Havel P J, Flatness D E, Halter J B, Best J D, Veith R C, Taborsky G J
Am J Physiol. 1987 May;252(5 Pt 1):E667-72. doi: 10.1152/ajpendo.1987.252.5.E667.
To determine the suitability of halothane anesthesia for studies of sympathetic control of the endocrine pancreas in dogs, we assessed the effect of halothane anesthesia (0.8% inspired concentration) on the sympathetic response to central neuroglucopenia. In dogs anesthetized with halothane, intravenous administration of the neuroglucopenic agent, 2-deoxy-D-glucose (2-DG; 100 mg/kg), produced increases of both systemic plasma epinephrine (EPI; delta = 269 +/- 86 pg/ml, P less than 0.025) and norepinephrine (NE; delta = 157 +/- 55 pg/ml, P less than 0.025) equivalent to those previously observed in conscious dogs. Measurement of plasma NE kinetics revealed that the plasma NE response to 2-DG during halothane was due to an increase in the rate of NE appearance that was identical to that of conscious dogs, rather than to an impairment of NE clearance. In contrast, 2-DG at this dose did not increase plasma EPI or NE levels in dogs anesthetized with pentobarbital sodium (30 mg/kg). Plasma glucose increased modestly after 2-DG (100 mg/kg) in both conscious and halothane-anesthetized dogs but not in the pentobarbital-anesthetized dogs. Although 2-DG at a threefold higher dose (300 mg/kg) caused plasma EPI, NE, and glucose (delta = 12 +/- 3 mg/dl, P less than 0.001) to increase in pentobarbital-anesthetized dogs, the responses to this higher dose of 2-DG were all significantly larger in halothane-anesthetized dogs (delta of plasma glucose = 30 +/- 8 mg/dl, P less than 0.005; P less than 0.0025 vs. pentobarbital).(ABSTRACT TRUNCATED AT 250 WORDS)
为了确定氟烷麻醉是否适合用于犬内分泌胰腺交感神经控制的研究,我们评估了氟烷麻醉(吸入浓度0.8%)对中枢性低血糖交感神经反应的影响。在用氟烷麻醉的犬中,静脉注射神经低血糖剂2-脱氧-D-葡萄糖(2-DG;100mg/kg)使全身血浆肾上腺素(EPI;Δ=269±86pg/ml,P<0.025)和去甲肾上腺素(NE;Δ=157±55pg/ml,P<0.025)均升高,与先前在清醒犬中观察到的升高幅度相当。血浆NE动力学测量显示,氟烷麻醉期间血浆NE对2-DG的反应是由于NE出现速率增加,这与清醒犬相同,而非NE清除受损。相比之下,该剂量的2-DG在戊巴比妥钠(30mg/kg)麻醉的犬中并未增加血浆EPI或NE水平。在清醒和氟烷麻醉的犬中,2-DG(100mg/kg)注射后血浆葡萄糖适度升高,但在戊巴比妥麻醉的犬中未升高。尽管三倍高剂量(300mg/kg)的2-DG使戊巴比妥麻醉的犬血浆EPI、NE和葡萄糖(Δ=12±3mg/dl,P<0.001)升高,但氟烷麻醉的犬对该更高剂量2-DG的反应均显著更大(血浆葡萄糖Δ=30±8mg/dl,P<0.005;与戊巴比妥相比P<0.0025)。(摘要截断于250字)