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猴子体内的γ-羟基丁酸。III. 静脉注射抗惊厥药物的作用。

Gamma hydroxybutyrate in the monkey. III. Effect of intravenous anticonvulsant drugs.

作者信息

Snead O C

出版信息

Neurology. 1978 Nov;28(11):1173-8. doi: 10.1212/wnl.28.11.1173.

Abstract

Monkeys were treated intravenously with various anticonvulsant drugs before and after the intravenous administration of gamma hydroxybutyrate (GHB). Continuous electroencephalographic (EEG) and temperature monitoring was performed throughout all experiments. The GHB-induced EEG changes were abolished by ethosuximide and clonazepam, marginally improved by diazepam, and unaffected by phenobarbital. The GHB-induced myoclonic jerks were abolished by ethosuximide, significantly improved by diazepam, and worsened by clonazepam. Phenobarbital was effective in diminishing the frequency of GHB-induced myoclonic jerks only when given prior to administration of GHB. The GHB-induced stupor was improved only by ethosuximide. The GHB model of petit mal seizures is quite specific for drugs used in this disorder. GHB may play a role in the pathogenesis of absence seizures in children.

摘要

在静脉注射γ-羟基丁酸(GHB)之前和之后,给猴子静脉注射各种抗惊厥药物。在所有实验过程中持续进行脑电图(EEG)和体温监测。乙琥胺和氯硝西泮可消除GHB引起的EEG变化,地西泮使其略有改善,苯巴比妥则无影响。乙琥胺可消除GHB引起的肌阵挛性抽搐,地西泮可显著改善,氯硝西泮则使其加重。仅在GHB给药前给予苯巴比妥才有效减少GHB引起的肌阵挛性抽搐频率。仅乙琥胺可改善GHB引起的木僵状态。GHB失神发作模型对用于该病症的药物相当特异。GHB可能在儿童失神发作的发病机制中起作用。

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