Kaukinen S, Ylitalo P
Acta Anaesthesiol Scand. 1978;22(1):64-75. doi: 10.1111/j.1399-6576.1978.tb01282.x.
The effects of hydralazine, clonidine, propranolol and methyldopa medication on the control of the circulatory system during halothane anaesthesia were studied in spontaneously hypertensive (SH) rats. Special attention was directed to the problem of circulatory emergencies. Under 1 and 3% halothane anaesthesia, the mean arterial pressure was lowest in methyldopa-treated rats. During 3% anaesthesia, plasma renin activity was markedly increased in the methyldopa group and decreased in the propranolol group. Hydralazine medication suppressed the pressor responses to dopamine and metaraminol, whereas clonidine, propranolol and methylopa increased the response to dopamine. These sympathetic agents induced more cardiac arrhythmias in SH controls than in normotensive ones. These arrhythmias were antagonized by hydralazine. The SH controls also tolerated haemorrhagic shock more poorly than did normotensive control rats. Among the pretreated animals, tolerance to this shock was highest in hydralazine-and clonidine-treated animals and lowest in the methyldopa group. The results suggest that during halothane anaesthesia SH rats are more prone to disturbances in the control of circulation than are normotensive controls. Hydralazine and, to a lesser extent, clonidine have a protective action against these disturbances, but the effect of methyldopa seems to be disadvantageous.
在自发性高血压(SH)大鼠中研究了肼屈嗪、可乐定、普萘洛尔和甲基多巴药物对氟烷麻醉期间循环系统控制的影响。特别关注了循环系统紧急情况的问题。在1%和3%氟烷麻醉下,甲基多巴治疗的大鼠平均动脉压最低。在3%麻醉期间,甲基多巴组血浆肾素活性显著增加,普萘洛尔组则降低。肼屈嗪用药可抑制对多巴胺和间羟胺的升压反应,而可乐定、普萘洛尔和甲基多巴则增强对多巴胺的反应。这些交感神经药物在SH对照组中比在正常血压组中诱发更多的心律失常。这些心律失常可被肼屈嗪拮抗。SH对照组对失血性休克的耐受性也比正常血压对照大鼠差。在预处理的动物中,肼屈嗪和可乐定治疗的动物对这种休克的耐受性最高,甲基多巴组最低。结果表明,在氟烷麻醉期间,SH大鼠比正常血压对照大鼠更容易出现循环系统控制紊乱。肼屈嗪以及程度较轻的可乐定对这些紊乱有保护作用,但甲基多巴的作用似乎是不利的。