Volume 22 Issue 3
Mar.  2024
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ZHOU Xianming, XIA Wei, HUANG Jun, DONG Ping, ZHU Tianchang, WANG Fengcheng, ZHU Rui, YIN Tong, HUANG Houbao. Effects of different concentrations of isoproterenol on renal pelvic pressure in rabbit perfusion model[J]. Chinese Journal of General Practice, 2024, 22(3): 433-436. doi: 10.16766/j.cnki.issn.1674-4152.003419
Citation: ZHOU Xianming, XIA Wei, HUANG Jun, DONG Ping, ZHU Tianchang, WANG Fengcheng, ZHU Rui, YIN Tong, HUANG Houbao. Effects of different concentrations of isoproterenol on renal pelvic pressure in rabbit perfusion model[J]. Chinese Journal of General Practice, 2024, 22(3): 433-436. doi: 10.16766/j.cnki.issn.1674-4152.003419

Effects of different concentrations of isoproterenol on renal pelvic pressure in rabbit perfusion model

doi: 10.16766/j.cnki.issn.1674-4152.003419
Funds:

 AHWJ2021b131

  • Received Date: 2023-05-08
    Available Online: 2024-05-27
  •   Objective  The rabbit kidney was injected with different concentrations of isoproterenol, and the influence of renal pelvis pressure and vital signs was monitored to explore the optimal perfusion concentration.  Methods  A total of 60 New Zealand male white rabbits were divided into four groups randomly: A, B, C and D, with 15 rabbits in each group. Among them, A, B and C were the experimental group and D was the control group, 1.0, 0.9, 0.8 μg/mL isoproterenol solution were respectively used for renal pelvis perfusion in the experimental group, while group D received normal saline. Renal pelvis pressure, mean arterial pressure, heart rate and blood drug concentration at the beginning of perfusion, 0, 4, 8, 16, 25 min following perfusion were recorded.  Results  Three white rabbits died due to excessive anesthesia, one for each group A, B and D, and the experimental data of 57 white rabbits were obtained. After renal pelvis perfusion, the renal pelvis pressure increased in all four groups, and the difference between the experimental groups and the control group was statistically significant (P < 0.05). The renal pelvis pressure of groups A, B and C began to decrease after 4 minutes of perfusion, and the renal pelvis pressure of group D continued to increase after perfusion. The difference in renal pelvic pressure among the four groups at 4, 8, 16, 25 min was statistically significant (P < 0.05). At 16, 25 min, the differences between groups A, B, and C were statistically significant (P < 0.05). After 4 minutes, the mean arterial pressure, heart rate and blood drug concentration of the experimental groups were higher than those of the control group, and the differences were statistically significant (P < 0.05).  Conclusion  Isoproterenol can reduce the renal pelvis pressure when injected into the rabbit kidney as perfusion solution, more obvious when the concentration was 1.0 μg/mL, but it affects the blood pressure and heart rate of rabbits, whereas the concentration below 1.0 μg/mL is safe.

     

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  • [1]
    KARNAK I, BINGÖL-KOLOGLU M, BVYVKPAMUKÇU N, et al. The length and collapsibility of the ureter play roles in the augmented reflection of intraabdominal pressure into the renal pelvis[J]. J Pediatr Surg, 2004, 39(10): 1558-1561. doi: 10.1016/j.jpedsurg.2004.06.010
    [2]
    JAKOBSEN J S, JUNG H U, GRAMSBERGEN J B, et al. Endoluminal isoproterenol reduces renal pelvic pressure during semirigid ureterorenoscopy: a porcine model[J]. BJU Int, 2010, 105(1): 121-124. doi: 10.1111/j.1464-410X.2009.08678.x
    [3]
    黄健, 张旭. 中国泌尿外科疾病诊断治疗指南[M]. 北京: 科学出版社, 2022: 389.

    HUANG J, ZHANG X. Guidelines for diagnosis and treatment of urological diseases in China[M]. Beijing: Science Press, 2022: 389.
    [4]
    郭应禄, 那彦群, 叶章群. 中国泌尿外科疾病和男科诊断治疗指南[M]. 北京: 科学出版社, 2019: 237.

    GUO Y L, NA Y Q, YE Z Q. Guidelines for diagnosis and treatment of urological diseases in China[M]. Beijing: Science Press, 2019: 237.
    [5]
    高宏伟. 泌尿系结石治疗的方法及最新进展[J]. 天津医科大学学报, 2021, 27(1): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYK202101029.htm

    GAO H W. Methods and latest progress in the treatment of urinary calculi[J]. Journal of Tianjin Medical University, 2021, 27(1): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYK202101029.htm
    [6]
    郭营利, 俞健, 沈俊文. 输尿管软镜钬激光碎石术治疗输尿管结石伴肾积水的有效性及安全性分析[J]. 中华全科医学, 2023, 21(3): 420-462. doi: 10.16766/j.cnki.issn.1674-4152.002898

    GUO Y L, YU J, SHEN J W. Efficacy and safety of flexible ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi with hydronephrosis[J]. Chinese Journal of General Practice, 2023, 21(3): 420-462. doi: 10.16766/j.cnki.issn.1674-4152.002898
    [7]
    苏博兴, 肖博, 胡卫国, 等. 输尿管软镜一期上鞘失败率及相关临床因素分析[J]. 现代泌尿外科杂志, 2022, 27(11): 912-916. https://www.cnki.com.cn/Article/CJFDTOTAL-MNWK202211005.htm

    SU B X, XIAO B, HU W G, et al. Failure rate fureteral accesssheath insertion during retrograde intrarenal surgery and analysis of associated clinic alfactors[J]. J Mod Urol, 2022, 27(11): 912-916. https://www.cnki.com.cn/Article/CJFDTOTAL-MNWK202211005.htm
    [8]
    俞慧琴, 李瑞鹏, 诸靖宇. 输尿管结石患者经输尿管软镜取石术后发生院内感染的危险因素及预防措施[J]. 中华全科医学, 2019, 17(2): 303-320. doi: 10.16766/j.cnki.issn.1674-4152.000667

    YU H Q, LI R P, ZHU J Y. Risk factors and preventive measures of nosocomial infection in patients with ureteral calculi after flexible ureteroscopic lithotripsy[J]. Chinese Journal of General Practice, 2019, 17(2): 303-320. doi: 10.16766/j.cnki.issn.1674-4152.000667
    [9]
    XU Y, MIN Z, WAN S P, et al. Complications of retrograde intrarenal surgery classified by the modified Clavien grading system[J]. Urolithiasis, 2018, 46(2): 197-202. doi: 10.1007/s00240-017-0961-6
    [10]
    ZHONG W, WEN J, PENG L, et al. Enhanced super-mini-PCNL: low renal pelvic pressure and high stone removal efficiency in a prospective randomized controlled trial[J]. World J Urol, 2021, 39(3): 929-934. doi: 10.1007/s00345-020-03263-3
    [11]
    陈亮, 张仁涛, 丁银满, 等. 输尿管软镜鞘扩张法治疗输尿管狭窄合并结石初步体会[J]. 中华腔镜泌尿外科杂志, 2021, 15(3): 226-228. doi: 10.3877/cma.j.issn.1674-3253.2021.03.010

    CHEN L, ZHANG R T, DING Y M, et al. Clinical experiences of ureteral stricture with calculi treated by flexible ureteroscope sheath dilatation[J]. Chin J Endourol(Electronic Edition), 2021, 15(3): 226-228. doi: 10.3877/cma.j.issn.1674-3253.2021.03.010
    [12]
    黄倩, 柳懿鹏. 不同压力灌注下上尿路梗阻大鼠的肾损伤程度[J]. 郑州大学学报(医学版), 2018, 53(1): 117-121. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK201801029.htm

    HUANG Q, LIU Y P. Acute nephron injury degree in rats with upper urinary tract obstruction and different pressure perfusion[J]. Journal of Zhengzhou University(Medical Sciences), 2018, 53(1): 117-121. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK201801029.htm
    [13]
    JUNG H, NORBY B, FRIMODT-MOLLER P C, et al. Endoluminal isoproterenol irrigation decreases renal pelvic pressure during flexible ureterorenoscopy: a clinical randomized, controlled study[J]. Eur urol, 2008, 54(6): 1404-1413. doi: 10.1016/j.eururo.2008.03.092
    [14]
    DANUSER H, WEISS R, ABEL D, et al. Systemic and topical drug administration in the pig ureter: effect of phosphodiesterase inhibitors alpha1, beta and beta2-adrenergic receptor agonists and antagonists on the frequency and amplitude of ureteral contractions[J]. J Urol, 2001, 166(2): 714-720. doi: 10.1016/S0022-5347(05)66049-1
    [15]
    JAKOBSEN J S, HOLST U, JAKOBSEN P, et al. Local and systemic effects of endoluminal pelvic perfusion of isoproterenol: a dose response investigation in pigs[J]. J Urol, 2007, 177(5): 1934-1938. doi: 10.1016/j.juro.2007.01.020
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