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氟烷麻醉抑制降钙素基因相关肽引起的犬反射性心动过速。

Halothane anesthesia suppresses reflex tachycardia caused by calcitonin gene-related peptide in dogs.

机构信息

Department of Anesthesiology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, 227, Yokohama, Japan.

出版信息

J Anesth. 1996 Mar;10(1):58-62. doi: 10.1007/BF02482070.

Abstract

Calcitonin gene-related peptide (CGRP) is known to produce vasodilation, hypotension, and tachycardia. To investigate the interaction between CGRP and anesthetics, the hemodynamic response to infusions of CGRP was studied in dogs anesthetized with halothane or pentobarbital. In halothane-anesthetized dogs given 0.4 μg·kg(-1) of CGRP, mean arterial pressure (MAP) did not change significantly. However, there was a significant reduction in systemic vascular resistance (SVR) associated with significant increases in cardiac index (CI) and stroke volume index (SVI). Higher doses (4 and 40 μg·kg(-1)) of CGRP produced dose-dependent decreases in MAP accompanied by a reduction in SVR. Further, both CI and SVI significantly increased at 4 μg·kg(-1) CGRP but remained unchanged at the 40 μg·kg(-1) infusion rate. Heart rate (HR) was not increased at all doses but was decreased at 40 μg·kg(-1). In pentobarbital-anesthetized dogs, CGRP at doses of 4 μg·kg(-1) produced a qualitatively similar cardiovascular responses as that observed in halothane-anesthetized dogs, but with one exception: HR was significantly increased. The results show that the hemodynamic profiles induced by CGRP during halothane or pentobarbital anesthesia are a decrease in MAP accompanied by a reduction in SVR and no consistent alterations in CI. However, CGRP effects on HR showed in a different way. The results also show that HR response differs depending on the anesthetics used: HR increases during pentobarbital anesthesia, while it does not increase during halothane anesthesia.

摘要

降钙素基因相关肽(CGRP)已知可引起血管舒张、低血压和心动过速。为了研究 CGRP 与麻醉剂之间的相互作用,研究了在氟烷或戊巴比妥麻醉的犬中 CGRP 输注的血液动力学反应。在接受 0.4μg·kg(-1) CGRP 的氟烷麻醉犬中,平均动脉压(MAP)无明显变化。然而,全身血管阻力(SVR)显著降低,同时心指数(CI)和每搏量指数(SVI)显著增加。较高剂量(4 和 40μg·kg(-1))的 CGRP 产生剂量依赖性的 MAP 降低,同时 SVR 降低。此外,在 4μg·kg(-1) CGRP 时,CI 和 SVI 均显著增加,但在 40μg·kg(-1)输注速率时保持不变。心率(HR)在所有剂量下均未增加,但在 40μg·kg(-1)时降低。在戊巴比妥麻醉的犬中,4μg·kg(-1) CGRP 产生了与氟烷麻醉犬观察到的类似的心血管反应,但有一个例外:HR 显著增加。结果表明,氟烷或戊巴比妥麻醉期间 CGRP 诱导的血液动力学谱是 MAP 降低,同时 SVR 降低,CI 没有一致改变。然而,CGRP 对 HR 的影响表现方式不同。结果还表明,HR 反应因所使用的麻醉剂而异:在戊巴比妥麻醉期间 HR 增加,而在氟烷麻醉期间 HR 不增加。

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