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[有害刺激对犬脊髓中丙泊酚区域分布的影响]

[Effect of noxious stimulation on regional distribution of propofol in canine spinal cord].

作者信息

Lin Chun-shui, Xu Jin-dong, Gu Miao-ning, Chen Ying, Zhou Feng-zhi

机构信息

Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2010 May;30(5):1144-6.

Abstract

OBJECTIVE

To observe the regional distribution of propofol in canine spinal cord under noxious stimulation.

METHODS

Twelve healthy hybrid dogs (12-18 months old, weighing 10-12 kg) were randomly divided into control group (n=6) and stimulation group (n=6). All the dogs were anesthetized with a single bolus dose of propofol (7 mg/kg) in 15 seconds followed by propofol infusion at a constant rate of 70 mg/kg/h via the great saphenous vein of the right posterior limb. In the stimulation group, the tails of the dogs were clamped for 5 min after 45 min of propofol infusion. Blood samples were taken from the internal carotid artery and internal jugular vein at 50 min after propofol infusion to detect plasma propofol concentrations by high-pressure liquid chromatography (HPLC). The dogs were then immediately sacrificed by decapitation and the frontal horn, posterior horn, intermediate zone, frontal funiculus, posterior funiculus and lateral funiculus of the spinal cord were dissected for determination of propol content by HPLC.

RESULTS

The plasma concentrations of propofol in the internal carotid artery and internal jugular vein were 5.07-/+0.23 and 5.03-/+0.10 microg/ml in the stimulation group, respectively showing no significant differences from those in the control group (5.09-/+0.03 and 5.08-/+0.03 microg/ml, P>0.05). In the control group, the propofol concentration was 5.09-/+0.08 microg/g in the frontal horm, 5.10-/+0.08 microg/g in the posterior horn, 5.05-/+0.19 microg/g in the intermediate zone, 5.06-/+0.14 microg/g in the frontal funiculus, 5.06-/+0.15 microg/g in the posterior funiculus and 5.06-/+0.41 microg/g in the lateral funiculus, showing no significant differences (P>0.05). The propofol concentrations in the frontal horn (7.65-/+0.47 microg/g) and posterior funiculus (7.06-/+0.82 microg/g) in the stimulation group were significantly higher than those in the other spinal cord tissues (P<0.05) and those in the control group (P<0.05).

CONCLUSION

At 50 min after intravenous injection of propofol at a constant rate of 70 mg/kg/h, plasma propofol concentrations in the internal carotid artery and internal jugular vein reaches equilibrium with a balanced distribution in all the spinal cord regions. Propofol concentration can be higher in the frontal horn and posterior funiculus under noxious stimulation.

摘要

目的

观察在有害刺激下丙泊酚在犬脊髓中的区域分布。

方法

将12只健康杂种犬(12 - 18月龄,体重10 - 12 kg)随机分为对照组(n = 6)和刺激组(n = 6)。所有犬均通过右后肢大隐静脉在15秒内单次推注丙泊酚(7 mg/kg),随后以70 mg/kg/h的恒定速率输注丙泊酚。在刺激组中,丙泊酚输注45分钟后钳夹犬尾5分钟。丙泊酚输注50分钟后,从颈内动脉和颈内静脉采集血样,通过高压液相色谱法(HPLC)检测血浆丙泊酚浓度。然后立即断头处死犬,解剖脊髓的前角、后角、中间带、前索、后索和外侧索,用HPLC测定丙泊酚含量。

结果

刺激组颈内动脉和颈内静脉的血浆丙泊酚浓度分别为5.07±0.23和5.03±0.10 μg/ml,与对照组(5.09±0.03和5.08±0.03 μg/ml)相比无显著差异(P > 0.05)。对照组中,脊髓前角丙泊酚浓度为5.09±0.08 μg/g,后角为5.10±0.08 μg/g,中间带为5.05±0.19 μg/g,前索为5.06±0.14 μg/g,后索为5.06±0.15 μg/g,外侧索为5.06±0.41 μg/g,无显著差异(P > 0.05)。刺激组前角(7.65±0.47 μg/g)和后索(7.06±0.82 μg/g)中的丙泊酚浓度显著高于其他脊髓组织(P < 0.05)以及对照组(P < 0.05)。

结论

以70 mg/kg/h的恒定速率静脉注射丙泊酚50分钟后,颈内动脉和颈内静脉的血浆丙泊酚浓度达到平衡,且在所有脊髓区域分布均衡。在有害刺激下,前角和后索中的丙泊酚浓度可能更高。

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