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氯胺酮和苯环利定对家兔皮层注射青霉素所致惊厥的抗惊厥作用机制研究。

An investigation on the mechanism of anticonvulsant action of ketamine and phencyclidine on convulsions due to cortical application of penicillin in rabbits.

作者信息

Sagratella S, Niglio T, Scotti de Carolis A

出版信息

Pharmacol Res Commun. 1985 Aug;17(8):773-86. doi: 10.1016/0031-6989(85)90092-x.

Abstract

The intracortical injection of 500 units of penicillin in rabbits elicited intermittent bilateral spikes or spike-wave complexes followed by generalization of the epileptiform activity characterized by repeated ictal high-voltage, high frequency spikes paralleled by generalized convulsions. Administration of phencyclidine (PCP) (0.7-1.0 mg/Kg i.v.), ketamine (KT) (20-40 mg/Kg i.v.), pentobarbital (PB) (10 mg/Kg i.v.) and diazepam (3 mg/Kg i.v.) inhibited the generalization of the epileptiform activity induced by penicillin (500 units) counteracting the EEG and motor patterns of the ictal events, while did not influence the interictal spike-and-wave complexes. Physostigmine (0.1 mg/Kg i.v.), clonidine (0.1 mg/Kg i.v.), haloperidol (1 mg/Kg i.v.) and naloxone (10 mg/Kg i.v.) did not affect the inhibitory influence of PCP on epileptiform activity due to cortical application of penicillin. Thus, the mechanism of this anticonvulsant action of PCP seems not to depend on the neurotransmitter system related to the reported drugs. The mechanism of action of PCP and KT is discussed in connexion with the similarities of the effects of this drugs in respect to sigma opiate agonists and pentobarbital.

摘要

给家兔皮层内注射500单位青霉素会引发间歇性双侧棘波或棘慢复合波,随后癫痫样活动泛化,其特征为反复出现发作期高电压、高频棘波,并伴有全身性惊厥。静脉注射苯环己哌啶(PCP)(0.7 - 1.0毫克/千克)、氯胺酮(KT)(20 - 40毫克/千克)、戊巴比妥(PB)(10毫克/千克)和地西泮(3毫克/千克)可抑制青霉素(500单位)诱导的癫痫样活动泛化,对抗发作期事件的脑电图和运动模式,但不影响发作间期棘慢复合波。毒扁豆碱(0.1毫克/千克,静脉注射)、可乐定(0.1毫克/千克,静脉注射)、氟哌啶醇(1毫克/千克,静脉注射)和纳洛酮(10毫克/千克,静脉注射)不影响PCP对皮层应用青霉素所致癫痫样活动的抑制作用。因此,PCP这种抗惊厥作用的机制似乎不依赖于与上述药物相关的神经递质系统。结合PCP和KT在与σ阿片受体激动剂及戊巴比妥作用方面的相似性,对其作用机制进行了讨论。

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