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一氧化二氮和利多卡因是否会改变大鼠急性高血压状态下的血脑屏障?

Do nitrous oxide and lidocaine modify the blood-brain barrier in acute hypertension in the rat?

作者信息

Johansson B B, Linder L E

出版信息

Acta Anaesthesiol Scand. 1980;24(1):65-8. doi: 10.1111/j.1399-6576.1980.tb01507.x.

Abstract

Acute hypertension was induced by adrenaline or bicuculline in rats mechanically ventilated with 70% nitrous oxide in oxygen, in unrestrained rats breathing the same gas mixture, and in conscious unrestrained rats breathing air. The unrestrained rats had permanent indwelling catheters in the aorta and in one jugular vein. Three minutes after the pressure rise the rats were killed and the brains perfused in situ with saline. The protein leakage into the brain was studied with Evans blue-albumin and 125IHSA (human serum albumin). The extravasation of 125IHSA in unrestrained rats breathing nitrous oxide was higher than in rats breathing air after injection of bicuculline, but the difference was not statistically significant. Lidocaine significantly decreased the protein leakage in both conscious and anaesthetized rats. It is concluded that not only the vascular tone but also endothelial cell membrane properties can influence the hypertensive blood-brain barrier dysfunction.

摘要

在以70%氧化亚氮与氧气进行机械通气的大鼠、呼吸相同气体混合物的无束缚大鼠以及呼吸空气的清醒无束缚大鼠中,通过肾上腺素或荷包牡丹碱诱导急性高血压。无束缚大鼠的主动脉和一条颈静脉中有永久性留置导管。压力升高三分钟后处死大鼠,并在原位用盐水灌注大脑。用伊文思蓝 - 白蛋白和125I标记的人血清白蛋白(125IHSA)研究蛋白质向脑内的渗漏情况。注射荷包牡丹碱后,呼吸氧化亚氮的无束缚大鼠中125IHSA的外渗高于呼吸空气的大鼠,但差异无统计学意义。利多卡因显著降低了清醒和麻醉大鼠中的蛋白质渗漏。得出的结论是,不仅血管张力,而且内皮细胞膜特性均可影响高血压性血脑屏障功能障碍。

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