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硝普钠与肼苯哒嗪对妊娠和非妊娠患者离体子宫动脉作用的比较。

Comparison of nitroprusside and hydralazine in isolated uterine arteries from pregnant and nonpregnant patients.

作者信息

Nelson S H, Suresh M S

机构信息

Department of Anesthesiology, University of Texas Medical Branch, Galveston 77550.

出版信息

Anesthesiology. 1988 Apr;68(4):541-7. doi: 10.1097/00000542-198804000-00011.

Abstract

The purpose of the present study was to determine the relative potency of nitroprusside and hydralazine with respect to inhibition of norepinephrine-induced contraction of isolated, uterine arteries from pregnant and nonpregnant patients. The arteries, obtained after hysterectomy, were dissected free from surrounding tissue, and arterial rings were prepared and mounted in tissue chambers filled with Kreb's-bicarbonate solution. Isometric tension was recorded. At concentrations of 10(-9) M to 10(-5) M, both nitroprusside and hydralazine produced concentration-dependent inhibition of the contractile response to norepinephrine. Nitroprusside and hydralazine were more potent in relaxing arteries contracted by a lower concentration (3 X 10(-6) M) of norepinephrine than by a higher concentration (10(-5) M) of norepinephrine. Regardless of the concentration of norepinephrine, nitroprusside was considerably more potent than hydralazine. The concentrations of nitroprusside that produced 50% inhibition (IC50) of the contractile response to norepinephrine (3 X 10(-6) M) in uterine arteries from pregnant and nonpregnant patients were 3.2 +/- 0.5 X 10(-9) M (n = 5) and 1.2 +/- 0.1 X 10(-9) M (n = 6), respectively. The IC50 values for hydralazine acting against norepinephrine (3 X 10(-6) M) in the uterine arteries from pregnant and nonpregnant patients were 5.1 +/- 0.5 X 10(-7) M (n = 5) and 4.0 +/- 0.5 X 10(-7) M (n = 6), respectively. Nitroprusside (10(-6) M), compared to hydralazine (10(-5) M), produced the greater maximal inhibition of norepinephrine-induced contraction.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究的目的是确定硝普钠和肼屈嗪在抑制去甲肾上腺素引起的妊娠和非妊娠患者离体子宫动脉收缩方面的相对效力。子宫切除术后获取的动脉,从周围组织中游离出来,制备动脉环并安装在充满 Krebs 碳酸氢盐溶液的组织浴槽中。记录等长张力。在 10(-9)M 至 10(-5)M 的浓度范围内,硝普钠和肼屈嗪均产生对去甲肾上腺素收缩反应的浓度依赖性抑制。硝普钠和肼屈嗪在舒张由较低浓度(3×10(-6)M)去甲肾上腺素而非较高浓度(10(-5)M)去甲肾上腺素收缩的动脉方面更有效。无论去甲肾上腺素浓度如何,硝普钠的效力均显著高于肼屈嗪。在妊娠和非妊娠患者子宫动脉中,产生对去甲肾上腺素(3×10(-6)M)收缩反应 50%抑制(IC50)的硝普钠浓度分别为 3.2±0.5×10(-9)M(n = 5)和 1.2±0.1×10(-9)M(n = 6)。在妊娠和非妊娠患者子宫动脉中,肼屈嗪对抗去甲肾上腺素(3×10(-6)M)的 IC50 值分别为 5.1±0.5×10(-7)M(n = 5)和 4.0±0.5×10(-7)M(n = 6)。与肼屈嗪(10(-5)M)相比,硝普钠(10(-6)M)对去甲肾上腺素诱导的收缩产生更大的最大抑制作用。(摘要截短为 250 字)

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