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在氟烷、戊巴比妥和氟硝西泮麻醉下,对中枢给予促甲状腺激素释放激素的升压作用的抑制。

Suppression of the pressor effect of centrally administered thyrotropin-releasing hormone under halothane, pentobarbital and flunitrazepam anaesthesia.

作者信息

Tanaka H, Okuda C, Sawa T, Mizobe T, Demura H, Miyazaki M

机构信息

Department of Anaesthesiology, Kyoto Prefectural University of Medicine, Japan.

出版信息

Acta Anaesthesiol Scand. 1988 Oct;32(7):535-40. doi: 10.1111/j.1399-6576.1988.tb02781.x.

Abstract

Intracerebroventricular (i.c.v.) administration of thyrotropin-releasing hormone (TRH) caused an increase in blood pressure (BP) and heart rate (HR) in conscious rats. The pressor effect was greatly diminished by adrenalectomy as well as after pretreatment with phentolamine, an alpha-receptor antagonist or with mecamylamine, a ganglion blocker, suggesting that centrally administered TRH increases BP mainly by stimulating sympathetic activity. Under halothane (0.8%), pentobarbital (33 mg/kg, i.p.) and flunitrazepam (0.8 mg/kg, i.v.) anaesthesia, the pressor effect of TRH was almost completely blocked. The increase in BP induced by peripheral alpha-receptor stimulation with phenylephrine was not affected by the anaesthetics at these doses. Pretreatment with atropine (50 micrograms, i.c.v.) significantly reduced the pressor effect of TRH. Intracerebroventricularly administered haloperidol and bicuculline also partially diminished the increase in BP produced by TRH, while other neurotransmitter blockers such as phentolamine, propranolol and naloxone did not. These results indicate that the anaesthetics at the doses employed interfere with the central neuronal pathway(s), probably cholinergic pathways, through which TRH exerts its pressor effect.

摘要

向清醒大鼠脑室内注射促甲状腺激素释放激素(TRH)可导致血压(BP)和心率(HR)升高。肾上腺切除术后以及用α受体拮抗剂酚妥拉明或神经节阻滞剂美加明预处理后,升压作用显著减弱,这表明脑室内注射TRH主要通过刺激交感神经活动来升高血压。在氟烷(0.8%)、戊巴比妥(33mg/kg,腹腔注射)和氟硝西泮(0.8mg/kg,静脉注射)麻醉下,TRH的升压作用几乎完全被阻断。这些剂量的麻醉剂对苯肾上腺素外周α受体刺激诱导的血压升高没有影响。阿托品(50μg,脑室内注射)预处理可显著降低TRH的升压作用。脑室内注射氟哌啶醇和荷包牡丹碱也可部分减弱TRH引起的血压升高,而酚妥拉明、普萘洛尔和纳洛酮等其他神经递质阻滞剂则没有这种作用。这些结果表明,所用剂量的麻醉剂干扰了TRH发挥其升压作用的中枢神经通路,可能是胆碱能通路。

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