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抗胆碱能治疗对大鼠脑震荡性脑损伤后短暂行为抑制和生理反应的影响。

Effects of anticholinergic treatment on transient behavioral suppression and physiological responses following concussive brain injury to the rat.

作者信息

Lyeth B G, Dixon C E, Hamm R J, Jenkins L W, Young H F, Stonnington H H, Hayes R L

机构信息

Department of Surgery, Richard Roland Reynolds Neurosurgical Research Laboratories, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.

出版信息

Brain Res. 1988 May 10;448(1):88-97. doi: 10.1016/0006-8993(88)91104-3.

Abstract

Increasing doses (0.1, 1.0, 10.0 mg/kg) of scopolamine were systemically (i.p.) administered to rats subjected to moderate fluid percussion brain injury. Scopolamine treatment (1.0 mg/kg, i.p.) 15 min prior to trauma significantly reduced mortality and the duration of transient behavioral suppression assessed by a variety of measures. No differences were observed between saline- and scopolamine-treated animals in either the incidence or duration of transient apnea associated with injury. Preinjury treatment with methylscopolamine (1.04 mg/kg) or mecamylamine (1.0 mg/kg) had no effect on transient behavioral suppression. Except for increased heart rate, preinjury treatment with scopolamine (1.0 mg/kg) did not significantly alter systemic physiological responses to injury. Rats treated with scopolamine (1.0 mg/kg, i.p.) 30 s after injury tended to have shorter durations of reflex and response suppression. These experiments suggest that antimuscarinics can attenuate components of transient behavioral suppression associated with concussive brain injury. These findings are consistent with previous experimental and clinical observations and lend further support to the hypothesis that activation of a muscarinic system within the CNS mediates components of reversible traumatic unconsciousness following cerebral concussion.

摘要

将递增剂量(0.1、1.0、10.0毫克/千克)的东莨菪碱经腹腔注射全身给予中度液体冲击脑损伤的大鼠。在创伤前15分钟给予东莨菪碱治疗(1.0毫克/千克,腹腔注射),通过多种测量方法评估发现其显著降低了死亡率和短暂行为抑制的持续时间。在与损伤相关的短暂呼吸暂停的发生率或持续时间方面,盐水处理组和东莨菪碱处理组动物之间未观察到差异。损伤前用甲基东莨菪碱(1.04毫克/千克)或美加明(1.0毫克/千克)治疗对短暂行为抑制没有影响。除心率增加外,损伤前用东莨菪碱(1.0毫克/千克)治疗并未显著改变对损伤的全身生理反应。在损伤后30秒给予东莨菪碱(1.0毫克/千克,腹腔注射)治疗的大鼠,其反射和反应抑制的持续时间往往较短。这些实验表明,抗毒蕈碱药物可减轻与脑震荡性脑损伤相关的短暂行为抑制的组成部分。这些发现与先前的实验和临床观察结果一致,并进一步支持了以下假设:中枢神经系统内毒蕈碱系统的激活介导了脑震荡后可逆性创伤性昏迷的组成部分。

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