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[艾芬地尔对局部血流尤其是脑血管循环的作用机制及影响]

[Action mechanism and effects of ifenprodil on the regional blood flow, especially on cerebrovascular circulation].

作者信息

Hagihara Y

出版信息

Nihon Yakurigaku Zasshi. 1975 Oct;71(7):709-25.

PMID:1240069
Abstract

Effects of ifenprodil on the regional blood flow of some organs (skin, skeletal muscle, liver, myocardium, kidney, cerebral cortex, hippocampus, amygdala, hypothalamus and cerebellar cortex) of the curarized cat under artificial respiration were studied using the thermoelectrical method. 1) Blood flow in the skin decreased, whereas renal blood flow increased. 2) Blood flow in the liver showed a biphasic response, being more active in the increasing phase. 3) Blood flow in the hypothalamus and cerebellar cortex (vertebral arterial region), skeletal muscle and myocardium markedly increased. 4) Blood flow in the cerebral cortex and hippocampus (external carotid arterial region) was not influenced by ifenprodil, but slight changes were noticed and were dependent on the blood pressure response. 5) Blood pressure fell in accordance with the dose level of ifenprodil given i.v. 6) Those results suggest that the mechanisms of action of ifenprodil are alpha-adrenergic blocking, beta-mimetic and direct vasodilating. A cholinergic effect was also suggested. 7) On certain functions such as blood flow in the skin and blood pressure a dual action, that is alpha adreno-mimetic and -lytic was seen. 8) Concerning the vascular smooth muscle relaxative action, it would appear that ifenprodil has not only a direct effect but also a secondary effect resulting presumably from its action on the local metabolism.

摘要

采用热电法研究了在人工呼吸条件下,ifenprodil对箭毒化猫某些器官(皮肤、骨骼肌、肝脏、心肌、肾脏、大脑皮层、海马体、杏仁核、下丘脑和小脑皮层)局部血流的影响。1)皮肤血流减少,而肾血流增加。2)肝脏血流呈现双相反应,在增加阶段更为活跃。3)下丘脑和小脑皮层(椎动脉区域)、骨骼肌和心肌的血流显著增加。4)大脑皮层和海马体(颈外动脉区域)的血流不受ifenprodil影响,但有轻微变化,且依赖于血压反应。5)静脉注射ifenprodil后,血压随剂量水平下降。6)这些结果表明ifenprodil的作用机制是α-肾上腺素能阻断、β-拟似作用和直接血管舒张作用。还提示有胆碱能效应。7)在某些功能如皮肤血流和血压方面,观察到双重作用,即α-肾上腺素能模拟和阻断作用。8)关于血管平滑肌舒张作用,ifenprodil似乎不仅有直接作用,还可能因其对局部代谢的作用而产生继发作用。

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