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β-肾上腺素能受体拮抗剂的中枢效应。II——脑电图与身体摆动

Central effects of beta-adrenoceptor antagonists. II--Electroencephalogram and body sway.

作者信息

Nicholson A N, Wright N A, Zetlein M B, Currie D, McDevitt D G

机构信息

Royal Air Force Institute of Aviation Medicine, Farnborough, Hampshire.

出版信息

Br J Clin Pharmacol. 1988 Aug;26(2):129-41. doi: 10.1111/j.1365-2125.1988.tb03379.x.

Abstract
  1. Effects of the beta-adrenoceptor antagonists, propranolol (40, 80 and 160 mg) and atenolol (50 and 100 mg) on the electroencephalogram and on body sway, were studied in 12 healthy male subjects. The study was double-blind, and included two placebos and an active control, oxazepam (15 mg). Medication was ingested at 11.00 h, and assessments were made before, and at 2 h and 4 h after ingestion. 2. All doses of both beta-adrenoceptor antagonists modified the electroencephalogram, and the changes reported were statistically significant at probability levels of less than 5%. The circadian rise in alpha activity was reduced by both beta-adrenoceptor antagonists as well as by oxazepam. Atenolol also decreased beta activity. 3. Body sway was modified by atenolol and oxazepam (P less than 0.05). The increase with oxazepam was most marked in the low frequency component (0.05-2.25 Hz) of the spectrum, while atenolol modified only the component of higher frequency (2.25-4.0 Hz). 4. These observations suggest that propranolol and atenolol have a sedative effect, and that hydrophilic antagonists are unlikely to be free of central activity. The changes in body sway could imply that peripheral mechanisms may be modified at least with atenolol.
摘要
  1. 对12名健康男性受试者研究了β-肾上腺素能受体拮抗剂普萘洛尔(40、80和160毫克)及阿替洛尔(50和100毫克)对脑电图及身体摇摆的影响。该研究为双盲研究,包括两种安慰剂及一种阳性对照药奥沙西泮(15毫克)。于上午11点服药,并在服药前、服药后2小时及4小时进行评估。2. 两种β-肾上腺素能受体拮抗剂的所有剂量均改变了脑电图,报告的变化在概率水平小于5%时具有统计学意义。两种β-肾上腺素能受体拮抗剂以及奥沙西泮均降低了α活动的昼夜上升。阿替洛尔还降低了β活动。3. 阿替洛尔和奥沙西泮改变了身体摇摆(P小于0.05)。奥沙西泮引起的增加在频谱的低频成分(0.05 - 2.25赫兹)中最为明显,而阿替洛尔仅改变了较高频率(2.25 - 4.0赫兹)的成分。4. 这些观察结果表明普萘洛尔和阿替洛尔具有镇静作用,且亲水性拮抗剂不太可能无中枢活性。身体摇摆的变化可能意味着至少阿替洛尔可改变外周机制。

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Clin Pharmacol Ther. 1983 Jan;33(1):52-7. doi: 10.1038/clpt.1983.7.
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