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[挥发性麻醉剂对豚鼠心房标本中力-间期关系的影响]

[Effects of volatile anesthetics on force interval relationships in guinea-pig atrial preparations].

作者信息

Saka Y, Oshita S, Hiraoka I, Sakabe T, Ban T

机构信息

Department of Anesthesiology, Yamaguchi University School of Medicine, Ube.

出版信息

Masui. 1994 Dec;43(12):1832-41.

PMID:7837400
Abstract

Depressant effects of halothane, enflurane and isoflurane on isolated guinea-pig left atrial muscles bathed in Tyrode's solution at 30 degrees C were examined. Contractions were elicited by stimulation through external field electrodes while tension was recorded continuously. Frequency-force relationships at stimulation rates of 0.1, 0.2, 0.5 and 1 Hz were studied. The pD2 values of these volatile anesthetics at each stimulation rates were not different significantly, suggesting the frequency-independent depressions of these anesthetics. Interval-strength relationships at time intervals of 0.3-20 sec during 1 Hz-stimulation were also studied. Mechanical restitution curves after converting to logistic function reached a peak at 8-20 sec and were fitted well to double exponential functions with time constants of 200-600 msec (k1) and 2-6 sec (k2). All volatile anesthetics depressed the magnitude constants for fast response in a dose dependent manner. Accordingly, at high concentrations, mechanical resuscitation curves tended to fit single exponential function. Halothane and enflurane did not alter time constant k1, k2 significantly, while isoflurane increased k2 significantly. These results suggest that the mechanisms of myocardial depressant effects are different between these anesthetics.

摘要

研究了氟烷、恩氟烷和异氟烷对30℃下浸浴在台氏液中的豚鼠离体左心房肌的抑制作用。通过外部场电极刺激诱发收缩,同时连续记录张力。研究了刺激频率为0.1、0.2、0.5和1Hz时的频率-力关系。这些挥发性麻醉剂在各刺激频率下的pD2值无显著差异,提示这些麻醉剂的抑制作用与频率无关。还研究了1Hz刺激期间时间间隔为0.3 - 20秒时的间期-强度关系。转换为逻辑函数后的力学恢复曲线在8 - 20秒达到峰值,并很好地拟合了时间常数为200 - 600毫秒(k1)和2 - 6秒(k2)的双指数函数。所有挥发性麻醉剂均以剂量依赖方式降低快速反应的幅度常数。因此,在高浓度时,力学复苏曲线倾向于拟合单指数函数。氟烷和恩氟烷对时间常数k1、k2无显著影响,而异氟烷显著增加k2。这些结果表明这些麻醉剂的心肌抑制作用机制不同。

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