经胎盘给药依那普利抑制新生大鼠动脉导管自发收缩

T. Takizawa, K. Arishima, Masako Yamamoto, H. Somiya, K. Shiota
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引用次数: 4

摘要

妊娠Wistar大鼠在剖宫产手术前15-60分钟口服血管紧张素转换酶(ACE)抑制剂——雄酸依那普利(EM),并在分娩后每隔一段时间对新生大鼠动脉导管(DA)直径进行校正。对照组新生大鼠的DA直径在分娩后90分钟逐渐下降到初始值的10%以下。在子宫内给予50或200 mg/kg EM的新生大鼠的DA直径在任何时间间隔内均大于对照组,最长可达90 rnin,并且在分娩后至少30 rnin的时间间隔内与对照组的差异显著,而在剖宫产前给药30 rnin。目前的研究表明,经胎盘给药依那普利可抑制新生大鼠DA的自发收缩,并支持ACE抑制剂不应在妊娠后期使用的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transplacentally‐Administered Enalapril Inhibits the Spontaneous Constriction of the Ductus Arteriosus in the Newborn Rat
ABSTRACT Pregnant Wistar rats were given orally enalapril maleate (EM), an angiotensin‐converting enzyme (ACE) inhibitor, 15–60 min prior to Caesarean operation and the diameter of the ductus arteriosus (DA) in the newborn rats was calibrated at intervals after delivery. The caliber of the DA in control newborn rats gradually decreased to less than 10% of the initial value by 90 rnin after delivery. The DA calibers of the newborn rats treated with 50 or 200 mg/kg EM in utero were larger than the controls at any time interval up to 90 rnin and the difference from the control value was significant for at least 30 rnin after delivery when the drug was given to the dam 30 rnin prior to Caesarean section. The present study has demonstrated that transplacentally‐administered enalapril inhibits the spontaneous constriction of the neonatal rat DA and supports the view that ACE inhibitors should not be used late in pregnancy.
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