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局部麻醉药对离体人右心耳的作用——第二部分:布比卡因与利多卡因在抑制收缩力机制方面存在差异

[The effect of local anesthetics on the isolated human right atrial appendages--Part 2: Bupivacaine is different from lidocaine concerning the mechanism of inhibition of contractility].

作者信息

Minakuchi C, Itoh H

机构信息

Department of Anesthesiology, School of Medicine, Juntendo University, Tokyo.

出版信息

Masui. 1991 Aug;40(8):1204-9.

PMID:1920797
Abstract

With regard to the inhibition of contractility, dose-response curves of ryanodine and nickel were produced, and in these curves ID50 values were 10(-6) M and 2 x 10(-3) M, respectively. ID50 of bupivacaine was similar to ryanodine's and that of lidocaine was between ryanodine and nickel. On the post-rest potentiation (PRP) elicited after 2 s of rest following a train of stimulation at 3 Hz, ryanodine and bupivacaine had similar depressing effects, but lidocaine depressed it moderately and nickel showed no effect. These results suggest that bupivacaine could cause a direct inhibitory effect on sarcoplasmic reticulum (SR) function like ryanodine, but lidocaine could cause mainly a reduction in trans-sarcolemmal Ca influx and induce a slight inhibitory effect on SR function.

摘要

关于收缩性的抑制,绘制了ryanodine和镍的剂量-反应曲线,在这些曲线中,半数抑制剂量(ID50)值分别为10⁻⁶ M和2×10⁻³ M。布比卡因的ID50与ryanodine相似,利多卡因的ID50介于ryanodine和镍之间。在3 Hz的一串刺激后休息2 s所引发的后休息增强(PRP)方面,ryanodine和布比卡因具有相似的抑制作用,但利多卡因对其有中度抑制作用,而镍则无作用。这些结果表明,布比卡因可能像ryanodine一样对肌浆网(SR)功能产生直接抑制作用,但利多卡因可能主要导致跨肌膜钙内流减少,并对SR功能产生轻微抑制作用。

相似文献

1
[The effect of local anesthetics on the isolated human right atrial appendages--Part 2: Bupivacaine is different from lidocaine concerning the mechanism of inhibition of contractility].局部麻醉药对离体人右心耳的作用——第二部分:布比卡因与利多卡因在抑制收缩力机制方面存在差异
Masui. 1991 Aug;40(8):1204-9.
2
[The effect of local anesthetics on the isolated human right atrial appendages--1: A comparison of inhibition of contractility with bupivacaine and lidocaine].[局部麻醉药对离体人右心耳的作用——1:布比卡因与利多卡因对收缩力抑制作用的比较]
Masui. 1991 Aug;40(8):1198-203.
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