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硫喷妥钠对犬体内乙酰甲胆碱和血清素诱导的支气管收缩的不同作用。

Differential effects of thiopental on methacholine- and serotonin-induced bronchoconstriction in dogs.

作者信息

Kabara S, Hirota K, Yoshioka H, Kudo T, Ishihara H, Matsuki A

机构信息

Department of Anesthesiology, University of Hirosaki School of Medicine, Hirosaki 036-8563, Japan.

出版信息

Br J Anaesth. 2003 Sep;91(3):379-84. doi: 10.1093/bja/aeg190.

Abstract

BACKGROUND

Thiopental sometimes causes bronchospasm during induction of anaesthesia. In addition, we have reported previously that thiopental produced transient bronchospasm, which was blocked by atropine pretreatment, and worsened histamine-induced bronchoconstriction in dogs. Previous in vitro reports suggest that synthesis of contractile cyclooxygenase products, such as thromboxane A(2), may be involved in the mechanism of bronchospasm. However, the in vivo spastic effects have not been defined comprehensively.

METHODS

Twenty-seven mongrel dogs were anaesthetized with pentobarbital. Bronchoconstriction was elicited with methacholine (0.5 microg kg(-1)+5.0 microg kg(-1) min(-1); Mch group, n=7) or serotonin (10 microg kg(-1)+1 mg kg(-1) h(-1); 5HT group, n=20), and assessed as percentage changes in bronchial cross-sectional area (BCA, basal=100%) using a bronchoscope. In the 5HT group, dogs were subdivided into four groups of five each: S-5HT, I-5HT, 5HT-S and 5HT-A. In the S-5HT and I-5HT groups, 30 min before serotonin infusion dogs were given saline and indomethacin respectively at 5 mg kg(-1) i.v. In all groups, 30 min after bronchoconstrictor infusion started, dogs were given thiopental at doses between 0 (saline) and 20 mg kg(-1). In the 5HT-S and 5HT-A groups, dogs were given saline or atropine 0.2 mg kg(-1) i.v. 5 min after thiopental 20 mg kg(-1).

RESULTS

Methacholine and serotonin reduced BCA by about 50 and 40% respectively. Thiopental 20 mg kg(-1) increased and decreased BCA by about 20 and 10% in the Mch and 5HT groups respectively. Indomethacin and atropine did not attenuate the potentiation of serotonin bronchoconstriction produced by thiopental.

CONCLUSION

The present study indicates that thiopental may attenuate or worsen bronchoconstriction induced by muscarinic or serotonin receptor stimulation, respectively. The synthesis of contractile cyclooxygenase products and cholinergic stimulation may not be involved in the contractile effect of thiopental on serotonin bronchoconstriction.

摘要

背景

硫喷妥钠在麻醉诱导期间有时会引起支气管痉挛。此外,我们之前曾报道硫喷妥钠会引发短暂性支气管痉挛,这种痉挛可被阿托品预处理阻断,并且会加重组胺诱导的犬类支气管收缩。先前的体外研究报告表明,收缩性环氧化酶产物(如血栓素A2)的合成可能参与支气管痉挛的机制。然而,其体内的痉挛效应尚未得到全面明确。

方法

27只杂种犬用戊巴比妥麻醉。用乙酰甲胆碱(0.5微克/千克 + 5.0微克/千克·分钟;Mch组,n = 7)或血清素(10微克/千克 + 1毫克/千克·小时;5HT组,n = 20)诱发支气管收缩,并用支气管镜评估支气管横截面积(BCA,基础值 = 100%)的变化百分比。在5HT组中,犬被分为四组,每组五只:S - 5HT、I - 5HT、5HT - S和5HT - A。在S - 5HT和I - 5HT组中,在输注血清素前30分钟,犬分别静脉注射5毫克/千克的生理盐水和吲哚美辛。在所有组中,在开始输注支气管收缩剂30分钟后,给犬静脉注射剂量在0(生理盐水)至20毫克/千克之间的硫喷妥钠。在5HT - S和5HT - A组中,在静脉注射20毫克/千克硫喷妥钠5分钟后,给犬静脉注射生理盐水或0.2毫克/千克的阿托品。

结果

乙酰甲胆碱和血清素分别使BCA降低约50%和40%。20毫克/千克的硫喷妥钠在Mch组和5HT组中分别使BCA增加和降低约20%和10%。吲哚美辛和阿托品并未减弱硫喷妥钠对血清素支气管收缩的增强作用。

结论

本研究表明,硫喷妥钠可能分别减弱或加重由毒蕈碱或血清素受体刺激诱导的支气管收缩。收缩性环氧化酶产物的合成和胆碱能刺激可能不参与硫喷妥钠对血清素支气管收缩的收缩作用。

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