Hofer R E, Lanier W L, Iaizzo P A
Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA.
Pflugers Arch. 1995 Sep;430(5):779-86. doi: 10.1007/BF00386176.
The temporal relationship between intraocular pressure and extraocular muscle activation was studied in cats in response to the administration of the depolarizing muscle relaxant, succinylcholine (i.e. bolus doses of 0.1 and 1.0 mg/kg). Simultaneous changes in intraocular pressure, extraocular muscle force, extraocular electromyograms (EMGs), limb muscle EMGs and hindlimb muscle afferent activity were recorded. Increases in intraocular pressure were associated with extraocular muscle activation and had two components: (1) an initial abrupt increase (lasting seconds) which correlated with fasciculations within the extraocular and hindlimb muscles; and (2) a latter more sustained component (minutes) presumably due to tonic muscle activation which correlated with increases in hindlimb muscle afferent activity (e.g. due to sustained activation of bag 1 intrafusal fibers by succinylcholine). In a separate group of animals, in which the extraocular muscles were detached from the right eye bilateral intraocular pressures were measured: depolarization by succinylcholine caused a significant increase in intraocular pressure only for the eye with intact muscles. Thus, increases in intraocular pressure following the administration of succinylcholine are directly related to the changes in extraocular muscle tension which is dependent on both tonic and phasic muscle fiber responses.
在猫身上研究了去极化肌松剂琥珀酰胆碱(即0.1和1.0mg/kg的推注剂量)给药后眼内压与眼外肌激活之间的时间关系。记录了眼内压、眼外肌力、眼外肌肌电图(EMG)、肢体肌肉EMG和后肢肌肉传入活动的同步变化。眼内压升高与眼外肌激活有关,并有两个组成部分:(1)最初的突然升高(持续数秒),与眼外肌和后肢肌肉的肌束颤动相关;(2)随后更持续的部分(数分钟),可能是由于紧张性肌肉激活,与后肢肌肉传入活动增加相关(例如,由于琥珀酰胆碱持续激活1型袋状梭内纤维)。在另一组动物中,将眼外肌从右眼分离,测量双侧眼内压:琥珀酰胆碱去极化仅导致肌肉完整的眼睛眼内压显著升高。因此,琥珀酰胆碱给药后眼内压升高与眼外肌张力变化直接相关,而眼外肌张力变化取决于紧张性和相位性肌纤维反应。