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[局部麻醉药加可乐定对犬的交感神经阻滞]

[Sympathetic block in dogs by a local anesthetic with addition of clonidine].

作者信息

Kimura Yoshiyuki, Takahashi Yoshiyuki, Yamaguchi Shigeki, Hamaguchi Shinsuke, Okuda Yasuhisa

机构信息

Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi 321-0293.

出版信息

Masui. 2002 Nov;51(11):1206-11.

Abstract

BACKGROUND

The aim of this study is to examine the duration and magnitude of vasodilating effect induced by sympathetic block with the addition of different concentrations of clonidine to mepivacaine.

METHODS

In dogs, mean arterial pressure (MAP), heart rate (HR), and right as well as left brachial artery blood flow (BABF) were measured before and after stellate ganglion block (SGB) used as sympathetic block. The experimental protocol was designed as follows: 1) Group 1: left SGB using 0.5% mepivacaine 1 ml (n = 6), 2) Group 2: left SGB using the addition of clonidine 0.5 microgram to 0.5% mepivacaine 1 ml (n = 6), 3) Group 3: left SGB using the addition of clonidine 5 micrograms to 0.5% mepivacaine 1 ml (n = 6).

RESULTS

MAP showed no significant change throughout the study in the groups 1 and 2. In the group 3, MAP was lower than that of the group 1. HR showed no significant change throughout the study in the three groups. Left BABF increased significantly after left SGB in the three groups. The duration of increased BABF in the group 2 was the longest, and that in the group 3 was the shortest among them. Right BABF after left SGB decreased significantly throughout the study in the three groups, and the magnitude of the decrease in BABF in the group 3 was the highest among them.

CONCLUSION

Sympathetic block with the addition of clonidine to local anesthetics increases both duration and magnitude of its vasodilating effect. However, sympathetic block with the addition of higher doses of clonidine to local anesthetics may induce shorter duration and lower magnitude of vasodilating effect compared with local anesthetics alone.

摘要

背景

本研究旨在探讨在甲哌卡因中添加不同浓度可乐定进行交感神经阻滞时,其血管舒张作用的持续时间和强度。

方法

在犬身上,测量作为交感神经阻滞的星状神经节阻滞(SGB)前后的平均动脉压(MAP)、心率(HR)以及左右肱动脉血流量(BABF)。实验方案设计如下:1)第1组:使用0.5%甲哌卡因1毫升进行左侧SGB(n = 6);2)第2组:在0.5%甲哌卡因1毫升中添加0.5微克可乐定进行左侧SGB(n = 6);3)第3组:在0.5%甲哌卡因1毫升中添加5微克可乐定进行左侧SGB(n = 6)。

结果

第1组和第2组在整个研究过程中MAP无显著变化。第3组的MAP低于第1组。三组在整个研究过程中HR均无显著变化。三组左侧SGB后左侧BABF均显著增加。其中,第2组BABF增加的持续时间最长,第3组最短。三组在整个研究过程中左侧SGB后右侧BABF均显著降低,且第3组BABF降低的幅度最大。

结论

在局部麻醉药中添加可乐定进行交感神经阻滞可增加其血管舒张作用的持续时间和强度。然而,与单独使用局部麻醉药相比,在局部麻醉药中添加高剂量可乐定进行交感神经阻滞可能导致血管舒张作用的持续时间缩短、强度降低。

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