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一氧化氮合酶抑制对清醒和异氟烷麻醉大鼠局部脑血流量及血管阻力的影响。

Effects of nitric oxide synthase inhibition on regional cerebral blood flow and vascular resistance in conscious and isoflurane-anesthetized rats.

作者信息

Wei H M, Weiss H R, Sinha A K, Chi O Z

机构信息

Department of Anesthesia, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.

出版信息

Anesth Analg. 1993 Nov;77(5):880-5. doi: 10.1213/00000539-199311000-00002.

DOI:10.1213/00000539-199311000-00002
PMID:7692769
Abstract

Nitric oxide is an important regulator of the regional cerebral vascular tone. We compared the magnitude of nitric oxide-related changes in the vascular tone by studying the regional cerebral blood flow (rCBF) and vascular resistance in conscious and isoflurane-anesthetized rats by using a nitric oxide synthase inhibitor, NG-nitro-L-arginine methyl ester (L-NAME). In the conscious group (n = 12), after cannulation of a femoral artery and two veins under isoflurane anesthesia, rats were allowed to remain awake for 90 min. In the anesthetized group (n = 18), rats were anesthetized with 2% isoflurane and mechanically ventilated. Six rats in each group were treated with L-NAME (2 mg.kg-1 x min-1 for 30 min) or saline. For the remaining rats in the isoflurane-anesthetized group (n = 6), arterial blood pressure was increased by phenylephrine infusion to the same level as that in the L-NAME-treated, isoflurane-anesthetized rats. Regional vascular resistance was determined by the ratio of mean arterial blood pressure and rCBF which was measured by [14C]iodoantipyrine. L-NAME significantly increased mean arterial blood pressure in both the conscious (123 to 158 mm Hg) and anesthetized (82 to 144 mm Hg) rats. Regional vascular resistance increased significantly in all 12 brain regions studied with the average value increasing from 1.19 +/- 0.33 mm Hg.mL-1 x min x 100 g to 2.22 +/- 0.48 (P < 0.0001) in the conscious and from 0.78 +/- 0.27 to 1.61 +/- 0.48 (P < 0.0001) in the isoflurane-anesthetized rats.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

一氧化氮是局部脑血管张力的重要调节因子。我们通过使用一氧化氮合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME),研究清醒和异氟烷麻醉大鼠的局部脑血流量(rCBF)和血管阻力,比较血管张力中一氧化氮相关变化的幅度。清醒组(n = 12)在异氟烷麻醉下进行股动脉和两条静脉插管后,让大鼠清醒90分钟。麻醉组(n = 18)用2%异氟烷麻醉并机械通气。每组6只大鼠用L-NAME(2mg·kg-1·min-1,持续30分钟)或生理盐水处理。对于异氟烷麻醉组中其余的大鼠(n = 6),通过输注去氧肾上腺素将动脉血压升高到与L-NAME处理的异氟烷麻醉大鼠相同的水平。局部血管阻力通过平均动脉血压与rCBF的比值来确定,rCBF通过[14C]碘安替比林测量。L-NAME显著升高了清醒(从123至158mmHg)和麻醉(从82至144mmHg)大鼠的平均动脉血压。在所研究的所有12个脑区中,局部血管阻力均显著增加,清醒大鼠的平均值从1.19±0.33mmHg·mL-1·min·100g增加到2.22±0.48(P<0.0001),异氟烷麻醉大鼠的平均值从0.78±0.27增加到1.61±0.48(P<0.0001)。(摘要截断于250字)

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