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清醒犬完全交感神经阻滞后的局部皮肤温度

Regional skin temperatures associated with total sympathetic blockade in conscious dogs.

作者信息

Peters J, Breuksch E, Kousoulis L, Krossa M, Arndt J O

机构信息

Department of Experimental Anaesthesiology, University of Düsseldorf.

出版信息

Br J Anaesth. 1988 Nov;61(5):617-24. doi: 10.1093/bja/61.5.617.

Abstract

Multiple regional skin temperatures were measured continuously before and after complete sympathetic nerve block by extradural anaesthesia in conscious dogs in environmental temperatures slightly below (22.4 (SEM 0.4) degrees C) and slightly above (27.2 (0.4) degrees C) the thermoneutral range. In the cold environment, skin temperature increased in the distal (+2.13 degrees C, P less than 0.001) and proximal (+1.1 degrees C, P less than 0.02) front limbs and distal (+3.25 degrees C, P less than 0.001) and proximal (+1.72 degrees C, P less than 0.001) hind limbs, but decreased on the chest (-0.83 degrees C, P less than 0.01) and abdomen (-0.67 degrees C, P less than 0.002). Similar changes (all significant) were seen in the warm environment, although the effects were smaller. Rectal temperature did not change during the experiments. Arterial pressure decreased in both groups after denervation, but was the same in the denervated state regardless of ambient temperature. Our results are incompatible with increased sympathetic discharge from unblocked regions being a dominant factor in the decrease in trunk skin temperature above and within the analgesic areas, and demonstrate a substantial contribution of the sympathetic nervous system to the maintenance of the normal skin temperature gradient along the long axis of the body.

摘要

在环境温度略低于(22.4(标准误0.4)℃)和略高于(27.2(0.4)℃)热中性范围时,对清醒犬进行硬膜外麻醉以实现完全交感神经阻滞,在此前后连续测量多个区域的皮肤温度。在寒冷环境中,前肢远端(升高2.13℃,P<0.001)和近端(升高1.1℃,P<0.02)以及后肢远端(升高3.25℃,P<0.001)和近端(升高1.72℃,P<0.001)的皮肤温度升高,但胸部(降低0.83℃,P<0.01)和腹部(降低0.67℃,P<0.002)的皮肤温度降低。在温暖环境中也观察到类似变化(均有统计学意义),尽管影响较小。实验过程中直肠温度未发生变化。去神经支配后两组的动脉血压均降低,但在去神经支配状态下,无论环境温度如何,动脉血压均相同。我们的结果与未阻滞区域交感神经放电增加是镇痛区域上方和内部躯干皮肤温度降低的主要因素这一观点不一致,并表明交感神经系统对维持沿身体长轴的正常皮肤温度梯度有重要作用。

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