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地西泮对睡眠-觉醒周期不同行为状态的影响。

Influence of diazepam on different behavioral states of sleep-waking cycle.

作者信息

Nachkebia N, Dzadzamia Sh, Chkhartishvili E, Mchedlidze O, Oniani T

机构信息

I. Beritashvili Institute of Physiology, Tbilisi, Georgia.

出版信息

Georgian Med News. 2009 Mar(168):94-9.

Abstract

Diazepam is a widely used benzodiazepine. Their prolonged usage leads to deterioration of cognitive functions and to the reduction of the level of vigilance what is explained by hypnotic effect but not by anxiolytic action of this drug. The novelty of our investigation is the elucidation of whether diazepam produces slow wave sleep reduction likely to the other benzodiazepines and if so what is the bases of positive therapeutic effect of diazepam in insomniac patients. For this aim we decided the study of diazepam effects on the ultradian structure of sleep-waking cycle. On cats (n=5) metallic electrodes were implanted under Nembutal anesthesia. EEG registration lasting 12 hr daily started after animals' recovery. Diazepam was administered intraperitoneally (0.37; 0.75; 1.5; 2 mg/kg). Statistical processing was made by Students' t-test. Diazepam prolonged sleep onset latency and waking overall time. Incidence and overall percentage of deep slow wave sleep decreased significantly but doze dependently. Paradoxical sleep latency was also significantly increased after diazepam action. All dozes of drug used by us significantly decrease the duration of each episode of paradoxical sleep. Diazepam significantly increase incidence of paradoxical sleep episodes with maximal duration till to 5 min. Under the influence of diazepam paradoxical sleep coursed without emotional coloring, without any patterns reflecting the level of emotional tension during this phase. The first episode of paradoxical sleep with partial restoration of patterns of emotional tension developed after 9+/-2 postinjectional hours at the 2 mg/kg doze of diazepam. All parameters reflecting the level of emotional tension during paradoxical sleep wholly recovered after 27+/-2 hour of diazepam administration. Diazepam administration worsens the quality of slow wave sleep. It is suggested that positive therapeutic effect of this drug may be related with the reduction of emotional tension during paradoxical sleep and modulation of behavioral and EEG patterns of this behavioral state.

摘要

地西泮是一种广泛使用的苯二氮䓬类药物。其长期使用会导致认知功能恶化以及警觉水平降低,这是由该药物的催眠作用而非抗焦虑作用所解释的。我们研究的新颖之处在于阐明地西泮是否像其他苯二氮䓬类药物一样会导致慢波睡眠减少,如果是这样,地西泮对失眠患者产生积极治疗效果的基础是什么。为了这个目的,我们决定研究地西泮对睡眠 - 觉醒周期超日结构的影响。在猫(n = 5)身上,在戊巴比妥麻醉下植入金属电极。动物恢复后开始每天持续12小时的脑电图记录。地西泮通过腹腔注射给药(0.37;0.75;1.5;2毫克/千克)。采用学生t检验进行统计处理。地西泮延长了睡眠开始潜伏期和清醒总时间。深度慢波睡眠的发生率和总百分比显著降低,但呈剂量依赖性。地西泮作用后,异相睡眠潜伏期也显著增加。我们使用的所有剂量的药物都显著缩短了每个异相睡眠发作的持续时间。地西泮显著增加了持续时间最长达5分钟的异相睡眠发作的发生率。在地西泮的影响下,异相睡眠过程中没有情绪色彩,没有任何反映该阶段情绪紧张水平的模式。在注射2毫克/千克剂量的地西泮后9±2小时,出现了部分恢复情绪紧张模式的首次异相睡眠发作。在地西泮给药27±2小时后,反映异相睡眠期间情绪紧张水平的所有参数完全恢复。地西泮给药会使慢波睡眠质量恶化。有人认为,这种药物的积极治疗效果可能与异相睡眠期间情绪紧张的降低以及对这种行为状态的行为和脑电图模式的调节有关。

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