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麻醉对犬颈动脉化学感受器反射的影响。

Effects of anesthesia on the canine carotid chemoreceptor reflex.

作者信息

Zimpfer M, Sit S P, Vatner S F

出版信息

Circ Res. 1981 Mar;48(3):400-6. doi: 10.1161/01.res.48.3.400.

Abstract

We studied the effects of alpha-chloralose (100 mg/kg, iv), Na pentobarbital (25 mg/kg, iv) and halothane (1 vol% and 2 vol%) on the response to carotid chemoreceptor stimulation (CCRS) in eight chronically instrumented dogs. CCRS was accomplished by means of intracarotid injections of nicotine while ventilation was held constant in the unanesthetized state and following administration of one of three different anesthetics. In the conscious state, CCRS elicited intense bradycardia and peripheral vasoconstriction as reflected by a 173 +/- 14% increase in initial cardiac cycle length and a 216 /+- 22% increase in mean iliac vascular resistance. Each anaesthetic, studied on separate days, attenuated these responses to CCRS strikingly (P less than 0.01). For instance, after alpha-chloralose, CCRS increased iliac resistance by only 55 +/- 14% and cardiac cycle length by only 27 +/- 13%. After Na pentobarbital, CCRS increased iliac resistance by 12 +/- 4% and cardiac cycle length by 8 +/- 5%. After inhalation of halothane (1 vol%), CCRS increased iliac resistance by 28 +/- 7% and cardiac cycle length by 11 +/- 5%, whereas halothane (2 vol%) abolished these responses to CCRS. Thus, general anesthesia interferes severely with carotid chemoreceptor control of the circulation. Whereas halothane and Na pentobarbital altered responses to CCRS the most, we found that even alpha-chloralose, which has been thought to maintain or augment reflex responses, was able to depress the response to CCRS strikingly.

摘要

我们研究了α-氯醛糖(100毫克/千克,静脉注射)、戊巴比妥钠(25毫克/千克,静脉注射)和氟烷(1%体积分数和2%体积分数)对8只长期植入仪器的犬对颈动脉化学感受器刺激(CCRS)反应的影响。CCRS通过在未麻醉状态下以及在给予三种不同麻醉剂之一后,通过颈内动脉注射尼古丁来实现,同时保持通气恒定。在清醒状态下,CCRS引发强烈的心动过缓和外周血管收缩,初始心动周期长度增加173±14%,平均髂血管阻力增加216±22%。在不同的日子分别研究每种麻醉剂,发现它们对CCRS的这些反应有显著减弱(P<0.01)。例如,在给予α-氯醛糖后,CCRS使髂血管阻力仅增加55±14%,心动周期长度仅增加27±13%。在给予戊巴比妥钠后,CCRS使髂血管阻力增加12±4%,心动周期长度增加8±5%。吸入氟烷(1%体积分数)后,CCRS使髂血管阻力增加28±7%,心动周期长度增加11±5%,而氟烷(2%体积分数)则消除了对CCRS的这些反应。因此,全身麻醉严重干扰了颈动脉化学感受器对循环的控制。虽然氟烷和戊巴比妥钠对CCRS反应的改变最大,但我们发现,即使是一直被认为能维持或增强反射反应的α-氯醛糖也能显著抑制对CCRS的反应。

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