Taborsky G J, Halter J B, Baum D, Best J D, Porte D
Am J Physiol. 1984 Nov;247(5 Pt 2):R905-10. doi: 10.1152/ajpregu.1984.247.5.R905.
Since pentobarbital anesthesia is known to attenuate certain autonomic reflexes, we tested whether pentobarbital would suppress both basal and stimulated levels of plasma catecholamines and whether a large stimulus might counterbalance this suspected suppression. In untrained dogs, sampled by venipuncture, pentobarbital (30 mg/kg iv) decreased the plasma concentration of epinephrine (E) from 146 +/- 9 to 38 +/- 8 (SE) pg/ml (n = 46) and norepinephrine (NE) from 276 +/- 13 to 91 +/- 10 pg/ml (both P less than 0.0005), suggesting that barbiturate anesthesia suppresses sympathetic outflow in these mildly stressed animals. Pentobarbital also had a marked suppressive effect on the lower baseline catecholamines (E, 84 +/- 14 pg/ml; NE, 118 +/- 10 pg/ml; n = 6) of trained, chronically catheterized dogs, suggesting that it was capable of suppressing resting sympathetic outflow as well. To determine whether pentobarbital anesthesia also suppressed reflex activation of the sympathetic nervous system, the plasma catecholamine response to the neuroglucopenic agent, 2-deoxy-D-glucose (2-DG), was measured in conscious and in pentobarbital-anesthetized dogs. In conscious dogs, the administration of 2-DG (100 mg/kg iv) doubled the base-line plasma concentration of E and NE 30 min after the 2-DG injection. In contrast, the administration of 2-DG (100 mg/kg iv) to pentobarbital-anesthetized dogs produced no significant increase of either plasma catecholamine, suggesting marked suppression of this sympathetic reflex.(ABSTRACT TRUNCATED AT 250 WORDS)
由于已知戊巴比妥麻醉会减弱某些自主反射,我们测试了戊巴比妥是否会抑制血浆儿茶酚胺的基础水平和刺激水平,以及大的刺激是否可能抵消这种可疑的抑制作用。在通过静脉穿刺采样的未训练犬中,静脉注射戊巴比妥(30mg/kg)使肾上腺素(E)的血浆浓度从146±9降至38±8(SE)pg/ml(n = 46),去甲肾上腺素(NE)从276±13降至91±10 pg/ml(P均小于0.0005),这表明巴比妥类麻醉抑制了这些轻度应激动物的交感神经输出。戊巴比妥对经训练的、长期插管的犬的较低基础儿茶酚胺水平(E,84±14 pg/ml;NE,118±10 pg/ml;n = 6)也有显著抑制作用,这表明它也能够抑制静息交感神经输出。为了确定戊巴比妥麻醉是否也抑制交感神经系统的反射激活,在清醒和戊巴比妥麻醉的犬中测量了对神经低血糖剂2-脱氧-D-葡萄糖(2-DG)的血浆儿茶酚胺反应。在清醒犬中,静脉注射2-DG(100mg/kg)使注射2-DG后30分钟E和NE的基线血浆浓度加倍。相比之下,给戊巴比妥麻醉的犬静脉注射2-DG(100mg/kg)后,两种血浆儿茶酚胺均未显著增加,这表明这种交感反射受到明显抑制。(摘要截取自250字)