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麻醉剂和镇痛药对血液-聚合物界面处蛋白质吸附、血小板黏附及血浆复钙时间的影响。

The effect of anesthetics and analgesics on protein adsorption, platelet adhesion, and plasma recalcification time at blood-polymer interface.

作者信息

Sharma C P, Hari P R

机构信息

Biosurface Technology Division, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Poojapura, Trivandrum, India.

出版信息

Artif Organs. 1991 Dec;15(6):498-502.

PMID:1763972
Abstract

Protein adsorption and subsequent cellular reactions are important biological events at the blood-polymer interface. Mediators like drugs, vitamins, and steroid hormones play a significant role in protein adsorption. An attempt is made to understand the effect of several i.v. agents on protein-platelet interaction with an artificial surface, polycarbonate. Pentothal, an anesthetic; lignocaine, a local anesthetic; pethidine, a narcotic anesthetic; Calmpose, a tranquilizer; and Novalgin, an analgesic, were drugs used for this study. Competitive adsorption of proteins is evaluated using a trace-labeled technique from a mixture of proteins (25 mg/dl of albumin, 15 mg/dl of tau-globulin, and 7.5 mg/dl of fibrinogen). Platelet and lymphocyte adhesion and plasma recalcification time are studied from calf blood. It is observed that these agents modulate the protein and cellular interaction and also the blood coagulation time. Therefore, proper selection of such including agents should not be overlooked for an implant surgery or while ministering to a patient with an implant.

摘要

蛋白质吸附及随后的细胞反应是血液-聚合物界面重要的生物学事件。药物、维生素和类固醇激素等介质在蛋白质吸附过程中发挥着重要作用。本文旨在了解几种静脉注射药物对蛋白质-血小板与人工表面聚碳酸酯相互作用的影响。本研究使用的药物有硫喷妥钠(一种麻醉剂)、利多卡因(一种局部麻醉剂)、哌替啶(一种麻醉性镇痛药)、安宁(一种镇静剂)和诺瓦经(一种镇痛药)。采用微量标记技术从蛋白质混合物(25mg/dl白蛋白、15mg/dlτ球蛋白和7.5mg/dl纤维蛋白原)中评估蛋白质的竞争性吸附。从小牛血液中研究血小板和淋巴细胞黏附以及血浆复钙时间。观察到这些药物可调节蛋白质与细胞的相互作用以及血液凝固时间。因此,在进行植入手术或治疗植入患者时,不应忽视对此类药物的合理选择。

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