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苯妥英对去大脑猫的肌松作用的描述与分析:苯妥英在痉挛性疾病中潜在效用的意义

Description and analysis of the myotonolytic effects of phenytoin in the decerebrate cat: implications for potential utility of phenytoin in spastic disorders.

作者信息

Raines A, Mahany T M, Baizer L, Swope S, Hershkowitz N

出版信息

J Pharmacol Exp Ther. 1985 Jan;232(1):283-94.

PMID:3965698
Abstract

Phenytoin (DPH) was evaluated for its capacity to reduce several motor manifestations of decerebrate rigidity in the cat. In doses of the order of 40 to 50 mg/kg i.v., DPH diminished the force necessary to collapse the hyperextended limbs; at about half this dose range, the drug reduced gamma-motoneuron discharges; at still lower doses the drug profoundly depressed mechanical and electromyographic responses evoked by stretch from both forelimb and hindlimb extensor muscles. Serum levels of DPH associated with substantial reduction in electrical and mechanical manifestations of the extensor hypertonus were of the same order conventionally encountered when the drug is administered to humans for acute seizure management. The data are supportive of a centrally and peripherally mediated muscle relaxing effect of the drug in states where muscle spindle involvement is a contributing factor, and may help to explain further the utility of DPH in the treatment of spasticity.

摘要

对苯妥英(DPH)降低猫去大脑强直的几种运动表现的能力进行了评估。静脉注射剂量为40至50mg/kg左右时,DPH可减少使过度伸展的肢体塌陷所需的力量;在该剂量范围的大约一半时,该药可减少γ运动神经元放电;在更低剂量时,该药可显著抑制前肢和后肢伸肌肌肉伸展所诱发的机械和肌电图反应。与伸肌张力过高的电和机械表现大幅降低相关的DPH血清水平,与该药用于人类急性癫痫治疗时通常遇到的水平相当。这些数据支持该药在肌肉纺锤体参与起作用的状态下具有中枢和外周介导的肌肉松弛作用,并可能有助于进一步解释DPH在治疗痉挛方面的效用。

相似文献

1
Description and analysis of the myotonolytic effects of phenytoin in the decerebrate cat: implications for potential utility of phenytoin in spastic disorders.苯妥英对去大脑猫的肌松作用的描述与分析:苯妥英在痉挛性疾病中潜在效用的意义
J Pharmacol Exp Ther. 1985 Jan;232(1):283-94.
2
[Effects of 4'ethyl-2-methyl-3-piperidinopropiophenone on experimental rigidity and spinal cord activities (author's transl)].4'-乙基-2-甲基-3-哌啶丙酰苯对实验性强直及脊髓活动的影响(作者译)
Nihon Yakurigaku Zasshi. 1981 May;77(5):511-20.
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Suppression of decerebrate rigidity by phenytoin and chlorpromazine.苯妥英钠和氯丙嗪对去大脑强直的抑制作用。
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Pharmacological studies of 1-(2,3-dimethyl-4-methoxyphenyl)-2-methyl-3-(1-pyrrolidinyl)-1- propanone hydrochloride (AD-2239), a centrally acting muscle relaxant.1-(2,3-二甲基-4-甲氧基苯基)-2-甲基-3-(1-吡咯烷基)-1-丙酮盐酸盐(AD-2239)的药理学研究,一种中枢性肌肉松弛剂。
Arch Int Pharmacodyn Ther. 1985 May;275(1):105-22.
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Sustained firing of alpha and gamma hind limb motoneurons induced by stimulation of the pudendal nerve.刺激阴部神经诱导α和γ后肢运动神经元持续放电。
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Suppression of Cerebellar Evoked Potentials by a peripheral action of diphenylhydantoin.苯妥英的外周作用对小脑诱发电位的抑制作用
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Pharmacological studies of the new centrally acting muscle relaxant 4'-ethyl-2-methyl-3-pyrrolidinopropiophenone hydrochloride.新型中枢性肌肉松弛剂盐酸4'-乙基-2-甲基-3-吡咯烷丙酰苯的药理学研究
Arzneimittelforschung. 1987 Mar;37(3):331-6.
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Inhibition of vestibular and neck reflexes in forelimb extensor muscles during the episodes of postural atonia induced by an anticholinesterase in decerebrate cat.在去大脑猫中,抗胆碱酯酶诱导的姿势性肌张力缺失发作期间,前庭和颈部反射对前肢伸肌的抑制作用。
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Formation of locomotor patterns in decerebrate cats in conditions of epidural stimulation of the spinal cord.在硬膜外刺激脊髓条件下,去大脑猫运动模式的形成。
Neurosci Behav Physiol. 2005 Mar;35(3):291-8.

引用本文的文献

1
Gabapentin for decerebrate rigidity: a case report.加巴喷丁治疗去大脑强直:一例报告。
Clin Drug Investig. 2008;28(1):67-70. doi: 10.2165/00044011-200828010-00008.
2
A new class of potent centrally acting muscle relaxants: pharmacology of oxazolidinones in rat decerebrate rigidity.一类新型强效中枢性肌肉松弛剂:恶唑烷酮类药物对大鼠去大脑僵直的药理学作用
Br J Pharmacol. 1986 Sep;89(1):219-28. doi: 10.1111/j.1476-5381.1986.tb11138.x.