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尼可地尔和硝酸甘油对麻醉开胸犬的血管舒张作用。

Vasodilating effects of nicorandil and nitroglycerin in anaesthetized open-chest dogs.

作者信息

Sakanashi M, Noguchi K, Kato T, Sunagawa R, Ito H, Nakasone J

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1986 Aug;333(4):439-44. doi: 10.1007/BF00500021.

Abstract

Vasodilating effects of intravenous administrations of nicorandil (SG-75) and nitroglycerin were analyzed in anaesthetized open-chest dogs by measuring simultaneously, and continuously, coronary (CBF), vertebral (VBF), renal (RBF) and aortic blood flow (AoF). Nicorandil 10-300 micrograms/kg i.v. and nitroglycerin 1-30 micrograms/kg i.v. decreased aortic blood pressure and increased CBF in a dose-dependent fashion. The doses of nicorandil and nitroglycerin which reduced coronary vascular resistance to about 60% of the predrug value were 100 micrograms/kg and 10 micrograms/kg, respectively. Nicorandil 100 micrograms/kg i.v. significantly increased AoF and heart rate, significantly decreased left ventricular end-diastolic pressure and did not significantly change VBF, RBF and left ventricular dP/dt. Nitroglycerin 10 micrograms/kg i.v. significantly increased VBF and heart rate, significantly decreased left ventricular end-diastolic pressure and produced an initial increase followed by a decrease in AoF and RBF. When compared with these doses of both drugs, the ratio of percent decrease in coronary vascular resistance to that in total peripheral resistance was over 1.0 in both drugs and the value of this ratio in nicorandil was significantly larger than that in nitroglycerin. The duration of increase in CBF produced by nicorandil 10-300 micrograms/kg i.v. was dose-dependent, but was not changed by nitroglycerin 1-30 micrograms/kg i.v. The results indicate that nicorandil and nitroglycerin dilate coronary vasculature more markedly than other vascular beds and that the potency of selective coronary vasodilatation and the duration of action are more significant in nicorandil than in nitroglycerin.

摘要

通过同时连续测量麻醉开胸犬的冠状动脉血流量(CBF)、椎动脉血流量(VBF)、肾血流量(RBF)和主动脉血流量(AoF),分析了静脉注射尼可地尔(SG - 75)和硝酸甘油的血管舒张作用。静脉注射10 - 300微克/千克的尼可地尔和1 - 30微克/千克的硝酸甘油可使主动脉血压降低,并使CBF呈剂量依赖性增加。使冠状动脉血管阻力降低至给药前值约60%的尼可地尔和硝酸甘油剂量分别为100微克/千克和10微克/千克。静脉注射100微克/千克的尼可地尔可显著增加AoF和心率,显著降低左心室舒张末期压力,且对VBF、RBF和左心室dP/dt无显著影响。静脉注射10微克/千克的硝酸甘油可显著增加VBF和心率,显著降低左心室舒张末期压力,并使AoF和RBF先增加后降低。与这两种药物的这些剂量相比,两种药物冠状动脉血管阻力降低百分比与总外周阻力降低百分比的比值均大于1.0,且尼可地尔的该比值显著大于硝酸甘油。静脉注射10 - 300微克/千克的尼可地尔使CBF增加的持续时间呈剂量依赖性,但静脉注射1 - 30微克/千克的硝酸甘油对其无影响。结果表明,尼可地尔和硝酸甘油对冠状动脉血管的舒张作用比其他血管床更显著,且尼可地尔的选择性冠状动脉血管舒张效力和作用持续时间比硝酸甘油更显著。

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