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七氟醚对去大脑猫膈神经呼吸活动的影响。

Effects of sevoflurane on respiratory activities in the phrenic nerve of decerebrate cats.

作者信息

Masuda A, Haji A, Kiriyama M, Ito Y, Takeda R

机构信息

Department of Anesthesiology, Faculty of Medicine, Toyama Medical University, Japan.

出版信息

Acta Anaesthesiol Scand. 1995 Aug;39(6):774-81. doi: 10.1111/j.1399-6576.1995.tb04169.x.

Abstract

Although the depressive effect of sevoflurane on ventilation has been reported, its potency and mode of action on the neural respiratory activity is still unclear. Therefore, the effects of sevoflurane on the phrenic nerve discharge and the respiratory timing were compared with those of halothane. The efferent activity of the phrenic nerve was recorded from decerebrate, un-anesthetized and artificially ventilated cats, and its power spectrum was calculated. The inspiratory and expiratory periods were measured. Sevoflurane and halothane of the doses of 0.5-1.5 MAC were inhaled for 15 min. With 0.5 MAC, sevoflurane decreased the total power and two dominant spectral components of the high-frequency oscillation and medium-frequency oscillation in the power spectrum. With the same MAC dose, halothane had a greater depressive effect in a normocapnic condition with the vagus nerves being intact. In a state of hypercapnia or after vagotomy, the effect of halothane was considerably attenuated whereas that of sevoflurane remained unaltered. Halothane increased the neural respiratory rate much more than sevoflurane in both normocapnic and hypercapnic states. Vagotomy significantly weakened the effect of halothane to increase the respiratory rate but did not modify the effect of sevoflurane. With 1.0-1.5 MAC, both anesthetics severely decreased the phrenic power spectra and the potency difference became indistinct. The present findings demonstrate that sevoflurane has a weaker depressive effect on the respiratory nerve discharge and a smaller effect on the neural respiratory rate than halothane when the effects of 0.5 MAC were compared.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

尽管已有报道称七氟烷对通气有抑制作用,但其对神经呼吸活动的效能和作用方式仍不清楚。因此,将七氟烷对膈神经放电和呼吸节律的影响与氟烷进行了比较。在去大脑、未麻醉且人工通气的猫身上记录膈神经的传出活动,并计算其功率谱。测量吸气和呼气时间。吸入0.5 - 1.5 MAC剂量的七氟烷和氟烷15分钟。0.5 MAC时,七氟烷降低了功率谱中高频振荡和中频振荡的总功率以及两个主要频谱成分。在相同MAC剂量下,在迷走神经完整的正常碳酸血症状态下,氟烷的抑制作用更强。在高碳酸血症状态或迷走神经切断后,氟烷的作用明显减弱,而七氟烷的作用保持不变。在正常碳酸血症和高碳酸血症状态下,氟烷比七氟烷更能增加神经呼吸频率。迷走神经切断显著减弱了氟烷增加呼吸频率的作用,但未改变七氟烷的作用。1.0 - 1.5 MAC时,两种麻醉药均严重降低膈神经功率谱,效能差异变得不明显。本研究结果表明,当比较0.5 MAC的作用时,七氟烷对呼吸神经放电的抑制作用比氟烷弱,对神经呼吸频率的影响也较小。(摘要截取自250字)

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