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近来,温水浸浴的生理学效应已被详细研究。以坐位浸于1.3m 的水中直到颈部,水对脚的压力约为80mm Hg,在水面即颈部,压力递降为零。外部流体静力压差由于压缩了下肢和躯体的细胞外液,引起中枢性循环血量过多,使垂体加压素和醛固酮分泌减少,尿中前列腺素 E 分泌增加和肾小管的钠重吸收减少。这种过程引起混合性水盐利尿。本文报告一组肾病综合征患者试用水浸疗法的结果。肾病综合征患者5例,3男2女,年龄17～65岁。3例膜型肾小球肾炎,1例脂性肾变病,1例局灶性肾小球肾炎。全部患者均有低聋白血症和水肿,血清白蛋白16～26g/L,尿蛋白定量3.6～14.4g/24h,但均无晚期肾功能衰竭。试验前患者停用所有利尿剂至少3天。试验在浴池进行,水温维持在34℃。在水浸前2h 和一负荷剂量后,开始连续输注菊粉。在45～65min 的初次平衡期后,至少取得一份菊粉清除试验
Recently, the physiological effects of warm bathing have been studied in detail. The seat is immersed in 1.3m of water until the neck, the water pressure on the foot is about 80mmHg, in the water that neck, the pressure drops to zero. External hydrostatic pressure due to compression of the lower extremities and the body of the extracellular fluid, causing excessive blood circulation Central, so that pituitary vasopressin and aldosterone secretion decreased urinary prostaglandin E secretion and tubular reabsorption of sodium cut back. This process causes mixed water salt diuresis. This article reports the results of a pilot flood trial of a group of patients with nephrotic syndrome. Nephrotic syndrome in 5 patients, 3 males and 2 females, aged 17 to 65 years. 3 cases of membranous glomerulonephritis, 1 case of renal disease, 1 case of focal glomerulonephritis. All patients had hypoallergenic leukemia and edema, serum albumin 16 ~ 26g / L, urine protein 3.6 ~ 14.4g / 24h, but no late renal failure. The patient discontinued all diuretics for at least 3 days before testing. The test was carried out in the bath and the temperature of the water was maintained at 34 ° C. In 2h before flooding and a load dose, began continuous infusion of inulin. After the initial equilibration period of 45-65 min, at least one inulin clearance test was taken