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异丙酚麻醉对清醒猫骨骼肌本体感觉反射的增强作用。

The enhancing effect of propofol anesthesia on skeletal muscle mechanoreflex in conscious cats.

机构信息

Department of Physiology, Graduate School of Health Sciences, Hiroshima University, Kasumi, Minami-ku, Hiroshima, Japan.

出版信息

Auton Neurosci. 2009 Dec 3;151(2):111-6. doi: 10.1016/j.autneu.2009.07.016. Epub 2009 Aug 13.

Abstract

To test the hypothesis that a muscle mechanosensitive reflex is suppressed in the conscious condition, we examined the effect of propofol anesthesia on the cardiovascular responses to passive mechanical stretch of the hindlimb triceps surae muscle in five conscious cats. The triceps surae muscle was manually stretched for 30 s by extending the hip and knee joints and subsequently by dorsiflexing the ankle joint. Mean arterial blood pressure (MAP) and heart rate (HR) slightly increased or decreased during passive mechanical stretch of the muscle in the conscious condition. At 5-17 min after intravenously administering propofol (8.5+/-1 mg/kg), the identical passive stretch of the triceps surae muscle was able to induce the substantial cardiovascular responses; HR and MAP increased by 13+/-3 beats/min and 25+/-4 mm Hg, respectively, and the cardiovascular responses were sustained throughout the passive stretch. In contrast, stretching skin on the triceps surae muscle evoked a smaller pressor response in the anesthetized condition. When propofol anesthesia became light in the recovery period and the animals started to show spontaneous body movement, the cardiovascular responses to passive muscle stretch were blunted again. It is therefore concluded that passive mechanical stretch of skeletal muscle is capable of evoking the reflex cardiovascular responses, which is suppressed in the conscious condition but enhanced by propofol anesthesia.

摘要

为了验证肌肉机械敏感反射在意识状态下受到抑制的假设,我们检查了异丙酚麻醉对 5 只清醒猫后肢三头肌被动机械拉伸引起的心血管反应的影响。通过伸展髋关节和膝关节,然后背屈踝关节,手动将三头肌拉伸 30 秒。在清醒状态下肌肉被动拉伸时,平均动脉血压(MAP)和心率(HR)略有增加或减少。静脉注射异丙酚(8.5+/-1 mg/kg)后 5-17 分钟,相同的三头肌被动拉伸能够引起明显的心血管反应;心率和 MAP 分别增加 13+/-3 次/分钟和 25+/-4 mmHg,并且心血管反应在整个被动拉伸过程中持续。相比之下,在麻醉状态下,拉伸三头肌上的皮肤会引起较小的升压反应。当异丙酚麻醉在恢复期变浅,动物开始自发运动时,被动肌肉拉伸引起的心血管反应再次减弱。因此,可以得出结论,骨骼肌的被动机械拉伸能够引起反射性心血管反应,这种反应在清醒状态下受到抑制,但被异丙酚麻醉增强。

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