained during the 2nd hypoxic period by occl97uding the distal aorta. 2. In both subgroups of Group I, both hypoxic periods produced hyperventilation, arterial PO2 falling to approximately 50 mmHg. Concomitantly, mean arterial pressure (MABP) fell by similar extents (approximately 23%, from a baseline level of 140 mmHg during the 2nd hypoxic period). In the innervated subgroup, renal vascular conductance (RVC) increased, but glomerular filtration rate (GFR) fell (by 48 and 6%, respectively, during the 2nd hypoxic period), while urine flow, absolute sodium excretion (UNaV) and fractional sodium excretion (FENa) fell (by 52, 63 and 61%, respectively). Baseline urine flow, UNaV and FENa were higher in the denervated subgroup, but hypoxia produced similar percentage changes from baseline in all variables. 3. In Group II, both subgroups showed similar changes during the 1st hypoxic period as the corresponding subgroups of Group I. However, during the 2nd hypoxic period when the fall in MABP was reduced to approximately 7%, the increase in RVC persisted only in the denervated subgroup; there was no significant change in GFR, urine flow, UNaV or FENa in either subgroup. 4. These results indicate that, in the rat, moderate hypoxia produces antidiuresis and antinatriuresis that are not dependent on the renal nerves, but are dependent on the hypoxia-induced fall in MABP. The fall in renal perfusion pressure (RPP) may directly determine renal function, but reflex influences upon the kidney initiated by, for example, arterial baroreceptor unloading, may play a role. The fall in GFR and increase in RVC, which persisted after denervation or when renal perfusion was controlled, implies a local dilatatory influence acting preferentially on the efferent arterioles.
摘要
  1. 用三碘季铵酚麻醉大鼠,在吸入12%氧气自主呼吸的第5分钟起,对左肾的肾功能进行监测,持续两个20分钟时间段,并在低氧期之前、期间和之后的空气呼吸阶段进行监测。使用两组动物(I组和II组),每组包含两个亚组,其中左肾分别进行了神经支配或去神经支配处理;在II组中,在第二个低氧期通过阻断腹主动脉远端来维持肾灌注压(RPP)。2. 在I组的两个亚组中,两个低氧期均导致通气过度,动脉血氧分压降至约50 mmHg。与此同时,平均动脉压(MABP)下降程度相似(在第二个低氧期,从基线水平140 mmHg下降约23%)。在有神经支配的亚组中,肾血管传导率(RVC)增加,但肾小球滤过率(GFR)下降(在第二个低氧期分别下降48%和6%),而尿流量、绝对钠排泄量(UNaV)和钠排泄分数(FENa)下降(分别下降52%、63%和61%)。去神经支配亚组的基线尿流量、UNaV和FENa较高,但低氧对所有变量产生的相对于基线的变化百分比相似。3. 在II组中,两个亚组在第一个低氧期的变化与I组相应亚组相似。然而,在第二个低氧期,当MABP下降幅度降至约7%时,RVC的增加仅在去神经支配亚组中持续;两个亚组的GFR、尿流量、UNaV或FENa均无显著变化。4. 这些结果表明,在大鼠中,中度低氧会产生不依赖于肾神经但依赖于低氧诱导的MABP下降的抗利尿和利钠作用。肾灌注压(RPP)的下降可能直接决定肾功能,但例如由动脉压力感受器卸载引发的对肾脏的反射性影响可能也起作用。去神经支配后或控制肾灌注时持续存在的GFR下降和RVC增加,意味着存在一种优先作用于出球小动脉的局部扩张性影响。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/1156588/d6004b5c0ecc/jphysiol00312-0216-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/1156588/e079b6e8789d/jphysiol00312-0214-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/1156588/d6004b5c0ecc/jphysiol00312-0216-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/1156588/e079b6e8789d/jphysiol00312-0214-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/1156588/d6004b5c0ecc/jphysiol00312-0216-a.jpg

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本文引用的文献

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