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首页> 外文期刊>Experimental Physiology >Cortisol and ACTH responses to severe asphyxia in preterm fetal sheep.
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Cortisol and ACTH responses to severe asphyxia in preterm fetal sheep.

机译:皮质醇和促肾上腺皮质激素对早产胎羊严重窒息的反应。

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It has been hypothesized that the hypothalamic-pituitary-adrenal (HPA) axis is immature in the preterm fetus and that this compromises their ability to adapt to hypoxic stress; however, there are few direct data. We therefore examined the effects of asphyxia on HPA responses in chronically instrumented preterm fetal sheep (104 days of gestation; term is 147 days), allocated to a sham control group (n = 7) or 25 min of complete umbilical cord occlusion (n = 8), followed by recovery for 72 h. During umbilical cord occlusion there was a rapid rise in ACTH levels (230.4 +/- 63.5 versus 14.1 +/- 1.8 ng ml(-1) in sham controls, 16-fold) and cortisol levels (7.4 +/- 4.9 versus 0.2 +/- 0.1 ng ml(-1), 31-fold), with further increases after release of cord occlusion. ACTH levels were normalized by 24 h, while plasma cortisol levels returned to sham control values 72 h after asphyxia. Fetal arterial blood pressure was elevated in the first 36 h, with a marked increase in femoral vascular resistance, and correlated positively with cortisol levels after asphyxia (P = 0.05). In conclusion, the preterm fetus shows a brisk, substantial HPA response to severe hypoxia.
机译:据推测,下丘脑-垂体-肾上腺(HPA)轴在早产胎儿中不成熟,这损害了它们适应低氧应激的能力。但是,直接数据很少。因此,我们检查了窒息对慢性器械早产羊(妊娠104天;任期为147天)分配给假对照组(n = 7)或完全脐带闭塞25分钟(n = 8),然后恢复72小时。在脐带闭塞期间,ACTH水平迅速增加(假手术对照组为230.4 +/- 63.5 vs 14.1 +/- 1.8 ng ml(-1),为16倍)和皮质醇水平(7.4 +/- 4.9 vs 0.2 + /-0.1 ng ml(-1),为31倍),在释放脐带闭塞后进一步增加。窒息后72 h,ACTH水平恢复正常,而血浆皮质醇水平恢复至假对照值。胎儿的动脉血压在最初的36小时内升高,股血管阻力显着增加,并且与窒息后的皮质醇水平呈正相关(P = 0.05)。总之,早产胎儿对严重的缺氧表现出轻快,大量的HPA反应。

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