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氟烷与神经安定镇痛术联合应用对节前交感神经活动、呼吸中枢及循环系统的影响(作者译)

[The effects of combining halothane and neuroleptanalgesia on the preganglionic sympathetic activity, the respiratory centre and the circulation (author's transl)].

作者信息

Tauberger G, Schulte am Esch J, Steinringer W

出版信息

Anaesthesist. 1975 Nov;24(11):491-5.

PMID:1211604
Abstract

The effects of Halothane, Fentanyl and droperidol in combination on the circulatory system, the preganglionic sympathetic nerve activity and the respiratory centre were examined in 21 experiments carried out on cats which were relaxed and artificially ventilated with nitrous oxide in oxygen. The results showed that even the minimal dosage of 0.5 vol-% Halothane combined with 0.0042 mg/kg Fentanyl and 0.15 mg/kg droperiodol led to a significant decrease of blood pressure and a depression of the sympathetic and phrenic nerve activity both in rest and in stress during asphyxia. A dosage of 1 vol-% Halothane produced a significant increase in the above mentioned effects when at rest, while the doubled dosage of Fentanyl and droperidol combined with the original Halothane dosage of 0.5 vol-% produced no marked increase in its effects. A comparison of these results with those of previous experiments using only the inhalation of Halothane shows that an anaesthesia consisting of 0.5 vol-% Halothane combined with Fentanyl and droperidol has virtually equal effects on the decrease of blood pressure and on the depression of central sympathetic nerve activity as the inhalation of 1 vol-% Halothane alone. Using a combination of 1 vol-% Halothane, Fentanyl and droperidol the effects induced by 2 vol-% Halothane are reached.

摘要

在21只使用氧化亚氮和氧气进行人工通气并处于松弛状态的猫身上进行实验,研究了氟烷、芬太尼和氟哌利多联合使用对循环系统、节前交感神经活动和呼吸中枢的影响。结果表明,即使是0.5体积%的氟烷与0.0042毫克/千克芬太尼和0.15毫克/千克氟哌利多的最小剂量组合,在窒息时的静息和应激状态下,都会导致血压显著下降以及交感神经和膈神经活动受到抑制。1体积%的氟烷剂量在静息时会使上述效应显著增强,而芬太尼和氟哌利多剂量加倍并与原始的0.5体积%氟烷剂量组合时,其效应并未显著增加。将这些结果与之前仅使用吸入氟烷的实验结果进行比较表明,由0.5体积%氟烷与芬太尼和氟哌利多组成的麻醉对血压下降和中枢交感神经活动抑制的效果,实际上与单独吸入1体积%氟烷的效果相当。使用1体积%氟烷、芬太尼和氟哌利多的组合可达到2体积%氟烷所产生的效果。

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