Associate Professor, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
Postgraduate Student, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
Anesth Prog. 2023 Jun 1;70(2):58-64. doi: 10.2344/anpr-70-02-02.
This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.
Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.
MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.
These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity.
本研究旨在探讨在 ETCO2 变化过程中,α1-和β2-肾上腺素能受体在骨骼肌血流变化中的作用。
40 只日本白兔用异氟醚麻醉,随机分为 5 组:酚妥拉明组、间羟异丙肾上腺素组、苯肾上腺素组、丁氧胺组和阿托品组。记录和分析心率(HR)、收缩压(SBP)、颈总动脉血流量(CCBF)、咀嚼肌组织血流量(MBF)和股四头肌组织血流量(QBF)在 3 个时期的变化:(1)基础状态,(2)高碳酸血症期(酚妥拉明和间羟异丙肾上腺素组)或低碳酸血症期(苯肾上腺素、丁氧胺和阿托品组),以及(3)接受血管活性药物期间或之后。
高碳酸血症时 MBF 和 QBF 降低。MBF 的下降幅度小于 QBF。SBP 和 CCBF 升高,而 HR 降低。酚妥拉明给药后,MBF 和 QBF 均恢复至基础水平。MBF 高于基础水平,而间羟异丙肾上腺素给药后 QBF 未完全恢复。低碳酸血症时 MBF 和 QBF 增加。MBF 的增加率大于 QBF。HR、SBP 和 CCBF 无变化。苯肾上腺素或丁氧胺给药后,MBF 和 QBF 均降至基础水平的 90%至 95%。阿托品对 MBF 和 QBF 无影响。
这些结果表明,高碳酸血症和低碳酸血症期间观察到的骨骼肌血流变化主要涉及α1-肾上腺素能受体,而不涉及β2-肾上腺素能受体活性。