Crosby G, Crane A M, Jehle J, Sokoloff L
Anesthesiology. 1983 Jan;58(1):38-43. doi: 10.1097/00000542-198301000-00007.
General anesthetics are used to eliminate perception of stimuli, yet there have been few studies of the cerebral metabolic effects of stimulation during anesthesia, and of these studies, the results are discrepant. The authors therefore applied the quantitative 2-[14C]deoxyglucose method in a study of the effects of electrical stimulations (5 volts, 0.5 ms, 10 Hz) of a rat's saphenous nerve on glucose utilization in structures of the sensory pathway after administering pentobarbital or nitrous oxide. Under both conditions, stimulation produced a 75 to 108% increase in glucose utilization in the ipsilateral dorsal horn of the spinal cord, and a 9 to 11% increase in only a small fraction of the contralateral somatosensory cortex. No unilateral metabolic effect was seen in the dorsal column nuclei, ventroposterolateral thalamus, periaqueductal gray matter, dorsal raphe nuclei, or the reticular formation. The results of this study show that during peripheral stimulation, little metabolic response is seen in the brain even if the animal is receiving only nitrous oxide (70%), while the dorsal horn of the cord responds dramatically under the same conditions. Moreover, anesthesia with the potent cerebral metabolic depressant pentobarbital does not substantially alter the metabolic responsiveness of the cord or brain to stimulation. Thus, although there are marked differences between the rest in rate of metabolism produced by 70% nitrous oxide and pentobarbital, in terms of their effects on the metabolic response to stimulation, the agents are quite similar.
全身麻醉药用于消除对刺激的感知,然而,关于麻醉期间刺激对脑代谢影响的研究很少,而且在这些研究中,结果存在差异。因此,作者应用定量2-[¹⁴C]脱氧葡萄糖法,研究在给予戊巴比妥或氧化亚氮后,电刺激(5伏,0.5毫秒,10赫兹)大鼠隐神经对感觉通路结构中葡萄糖利用的影响。在这两种情况下,刺激均使脊髓同侧背角的葡萄糖利用率提高75%至108%,仅使对侧体感皮层的一小部分葡萄糖利用率提高9%至11%。在薄束核、腹后外侧丘脑、导水管周围灰质、中缝背核或网状结构中未观察到单侧代谢效应。本研究结果表明,在周围刺激期间,即使动物仅接受氧化亚氮(70%),大脑中也几乎没有代谢反应,而在相同条件下,脊髓背角的反应却很显著。此外,使用强效脑代谢抑制剂戊巴比妥进行麻醉,并不会显著改变脊髓或大脑对刺激的代谢反应性。因此,尽管70%氧化亚氮和戊巴比妥产生的代谢率有显著差异,但就它们对刺激代谢反应的影响而言,这两种药物非常相似。