Farrell L, Dempsey M J, Waud B E, Waud D R
Anesth Analg. 1981 Jan;60(1):18-20.
The concentrations of d-tubocurarine and pancuronium producing 50% block of the indirectly elicited twitch were determined in isolated mouse nerve-diaphragm preparations at 37 and 25 C. The contralateral side was used as a control in a 2 x 2 factorial analysis of variance. Cooling shifted the dose-response curves for both drugs to the left, but only slightly (from 1.69 +/- 0.022 microM to 1.49 +/- 0.021 microM with d-tubocurarine and from 0.65 +/- 0.012 microM to 0.46 +/- 0.009 microM with pancuronium). The dose-response relationship was, however, so steep (Hill coefficient approximately 5 to 6) that a slight horizontal shift of the dose-response curve corresponds to a considerable decrease in the twitch response at a concentration midway between the curves. Thus, studies using only the concentration that produces partial block of twitch responses misleadingly suggest a large effect of temperature. Similarly, if in another system the curve were to shift to the right even only slightly, a temperature effect in the reverse direction might be reported. It is concluded that temperature appears to have little influence on cellular potency of neuromuscular blocking agents.
在37℃和25℃条件下,于分离的小鼠神经 - 膈肌标本中测定产生间接诱发抽搐50%阻滞的d - 筒箭毒碱和泮库溴铵的浓度。在2×2析因方差分析中,对侧用作对照。降温使两种药物的剂量 - 反应曲线均向左移动,但移动幅度较小(d - 筒箭毒碱从1.69±0.022微摩尔/升变为1.49±0.021微摩尔/升,泮库溴铵从0.65±0.012微摩尔/升变为0.46±0.009微摩尔/升)。然而,剂量 - 反应关系非常陡峭(希尔系数约为5至6),以至于剂量 - 反应曲线的轻微水平移动对应于曲线中间浓度时抽搐反应的显著降低。因此,仅使用产生部分抽搐反应阻滞浓度的研究错误地表明温度有很大影响。同样,如果在另一个系统中曲线即使仅轻微向右移动,可能会报告相反方向的温度效应。得出的结论是,温度似乎对神经肌肉阻滞剂的细胞效能影响很小。