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可乐定对清醒和麻醉家兔心血管作用的机制

Mechanism of cardiovascular effects of clonidine in conscious and anesthetized rabbits.

作者信息

Tangri K K, Petty M, Wing L M, Reid J L

出版信息

J Pharmacol Exp Ther. 1977 Jul;202(1):69-75.

PMID:195037
Abstract

The actions of intravenous clonidine [2-(2,6 dichlorophenylamino)-2-imidazoline hydrochloride] on blood pressure and heart rate were examined in conscious rabbits. Complete transection of thecervical spinal cord increased the intensity and duration of the hypertensive effect of 30 microgram/kg of clonidine and completely abolished the fall in blood pressure. Heart rate slowing by clonidine was reduced. Result were similar 1 hour, 24 hours and 7 days after cord transection. Bilateral aortic sinus nerve section (baroreceptor deafferentation) increased both the hypertensive and hypotensive action of clonidine but reduced the bradycardia. When cervical cord transection was combined with batensive action, were abolished. We conclude that whereas the hypertensive action results from a direct effect on peripheral adrenoceptors, the fall in blood pressure is related to a reduction in sympathetic tone mediated at the level of the brain stem or more rostrally. The heart rate slowing results from both a reduction in sympathetic tone and also an enhanced vagal outflow. The increase in vagal tone seems to be dependent on the intergrity of baroreceptor afferent pathways.

摘要

在清醒兔中研究了静脉注射可乐定[2-(2,6-二氯苯基氨基)-2-咪唑啉盐酸盐]对血压和心率的作用。完全横断颈脊髓可增强30微克/千克可乐定的升压作用强度和持续时间,并完全消除血压下降。可乐定引起的心率减慢减弱。在脊髓横断后1小时、24小时和7天结果相似。双侧主动脉窦神经切断术(压力感受器去传入)增强了可乐定的升压和降压作用,但减弱了心动过缓。当颈脊髓横断与压力感受器去传入联合时,降压作用消失。我们得出结论,升压作用源于对外周肾上腺素能受体的直接作用,而血压下降与脑干或更靠前部位介导的交感神经张力降低有关。心率减慢源于交感神经张力降低以及迷走神经传出增强。迷走神经张力增加似乎依赖于压力感受器传入通路的完整性。

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