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纳洛酮可逆转胎儿窒息所致的新生儿抑制。

Naloxone reverses neonatal depression caused by fetal asphyxia.

作者信息

Chernick V, Craig R J

出版信息

Science. 1982 Jun 11;216(4551):1252-3. doi: 10.1126/science.7200636.

DOI:10.1126/science.7200636
PMID:7200636
Abstract

Pregnant near-term rabbits were given an intravenous dose of saline or the opiate antagonist naloxone and then asphyxiated. The fetuses were delivered by cesarean section and evaluated for respiration, color, muscle tone, response to stimulation, and general activity at 1, 3, 5, 10, 15, and 30 minutes of age. The naloxone-treated pups had significantly better scores during the first 15 minutes after birth than the saline-treated pups. Naloxone did not adversely affect the scores of nonasphyxiated pups. These data suggest that endogenous opiates worsen the neonatal depression caused by intrauterine asphyxia and that this effect can be reversed by naloxone.

摘要

给妊娠晚期的兔子静脉注射一剂生理盐水或阿片类拮抗剂纳洛酮,然后使其窒息。通过剖宫产取出胎儿,并在其出生后1、3、5、10、15和30分钟评估其呼吸、肤色、肌张力、对刺激的反应和总体活动情况。与接受生理盐水治疗的幼崽相比,接受纳洛酮治疗的幼崽在出生后的前15分钟内得分明显更高。纳洛酮对未窒息幼崽的评分没有不利影响。这些数据表明,内源性阿片类物质会加重宫内窒息引起的新生儿抑制,且这种作用可被纳洛酮逆转。

相似文献

1
Naloxone reverses neonatal depression caused by fetal asphyxia.纳洛酮可逆转胎儿窒息所致的新生儿抑制。
Science. 1982 Jun 11;216(4551):1252-3. doi: 10.1126/science.7200636.
2
Naloxone decreases the duration of primary apnea with neonatal asphyxia.纳洛酮可缩短新生儿窒息所致原发性呼吸暂停的持续时间。
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Clinical trial of naloxone in birth asphyxia.纳洛酮用于新生儿窒息的临床试验。
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Respiratory effects of progressive asphyxia in rabbit pups and adult rabbits.新生兔和成年兔渐进性窒息的呼吸效应
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Effects of birth asphyxia on neonatal hippocampal structure and function in the spiny mouse.出生窒息对刺毛鼠新生海马结构和功能的影响。
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Naloxone administration and newborn rabbit response to asphyxia.纳洛酮给药与新生兔对窒息的反应。
Am J Obstet Gynecol. 1981 Jun 1;140(3):340-1. doi: 10.1016/0002-9378(81)90286-6.
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Naloxone exacerbates hypoxic-ischemic brain injury in the neonatal rat.纳洛酮会加重新生大鼠的缺氧缺血性脑损伤。
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Opioids prolong and anoxia shortens delay between onset of preinspiratory (pFRG) and inspiratory (preBötC) network bursting in newborn rat brainstems.
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Naloxone for preventing morbidity and mortality in newborn infants of greater than 34 weeks' gestation with suspected perinatal asphyxia.纳洛酮用于预防孕周大于34周且疑似围产期窒息的新生儿的发病和死亡。
Cochrane Database Syst Rev. 2004;2004(1):CD003955. doi: 10.1002/14651858.CD003955.pub2.
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Ventilation-induced release of phosphatidylcholine from neonatal-rat lungs in vitro.体外通气诱导新生大鼠肺释放磷脂酰胆碱
Biochem J. 1984 Aug 1;221(3):577-86. doi: 10.1042/bj2210577.
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Birth asphyxia-predictors of outcome and management.出生窒息——结局预测与处理
Indian J Pediatr. 1985 Nov-Dec;52(419):609-14. doi: 10.1007/BF02749565.
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Brain opioids and autism: an updated analysis of possible linkages.脑内阿片类物质与自闭症:对可能联系的最新分析
J Autism Dev Disord. 1987 Jun;17(2):201-16. doi: 10.1007/BF01495056.
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Endorphins and the neonate.内啡肽与新生儿
Can Med Assoc J. 1985 Feb 15;132(4):331-4.