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麻醉对心脏和肾脏交感神经活动及血浆儿茶酚胺的影响。

Effects of anesthesia on cardiac and renal sympathetic nerve activities and plasma catecholamines.

作者信息

Matsukawa K, Ninomiya I, Nishiura N

机构信息

Department of Cardiac Physiology, National Cardiovascular Center Research Institute, Osaka, Japan.

出版信息

Am J Physiol. 1993 Oct;265(4 Pt 2):R792-7. doi: 10.1152/ajpregu.1993.265.4.R792.

Abstract

The effects of pentobarbital and chloralose on cardiac sympathetic nerve activity (CSNA), renal sympathetic nerve activity (RSNA), arterial pressure (AP), and heart rate (HR) were examined using conscious cats. Arterial blood was sampled intermittently to measure plasma epinephrine. Pentobarbital (25-30 mg/kg iv) decreased CSNA, RSNA, AP, and HR. The reduction of CSNA (71 +/- 7%) was larger and lasted longer than that of RSNA (33 +/- 12%). Chloralose (40-50 mg/kg iv) decreased CSNA 66 +/- 9% and HR, increased RSNA 127 +/- 122%, and did not affect AP. The baroreflex relationship between AP and CSNA was examined by increasing AP to 145 mmHg and decreasing AP to 55 mmHg. Both pentobarbital and chloralose shifted the AP-CSNA relationship curve downward and blunted the slope of the curve, indicating that both drugs attenuate tonic and baroreflex cardiac sympathetic outflow. Pentobarbital and chloralose reduced plasma epinephrine, suggesting a decrease in adrenal sympathetic nerve activity. It is concluded that pentobarbital or chloralose affects differentially sympathetic outflows to different organs such as the heart, kidney, and adrenal gland.

摘要

使用清醒猫研究了戊巴比妥和氯醛糖对心脏交感神经活动(CSNA)、肾交感神经活动(RSNA)、动脉压(AP)和心率(HR)的影响。间歇性采集动脉血以测量血浆肾上腺素。静脉注射戊巴比妥(25 - 30 mg/kg)可降低CSNA、RSNA、AP和HR。CSNA的降低幅度(71±7%)大于RSNA(33±12%),且持续时间更长。静脉注射氯醛糖(40 - 50 mg/kg)可使CSNA降低66±9%,使HR降低,使RSNA升高127±122%,且对AP无影响。通过将AP升高至145 mmHg并降低至55 mmHg来研究AP与CSNA之间的压力感受性反射关系。戊巴比妥和氯醛糖均使AP - CSNA关系曲线向下移动,并使曲线斜率变钝,表明这两种药物均减弱了紧张性和压力感受性反射性心脏交感神经传出。戊巴比妥和氯醛糖降低了血浆肾上腺素,提示肾上腺交感神经活动减少。结论是,戊巴比妥或氯醛糖对不同器官(如心脏、肾脏和肾上腺)的交感神经传出有不同影响。

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