Datta S, Migliozzi R P, Flanagan H L, Krieger N R
Department of Anesthesia Research Laboratories, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
Anesth Analg. 1989 Jan;68(1):46-50.
The MAC for halothane is 25% lower in pregnant than that in nonpregnant ewes. The reason for this is uncertain, but changes in both steroidal and endogenous opiate have been implicated. This study was undertaken to assess the effect of exogenous progesterone on minimal alveolar concentrations (MAC) of halothane in ovariectomized rabbits. Minimal alveolar concentration of halothane was determined in 84 female rabbits, 37 intact (group A), 20 ovariectomized and injected with inert carrier peanut oil (group B), and 27 ovariectomized and injected with progesterone in peanut oil (group C). Minimal alveolar concentration in group A, 1.68 +/- 0.06% (mean +/- SEM), did not differ significantly from that in group B rabbits, 1.77 +/- 0.06%. However, MAC in progesterone-treated rabbits, 1.48 +/- 0.06%, was significantly lower than the MAC of the other two groups (P less than 0.01). Plasma progesterone concentrations in group A, B, and C were 5.28 +/- 0.62 ng/ml, 6.83 +/- 2.00 ng/ml, and 37.33 +/- 4.25 ng/ml, respectively. These results suggest that experimental treatment with progesterone can reduce the amount of halothane required to produce anesthesia and may explain the phenomenon of decreased need of inhalation anesthetic in human parturients.
氟烷在怀孕母羊中的最低肺泡有效浓度(MAC)比未怀孕的母羊低25%。其原因尚不确定,但甾体类物质和内源性阿片类物质的变化都被认为与之有关。本研究旨在评估外源性孕酮对去卵巢兔氟烷最低肺泡浓度(MAC)的影响。测定了84只雌性兔的氟烷最低肺泡浓度,其中37只为完整兔(A组),20只去卵巢并注射惰性载体花生油(B组),27只去卵巢并注射花生油中的孕酮(C组)。A组的最低肺泡浓度为1.68±0.06%(平均值±标准误),与B组兔的1.77±0.06%无显著差异。然而,孕酮处理组兔的MAC为1.48±0.06%,显著低于其他两组(P<0.01)。A组、B组和C组的血浆孕酮浓度分别为5.28±0.62 ng/ml、6.83±2.00 ng/ml和37.33±4.25 ng/ml。这些结果表明,孕酮的实验性处理可减少产生麻醉所需的氟烷量,这可能解释了人类产妇吸入麻醉药需求减少的现象。