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吗啡对麻醉自主呼吸成年大鼠潮式呼吸和喘息效应的差异。

Disparity in the effect of morphine on eupnea and gasping in anesthetized spontaneously breathing adult rats.

机构信息

Central Michigan University College of Medicine, Mt. Pleasant, Michigan.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2020 Nov 1;319(5):R526-R540. doi: 10.1152/ajpregu.00031.2020. Epub 2020 Sep 9.

Abstract

The goal of this study was to examine the effects of systemic morphine on the pattern and morphology of gasping breathing during respiratory autoresuscitation from transient anoxia. We hypothesized that systemic morphine levels sufficient to cause significant depression of eupnea would also cause depression of gasping breathing. Respiratory and cardiovascular variables were studied in 20 spontaneously breathing pentobarbital-anaesthetized adult male rats. Sham (saline) injections caused no significant change in resting respiratory or cardiovascular variables ( = 10 rats). Morphine, on the other hand, caused significant depression of eupneic breathing, with ventilation and peak inspiratory flow decreased by ∼30-60%, depending on the background condition ( = 10 rats). In contrast, morphine did not depress gasping breathing. Duration of primary apnea, time to restore eupnea, the number and amplitude of gasping breaths, average and maximum peak flows, and volume of gasping breaths were not significantly different postinjection in either condition. Blood pressures were all significantly lower following morphine injection at key time points in the process of autoresuscitation. Last, rate of successful recovery from anoxia was 80% in the morphine group (8/10 rats) compared with 100% (10/10 rats) in the sham group, postinjection. We conclude that the mechanisms and/or anatomic correlates underlying generation of gasping rhythm are distinct from those underlying eupnea, allowing gasping to remain robust to systemic morphine levels causing significant depression of eupnea. Morphine nevertheless decreases likelihood of recovery from transient anoxia, possibly as a result of decreased tissue perfusion pressures at critical time points during the process of respiratory autoresuscitation.

摘要

本研究旨在探讨全身给予吗啡对短暂缺氧后自主呼吸复苏时喘息样呼吸模式和形态的影响。我们假设,足以引起通气明显抑制的全身吗啡水平也会引起喘息样呼吸的抑制。在 20 只自主呼吸戊巴比妥钠麻醉的成年雄性大鼠中研究了呼吸和心血管变量。假(盐水)注射未引起静息呼吸或心血管变量的显著变化(= 10 只大鼠)。另一方面,吗啡引起通气的显著抑制,通气和吸气峰流量降低约 30-60%,这取决于背景条件(= 10 只大鼠)。相比之下,吗啡不会抑制喘息样呼吸。原发性呼吸暂停的持续时间、恢复通气的时间、喘息样呼吸的次数和幅度、平均和最大吸气峰流速以及喘息样呼吸的容量在两种情况下注射后均无显著差异。在自主复苏过程中的关键时间点,血压在吗啡注射后均显著降低。最后,吗啡组的成功复苏率为 80%(8/10 只大鼠),而假注射组为 100%(10/10 只大鼠)。我们的结论是,产生喘息节律的机制和/或解剖学相关性与产生通气的机制和/或解剖学相关性不同,这使得喘息样呼吸对引起通气明显抑制的全身吗啡水平具有较强的抵抗性。然而,吗啡会降低从短暂缺氧中恢复的可能性,这可能是由于在自主呼吸复苏过程中的关键时间点组织灌注压降低所致。

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