Nogaya Junko, Komatsu Hisao, Ogli Kenji
Department of Anesthesiology and Emergency Medicine, Kagawa Medical School, 1750-1 Ikenobe, Miki-cho, 761-07, Kagawa, Japan.
J Anesth. 1994 Jun;8(2):188-193. doi: 10.1007/BF02514711.
The widely used measurement index for anesthetic potency, minimum alveolar concentration (MAC), is hypothesized to be the sum of the effects on multiple neural systems whose contribution to anesthesia differs depending on the agents used. The present study, which compared the effects of halothane, isoflurane, and ketamine, at equipotent level of anesthesia, on the methionine-enkephalinergic neurons in 9 brain regions, showed a significant difference in the methionine-enkephalin-like immunoreactivity (Met-ENK-like IR) among the anesthetics in each region. The order of the Met-ENK-like IR was: halothane > ketamine > isoflurane in the caudatus putamen; halothane > isoflurane ≊ketamine in the nucleus accumbens and the ventral pallidum; halothane ≊isoflurane > ketamine in the globus pallidus, the nucleus dorsomedialis hypothalami, and the nucleus ventromedialis hypothalami; and halothane > isoflurane > ketamine in the arcuate nucleus, the periaqueductal gray, and the nucleus reticularis parvocellularis. These findings indicate that these three anesthetics affect the methionine-enkephalinergic neurons in the motor and pain controlling pathways in different fashions.
广泛应用的麻醉效能测量指标——最低肺泡浓度(MAC),据推测是对多个神经系统产生影响的总和,这些神经系统对麻醉的贡献因所用药物而异。本研究比较了氟烷、异氟烷和氯胺酮在等效麻醉水平下对9个脑区甲硫氨酸脑啡肽能神经元的影响,结果显示各脑区麻醉药之间甲硫氨酸脑啡肽样免疫反应性(Met-ENK样IR)存在显著差异。在尾状壳核中,Met-ENK样IR的顺序为:氟烷>氯胺酮>异氟烷;在伏隔核和腹侧苍白球中,顺序为:氟烷>异氟烷≈氯胺酮;在苍白球、下丘脑背内侧核和下丘脑腹内侧核中,顺序为:氟烷≈异氟烷>氯胺酮;在弓状核、导水管周围灰质和小细胞网状核中,顺序为:氟烷>异氟烷>氯胺酮。这些发现表明,这三种麻醉药以不同方式影响运动和疼痛控制通路中的甲硫氨酸脑啡肽能神经元。