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在氟烷麻醉下,阻断对侧颈动脉窦神经可增强同侧神经动作电位。

Blockade of contralateral carotid sinus nerve enhances ipsilateral nerve action potentials under halothane anaesthesia.

作者信息

Behnia R, Koushanpour E, Shanks C A, McCarthy W J

出版信息

Br J Anaesth. 1987 Apr;59(4):489-97. doi: 10.1093/bja/59.4.489.

Abstract

In 10 dogs, one carotid sinus was isolated from the systemic circulation without disturbing its sympathetic innervation. The isolated sinus was connected to a servo-controlled pressure generator which kept mean intrasinus pressure, pulse pressure, and frequency of pulsation constant. The carotid sinus baroreceptor nerve action potentials (NAP) were measured, together with the intransinus and systemic pressures. Following control measurements, the end-tidal concentrations of halothane in oxygen were varied between 0.0 and 2%, in random increments of 0.5%, each with 30 min of stabilization. The carotid sinus NAP response to halothane was biphasic in a dose-dependent manner. The series was repeated after neural blockade of the contralateral sinus with 1% lignocaine 2-3 ml. This blockade enhanced all NAP responses (P less than 0.001), suggesting that a central inhibitory effect, initiated by the contralateral sinus, had been removed.

摘要

在10只犬中,将一个颈动脉窦从体循环中分离出来,同时不干扰其交感神经支配。分离出的窦与一个伺服控制的压力发生器相连,该发生器可使窦内平均压力、脉压和搏动频率保持恒定。测量颈动脉窦压力感受器神经动作电位(NAP)以及窦内和体循环压力。在进行对照测量后,氧气中氟烷的呼气末浓度在0.0%至2%之间变化,以0.5%的随机增量递增,每次稳定30分钟。颈动脉窦NAP对氟烷的反应呈双相且剂量依赖性。在用2 - 3毫升1%利多卡因对侧窦进行神经阻滞之后重复该系列实验。这种阻滞增强了所有NAP反应(P小于0.001),表明由对侧窦引发的中枢抑制作用已被消除。

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