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氟烷、戊巴比妥和氯胺酮对新西兰白兔暗期早期血清褪黑素水平的影响。

Effects of halothane, pentobarbital and ketamine on serum melatonin levels in the early scotophase in New Zealand white rabbits.

作者信息

Pang C S, Mulnier C, Pang S F, Yang J C

机构信息

Department of Anaesthesiology, University of Hong Kong, Hong Kong.

出版信息

Biol Signals Recept. 2001 Sep-Oct;10(5):310-6. doi: 10.1159/000046898.

Abstract

In mammals, the nocturnal rise in pineal melatonin is regulated by signals from the endogenous clock, the hypothalamic suprachiasmatic nuclei. There have been few reports on whether anaesthetics which modulate multisynaptic neuronal functions affect melatonin secretion. We studied the effects of three commonly used anaesthetics, halothane, pentobarbital and ketamine, on serum melatonin levels in male New Zealand white rabbits. Seven blood samples were collected, 30-60 min apart, before, during and after anaesthesia. Experiments were performed in the late light and early dark period, so that changes in melatonin secretion would be reflected in the onset and/or level of nocturnal serum melatonin. Serum melatonin levels were determined by radioimmunoassay. Our results indicated that halothane attenuated the release of melatonin and pentobarbital had no apparent effect, whereas ketamine potentiated the release of melatonin. These findings suggest that melatonin levels may be affected in patients anaesthetized with halothane or ketamine, resulting in disturbed biological rhythms, especially the sleep-wake cycle following recovery.

摘要

在哺乳动物中,松果体褪黑素的夜间升高受内源性生物钟——下丘脑视交叉上核发出的信号调节。关于调节多突触神经元功能的麻醉剂是否会影响褪黑素分泌的报道很少。我们研究了三种常用麻醉剂——氟烷、戊巴比妥和氯胺酮对雄性新西兰白兔血清褪黑素水平的影响。在麻醉前、麻醉期间和麻醉后,每隔30 - 60分钟采集七份血样。实验在傍晚和黎明前时段进行,以便夜间血清褪黑素的开始和/或水平能反映褪黑素分泌的变化。通过放射免疫测定法测定血清褪黑素水平。我们的结果表明,氟烷减弱了褪黑素的释放,戊巴比妥没有明显影响,而氯胺酮增强了褪黑素的释放。这些发现表明,使用氟烷或氯胺酮麻醉的患者,其褪黑素水平可能会受到影响,从而导致生物节律紊乱,尤其是恢复后的睡眠 - 觉醒周期。

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