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苯妥英钠和氯丙嗪对去大脑强直的抑制作用。

Suppression of decerebrate rigidity by phenytoin and chlorpromazine.

作者信息

Anderson R J, Raines A

出版信息

Neurology. 1976 Sep;26(9):858-62. doi: 10.1212/wnl.26.9.858.

Abstract

In cats decerebrated by a midcollicular section, decerebrate rigidity developed that was not alleviated by phenytoin even in doses as great as 60 mg per kilogram. Chlorpromazine that depresses decerebrate rigidity in a dose-related fashion requires 1.5 to 2.0 mg per kilogram to exhibit an appreciable effect. In the presence of 20 mg per kilogram phenytoin, however, as little as 0.1 mg per kilogram chlorpromazine markedly reduces decerebrate rigidity. This drug combination did not impair neuromuscular transmission nor did it severely impair motor coordination in cats. Although phenytoin depressed muscle spindle discharges, this peripheral suppression was insufficient to abolish the rigidity. Phenytoin with or without chlorpromazine may be of value in suppressing muscle rigidity in some disorders of upper motor neuron lesions.

摘要

在通过中脑切断术去大脑的猫中,出现了去大脑强直,即使给予高达每千克60毫克的苯妥英钠剂量,这种强直也未得到缓解。氯丙嗪以剂量相关的方式抑制去大脑强直,每千克需要1.5至2.0毫克才能表现出明显效果。然而,在每千克20毫克苯妥英钠存在的情况下,低至每千克0.1毫克的氯丙嗪就能显著降低去大脑强直。这种药物组合并未损害猫的神经肌肉传递,也未严重损害其运动协调性。虽然苯妥英钠抑制肌肉梭放电,但这种外周抑制不足以消除强直。有或没有氯丙嗪的苯妥英钠在抑制上运动神经元损伤的某些疾病中的肌肉强直方面可能有价值。

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