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氟烷会抑制人体压力感受器对心率的控制。

Halothane depresses baroreflex control of heart rate in man.

作者信息

Duke P C, Fownes D, Wade J G

出版信息

Anesthesiology. 1977 Mar;46(3):184-7. doi: 10.1097/00000542-197703000-00005.

Abstract

Baroreflex control of heart rate was determined during three awake control situations and during two depths of halothane anesthesia in man. Baroreflex function was quantiated by calculating the pressor test slope from the R-R interval change on the ECG produced by a pharmacologically induced pressor response. During the three awake control situations the subjects breathed room air or 100 per cent O2 spontaneously or 100 per cent O2 with ventilation controlled. Mean (+/- SD) slopes obtained were 15.1 +/- 4.5, 15.6 +/- 6.8 and 18.4 +/- 9.9, respectively. No significant difference in baroreflex function slope was observed. During light halothane anesthesia (0.7 per cent endtidal) baroreflex function was significantly depressed (mean slope = 2.5 +/- 1.5), and it was abolished at 1.1 per cent end-tidal halothane (mean slope = 0.03 +/- 0.04). It is concluded that halothane anesthesia produces depression of baroreflex control of heart rate in man.

摘要

在人体的三种清醒对照状态以及两种氟烷麻醉深度下,测定了压力感受性反射对心率的控制。通过计算由药理学诱导的升压反应引起的心电图R-R间期变化的升压试验斜率,对压力感受性反射功能进行量化。在三种清醒对照状态下,受试者自主呼吸室内空气或100%氧气,或在控制通气的情况下呼吸100%氧气。获得的平均(±标准差)斜率分别为15.1±4.5、15.6±6.8和18.4±9.9。未观察到压力感受性反射功能斜率有显著差异。在轻度氟烷麻醉(呼气末浓度为0.7%)期间,压力感受性反射功能显著降低(平均斜率 = 2.5±1.5),而在呼气末氟烷浓度为1.1%时,压力感受性反射功能被消除(平均斜率 = 0.03±0.04)。得出的结论是,氟烷麻醉会导致人体压力感受性反射对心率的控制受到抑制。

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