Matsuda Yoshio, Kouno Satoshi, Sakamoto Hiroshi, Ikenoue Tsuyomu
Department of Obstetrics and Gynecology, Tokyo Women's Medical University, Tokyo, Japan.
Jpn J Pharmacol. 2002 Oct;90(2):107-13. doi: 10.1254/jjp.90.107.
This study was designed to elucidate the effects of meluadrine tartrate on oxytocin-induced uterine contraction and maternal hemodynamics in unanesthetized, chronically instrumented pregnant goats. After the administration of meluadrine tartrate or ritodrine hydrochloride to pregnant goats, changes in heart rate (HR), arterial blood pressure (AOP), and arterial blood pH and gasses (P(O2) and P(CO2)) in the mother, as well as changes in intrauterine pressure (IUP) and uterine arterial blood flow (UBF), were measured. The escalating administration of meluadrine tartrate (0.03, 0.1, 0.3 and 1 micro g. kg(-)(1). min(-)(1)) or ritodrine hydrochloride (1, 3, 10 and 30 microg. kg(-)(1). min(-)(1)) to the maternal femoral vein caused a marked and similar inhibition in oxytocin-induced uterine contraction (a rise in IUP). By these escalating dosings, maternal HR was increased dose-dependently in both treatment groups; however, the degree of the HR increase in the meluadrine tartrate-treatment group was significantly less than that in the ritodrine hydrochloride-treatment group. Furthermore, the degree of the UBF decrease in the meluadrine tartrate-treatment group was significantly less than that in the ritodrine hydrochloride-treatment group. The present study suggests that meluadrine tartrate has a mild influence on the maternal cardiovascular function relative to the effects of ritodrine taking the potent efficacy on oxytocin-induced uterine contraction into account.
本研究旨在阐明酒石酸美拉地尔对未麻醉、长期植入仪器的妊娠山羊中缩宫素诱导的子宫收缩及母体血流动力学的影响。给妊娠山羊施用酒石酸美拉地尔或盐酸利托君后,测量母体的心率(HR)、动脉血压(AOP)、动脉血pH值和气体(P(O2)和P(CO2))的变化,以及子宫内压(IUP)和子宫动脉血流(UBF)的变化。向母体股静脉递增施用酒石酸美拉地尔(0.03、0.1、0.3和1微克·千克⁻¹·分钟⁻¹)或盐酸利托君(1、3、10和30微克·千克⁻¹·分钟⁻¹)可显著且相似地抑制缩宫素诱导的子宫收缩(IUP升高)。通过这些递增剂量给药,两个治疗组的母体HR均呈剂量依赖性增加;然而,酒石酸美拉地尔治疗组的HR升高程度明显低于盐酸利托君治疗组。此外,酒石酸美拉地尔治疗组的UBF降低程度明显低于盐酸利托君治疗组。本研究表明,考虑到酒石酸美拉地尔对缩宫素诱导的子宫收缩具有强效作用,相对于盐酸利托君,它对母体心血管功能的影响较小。