徐向伟, 杨伟, 赵专友, 刘厚孝, 曾贵云. 重组人脑钠肽及米力农对麻醉犬血流动力学及肾功能的影响J. 药学学报, 2002, 37(7): 506-509.
引用本文: 徐向伟, 杨伟, 赵专友, 刘厚孝, 曾贵云. 重组人脑钠肽及米力农对麻醉犬血流动力学及肾功能的影响J. 药学学报, 2002, 37(7): 506-509.
XU Xiang-wei, YANG Wei, ZHAO Zhuan-you, LIU Hou-xiao, ZENG Gui-yun. EFFECTS OF RECOMBINANT HUMAN BRAIN NATRIURETIC PEPTIDE AND MILRINONE ON CARDIAC HEMODYNAMICS AND RENAL FUNCTION IN ANESTHETIZED DOGJ. Acta Pharmaceutica Sinica, 2002, 37(7): 506-509.
Citation: XU Xiang-wei, YANG Wei, ZHAO Zhuan-you, LIU Hou-xiao, ZENG Gui-yun. EFFECTS OF RECOMBINANT HUMAN BRAIN NATRIURETIC PEPTIDE AND MILRINONE ON CARDIAC HEMODYNAMICS AND RENAL FUNCTION IN ANESTHETIZED DOGJ. Acta Pharmaceutica Sinica, 2002, 37(7): 506-509.

重组人脑钠肽及米力农对麻醉犬血流动力学及肾功能的影响

EFFECTS OF RECOMBINANT HUMAN BRAIN NATRIURETIC PEPTIDE AND MILRINONE ON CARDIAC HEMODYNAMICS AND RENAL FUNCTION IN ANESTHETIZED DOG

  • 摘要: 目的观察重组人脑钠肽(rhBNP)对麻醉犬血流动力学和肾功能的作用。方法给麻醉开胸犬恒速输注rhBNP(采用累积给药方式),或iv米力农后,进行血流动力学测定,并测定尿量、尿钠和血钠含量。结果rhBNP可使MAP,LVSP,LVdP/dt,PAP,LVEDP,TPR及RVR呈剂量依赖性下降,CO有增加趋势,尿量和尿钠排出量呈剂量依赖性增加。米力农则明显降低MAP,PAP,LVEDP,TPR,RBF及RVR,升高LVSP,LVdP/dt和CO,加快心率,对尿量、尿钠排出量和血钠无明显影响。结论rhBNP能明显降低心脏前后负荷,改善心脏功能;可舒张肾动脉,有扩张血管和利尿排钠作用。米力农则有正性肌力和频率作用,无利尿利钠作用。

     

    Abstract: AIMTo study the effects of rhBNP and milrinone on the cardiac hemodynamics and renal function in anesthetized dogs. METHODSThe actions of rhBNP given cumulatively iv 10,30 and 100 ng·kg-1 for 30 min and milrinone of single dose (100 μg·kg-1, iv) on cardiac hemodynamics and renal function were studied in anesthetized open-chest dogs. RESULTSIn anesthetized dogs (N=7) intravenous infusion of rhBNP at 10~100 ng·kg-1, caused decreases in mean arterial pressure (MAP), left ventricular systolic pressure (LVSP), LVdP/dtmax, pulmonary arterial pressure (PAP), left ventricular end diastolic pressure (LVEDP), total peripheral resistance (TPR) and renal vascular resistance (RVR) dose-dependently, without significant changes in cardiac output (CO), LV(dP/dt)/P, renal blood flow (RBF) and heart rate (HR), increases in urinary volume and sodium excretion. In anesthetized dogs (N=6), there were remarkable decreases in MAP, LVEDP, PAP, TPR, RBF, RVR and urinary volume following the MIL (100 μg·kg-1, iv), with significant increases of LVSP, ±LVdP/dtmax, HR and CO, but no marked changes in urinary volume and sodium excretion. CONCLUSIONrhBNP reduces the pre-load and after-load in the anethetized dogs but showed no distinct effect on the contractility of the heart. Positive inotropic and chronotropic actions have been demonstrated after intravenous injection of milrinone 100 μg·kg-1 in anesthetized dogs.

     

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