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血气/pH异常对维拉帕米在大鼠体内心血管作用的影响。

Effects of blood gas/pH abnormalities on the cardiovascular actions of verapamil in rats.

作者信息

Achike F I, Dai S

机构信息

Department of Pharmacology, Faculty of Medicine, University of Hong Kong.

出版信息

Clin Exp Pharmacol Physiol. 1990 Sep;17(9):653-63. doi: 10.1111/j.1440-1681.1990.tb01366.x.

Abstract
  1. The effects of hypoxaemia, hyperoxaemia, alkalosis, acidosis, hypocarbia with alkalosis or hypercarbia with acidosis on the blood pressure and pulse rate responses to verapamil were studied in chloralose-anaesthetized rats. 2. At a fixed stroke volume (10 mL/kg) and rate (80 strokes/min; except for the hypocarbic group at 160 strokes/min), hypoxaemia, hyperoxaemia, hypercarbia with acidosis, or hypocarbia with alkalosis was induced by artificial ventilation with gas mixtures containing 17% O2, 28% O2, 23% O2, with 5% CO2, or 17% O2, without CO2 respectively. Acidosis or alkalosis was produced by intravenous infusion of 1 mol/L HCl or 1 mol/L NaHCO3 respectively, in animals artificially ventilated with room air. 3. Changes in individual blood gas/pH parameters had no significant effect on blood pressure except for acidosis which caused a significant decrease. Effects on pulse rate were significant increases in the alkalosis and hypercarbia groups, decrease in the acidosis group, while in other conditions no significant changes were recorded. 4. In the controls, intravenous injections of verapamil 20-320 micrograms/kg caused dose-dependent increases in mean blood pressure, while effects on pulse rate were not marked. 5. The hypotensive responses to verapamil were significantly alleviated or enhanced in the presence of alkalosis or acidosis respectively. Verapamil also caused greater falls in pulse rate during acidosis. Effects of Po2 changes were not statistically significant. The influence of PCO2 changes remained unclear. 6. The present findings suggest that changes in blood pH may play a more important role than Po2 alterations in affecting the cardiovascular responses to verapamil in the presence of blood gas abnormalities.
摘要
  1. 在水合氯醛麻醉的大鼠中,研究了低氧血症、高氧血症、碱中毒、酸中毒、伴有碱中毒的低碳酸血症或伴有酸中毒的高碳酸血症对维拉帕米引起的血压和脉搏率反应的影响。2. 在固定的每搏输出量(10 mL/kg)和心率(80次/分钟;低碳酸血症组为160次/分钟除外)下,分别通过用含17% O₂、28% O₂、23% O₂加5% CO₂或17% O₂且无CO₂的混合气体进行人工通气来诱导低氧血症、高氧血症、伴有酸中毒的高碳酸血症或伴有碱中毒的低碳酸血症。在以室内空气进行人工通气的动物中,分别通过静脉输注1 mol/L HCl或1 mol/L NaHCO₃来产生酸中毒或碱中毒。3. 除酸中毒导致血压显著下降外,各个血气/pH参数的变化对血压无显著影响。对脉搏率的影响是碱中毒和高碳酸血症组显著增加,酸中毒组降低,而在其他情况下未记录到显著变化。4. 在对照组中,静脉注射20 - 320微克/千克的维拉帕米导致平均血压呈剂量依赖性升高,而对脉搏率的影响不明显。5. 在存在碱中毒或酸中毒的情况下,维拉帕米引起的降压反应分别显著减轻或增强。酸中毒时维拉帕米还导致脉搏率下降幅度更大。Po₂变化的影响无统计学意义。PCO₂变化的影响仍不清楚。6. 目前的研究结果表明,在存在血气异常的情况下,血液pH值的变化在影响维拉帕米的心血管反应方面可能比Po₂改变起更重要的作用。

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