Sari A, Fukuda Y, Sakabe T, Maekawa T, Ishikawa T
J Neurol Neurosurg Psychiatry. 1975 Sep;38(9):838-44. doi: 10.1136/jnnp.38.9.838.
The effects of diazepam, clomipramine, and chlorpromazine upon cerebral metabolism and blood flow were examined separately in 18 dogs. After the administration of diazepam or clomipramine, cerebral cortical oxygen consumption (CMRO2) decreased significantly by a maximum of 17% and 13% of control within 10 minutes and 15 minutes, and returned to control at 120 minutes and 90 minutes, respectively. Chlorpromazine, however, decreased by a maximum of 10% of control, a level which continued throughout the period of observation. It was observed that reduction in CMRglucose was followed by the reduction in CMRO2 at an interval during the early stages of CMRO2 depression. Diazepam produced a significant decrease in CBF accompanied by reduction in CMRO2, but neither clomipramine nor chlorpromazine had any effect on CBF in spite of reduction in CMRO2. Reduction in CMRO2 both with diazepam and clomipramine was accompanied by slow wave activities of EEG, but with chlorpromazine reduction in CMRO2 was accompanied with less pronounced slow wave activities. It was concluded that the three drugs examined were cerebral metabolic depressants.
分别在18只狗身上研究了地西泮、氯米帕明和氯丙嗪对脑代谢和血流量的影响。给予地西泮或氯米帕明后,大脑皮层氧耗量(CMRO2)在10分钟和15分钟内分别显著下降,最多降至对照值的17%和13%,并分别在120分钟和90分钟时恢复到对照值。然而,氯丙嗪最多降至对照值的10%,且在整个观察期内维持该水平。观察到在CMRO2降低的早期阶段,CMR葡萄糖降低后间隔一段时间CMRO2也降低。地西泮使脑血流量(CBF)显著降低,同时CMRO2也降低,但尽管CMRO2降低,氯米帕明和氯丙嗪对CBF均无影响。地西泮和氯米帕明使CMRO2降低时均伴有脑电图的慢波活动,但氯丙嗪使CMRO2降低时慢波活动不那么明显。得出的结论是,所研究的这三种药物均为脑代谢抑制剂。