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健康儿童肺阻力和动态肺顺应性的昼夜节律。两种支气管扩张剂的作用。

Circadian rhythms in lung resistance and dynamic lung compliance of healthy children. Effects of two bronchodilators.

作者信息

Gaultier C, Reinberg A, Girard F

出版信息

Respir Physiol. 1977 Nov;31(2):169-82. doi: 10.1016/0034-5687(77)90100-1.

Abstract

In two groups of healthy children synchronized with a diurnal activity (light-on at 07.00) and a nocturnal rest(light-off at 21.00), lug resistance (R1) and dynamic lung compliance (C1 dyn) were measured at fixed clock hours (07.30, 11.30, 16.30, 22.30). The measurements were performed before and 10 minutes after the inhalation of bronchodilators (a beta-sympathetic stimulating agent (orciprenaline, dose 2 mg) and a vagolytic agent (SCH 1000, doses 80 mug and 200 mug). A circadian rhythm is detected for R1 and C1 dyn and quantified by the cosinor method. R1 and C1 dyn acrophase (peak time in the 24-h scale) are not significantly different for both groups: they are located for R1 at 05.39 and 03.31, for C1 dyn at 09.31 and 12.51. R1 and C1 dyn circadian rhythms are not detectable both after 2 mg orciprenaline and 200 mug SCH 1000 inhalation. This chronopharmacologic effect of the bronchodilators might be considered indirect evidence of a circadian rhythm in the bronchial tone. This latter may be related to circadian changes in neurovegetative activity. A dose-effect difference of the vagolytic agent on R1 at night seems to indicate a relative nocturnal prominence of the vagal tone.

摘要

在两组与昼夜活动同步(07:00开灯)和夜间休息(21:00关灯)的健康儿童中,于固定时钟时间(07:30、11:30、16:30、22:30)测量气道阻力(R1)和动态肺顺应性(C1 dyn)。在吸入支气管扩张剂(一种β-交感神经刺激剂(奥西那林,剂量2毫克)和一种抗迷走神经剂(SCH 1000,剂量80微克和200微克))之前及之后10分钟进行测量。检测到R1和C1 dyn的昼夜节律,并通过余弦法进行量化。两组的R1和C1 dyn的峰相(24小时尺度上的峰值时间)无显著差异:R1的峰相分别位于05:39和03:31,C1 dyn的峰相分别位于09:31和12:51。吸入2毫克奥西那林和200微克SCH 1000后均未检测到R1和C1 dyn的昼夜节律。支气管扩张剂的这种时辰药理学效应可能被视为支气管张力昼夜节律的间接证据。后者可能与自主神经活动的昼夜变化有关。夜间抗迷走神经剂对R1的剂量效应差异似乎表明迷走神经张力在夜间相对突出。

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