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麻醉期间饮食中钠对肾素活性和动脉血压的影响。

Influence of dietary sodium on renin activity and arterial pressure during anesthesia.

作者信息

Fray J C, Siwek L G, Strull W M, Steller R N, Wilson J M

出版信息

Am J Physiol. 1976 Oct;231(4):1185-90. doi: 10.1152/ajplegacy.1976.231.4.1185.

Abstract

The effect of pentobarbital anesthesia on plasma renin activity (PRA) and mean arterial pressure (MAP) was studied in chronically catheterized dogs maintained on normal or low-sodium intake. Within 1 min of administration, pentobarbital caused a rapid fall in MAP which was followed by a restoration of MAP toward control within 5 min. Thirty minutes after induction of anesthesia, PRA was unchanged in sodium-replete dogs and elevated two-fold in sodium-depleted dogs. MAP was significantly lowered (20 mmHg) in normal salt dogs and only slightly decreased in low-salt dogs 30 min after pentobarbital. MAP returned to preanesthetic control value in dogs given converting enzyme inhibitor before anesthesia. Surgical stress or cutaneous electrical stimulation causey hexamethonium. These results indicate that change in PRA and MAP of pentobarbital-anesthetized dogs is significantly influenced by the sodium intake of the animal and by the degree of surgical stress.

摘要

在维持正常或低钠摄入的慢性插管犬中,研究了戊巴比妥麻醉对血浆肾素活性(PRA)和平均动脉压(MAP)的影响。给药后1分钟内,戊巴比妥使MAP迅速下降,随后在5分钟内MAP恢复至对照水平。麻醉诱导30分钟后,钠充足的犬PRA未改变,而钠缺乏的犬PRA升高两倍。戊巴比妥给药30分钟后,正常盐摄入犬的MAP显著降低(20 mmHg),低盐犬的MAP仅略有下降。麻醉前给予转换酶抑制剂的犬,MAP恢复到麻醉前对照值。手术应激或皮肤电刺激可引起六甲铵。这些结果表明,戊巴比妥麻醉犬的PRA和MAP变化受动物钠摄入量和手术应激程度的显著影响。

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