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七氟醚和异氟醚单麻醉消除了大鼠膈神经的长时程易化。

Sevoflurane and isoflurane monoanesthesia abolished the phrenic long-term facilitation in rats.

机构信息

Department of Anesthesiology, Reanimatology and Intensive Care, University Hospital Split, Split, Croatia.

出版信息

Respir Physiol Neurobiol. 2013 Dec 1;189(3):607-13. doi: 10.1016/j.resp.2013.07.026. Epub 2013 Aug 22.

Abstract

Phrenic long-term facilitation (pLTF) is a form of respiratory plasticity, manifested by prolonged increase in peak amplitude of phrenic nerve activity (PNA) after episodes of acute intermittent hypoxia (AIH). The aim was to investigate the effects of sevoflurane and isoflurane monoanesthesia at equipotent anesthetic doses on the expression of amplitude pLTF. Experiments were performed on Sprague-Dawley anesthetized, vagotomized, and mechanically ventilated rats. Two experimental groups, sevoflurane and isoflurane, and a control group (urethane-anesthetized) were formed. Peak amplitude of phrenic nerve activity, respiratory frequency and breathing rhythm parameters (Ti, inspiratory duration; Te, expiratory duration; and Ttot, total respiratory time duration) were analyzed during hypoxic episodes, and at 15, 30, and 60min after the last hypoxic episode. In the control group average PNA increased by 173.03±70.16% (p<0.001), at 60min after the last hypoxic episode compared to baseline values. Therefore amplitude pLTF was induced. In the sevoflurane and isoflurane groups PNA failed to increase, and in fact decreased by 15.79±15.18% and 31.00±11.00%, respectively (p>0.05). Amplitude pLTF was abolished during sevoflurane and isoflurane monoanesthesia.

摘要

膈神经长期易化(pLTF)是一种呼吸可塑性形式,表现为急性间歇性低氧(AIH)发作后膈神经活动(PNA)峰值幅度的延长增加。目的是研究等效麻醉剂量的七氟醚和异氟醚单麻醉对幅度 pLTF 表达的影响。实验在麻醉、迷走神经切断和机械通气的 Sprague-Dawley 大鼠上进行。形成了两个实验组,七氟醚和异氟醚组,以及对照组(乌拉坦麻醉)。在低氧发作期间以及最后一次低氧发作后 15、30 和 60min 分析膈神经活动的峰值幅度、呼吸频率和呼吸节律参数(Ti,吸气持续时间;Te,呼气持续时间;和 Ttot,总呼吸时间持续时间)。在对照组中,与基线值相比,最后一次低氧发作后平均 PNA 增加了 173.03±70.16%(p<0.001)。因此,诱导了幅度 pLTF。在七氟醚和异氟醚组中,PNA 未能增加,实际上分别降低了 15.79±15.18%和 31.00±11.00%(p>0.05)。在七氟醚和异氟醚单麻醉期间,幅度 pLTF 被消除。

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