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右旋苯丙胺和利血平对氟烷和环丙烷麻醉需求的比较效应。

Comparative effects of dextroamphetamine and reserpine on halothane and cyclopropane anesthetic requirements.

作者信息

Johnston R R, White P F, Eger E I

出版信息

Anesth Analg. 1975 Sep-Oct;54(5):655-9. doi: 10.1213/00000539-197509000-00023.

Abstract

Cyclopropane minimum alveolar concentration (MAC) values in dogs following intravenous administration of 0.5, 1 or 2 mg/kg of dextroamphetamine were 27.8, 28.4, and 28.4 volumes percent, respectively. Those values did not differ significantly from each other but were 44 percent greater than average control (no dextroamphetamine(MAC values. Halothane MAC values following the same dextroamphetamine doses were 1.51, 1.71, and 1.64 volumes percent. These values were 75 percent greater than average controls, and this increase was significantly more than the 44 percent noted with cyclopropane. In contrast, 2 mg/kg of reserpine decreased halothane MAC 20 percent vut decreased cyclopropane MAC 40 percent- the difference between the two anesthetics again being statistically significant. These results suggest that alteration of anesthetic potency by centrally active adrenergic drugs depends on the sympathetic activity induced by the anesthetic. Conversely, this suggests that anesthetics may influence their own potency by altering central nervous system adrenergic activity.

摘要

静脉注射0.5、1或2毫克/千克右旋苯丙胺后,犬的环丙烷最低肺泡浓度(MAC)值分别为27.8、28.4和28.4体积百分比。这些值彼此之间无显著差异,但比平均对照(未用右旋苯丙胺)的MAC值高44%。相同右旋苯丙胺剂量后的氟烷MAC值分别为1.51、1.71和1.64体积百分比。这些值比平均对照高75%,且这种增加明显高于环丙烷的44%。相反,2毫克/千克的利血平使氟烷MAC降低20%,但使环丙烷MAC降低40%——两种麻醉剂之间的差异再次具有统计学意义。这些结果表明,中枢活性肾上腺素能药物对麻醉效能的改变取决于麻醉剂诱导的交感神经活动。相反,这表明麻醉剂可能通过改变中枢神经系统肾上腺素能活动来影响其自身的效能。

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