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在深度氟烷麻醉下,小脑顶核刺激引起的脑血管扩张得以保留。

Cerebrovasodilation elicited by fastigial stimulation is preserved under deep halothane anesthesia.

作者信息

Iadecola C, Zhang F, Xu X

机构信息

Department of Neurology, University of Minnesota Medical School, Minneapolis 55455.

出版信息

Am J Physiol. 1993 Jul;265(1 Pt 2):R187-94. doi: 10.1152/ajpregu.1993.265.1.R187.

Abstract

We studied the effect of halothane anesthesia on the increases in cerebral blood flow (CBF) and arterial pressure (AP) elicited by electrical stimulation of the cerebellar fastigial nucleus (FN). Rats were anesthetized (0.75-2% halothane), instrumented for continuous recording of AP, and ventilated. The FN was stimulated through stereotaxically implanted microelectrodes. In CBF experiments the elevations in AP resulting from FN stimulation were eliminated by spinal cord transection at C1. After cord transection AP was maintained by intravenous phenylephrine. CBF or cerebral glucose utilization (CGU) was measured by laser-Doppler flowmetry or the 2-deoxyglucose method, respectively. FN stimulation produced increases in CBF that were graded with the intensity (10-150 microA) or frequency (10-150 Hz) of stimulation. At 1% halothane, FN stimulation (100 microA; 75 Hz; n = 8) increased CBF by 123 +/- 16%. The elevations in CBF were attenuated by increasing levels of halothane anesthesia in a dose-dependent manner. At halothane concentrations of 1.5 and 2% the CBF response to FN stimulation (100 microA; 75 Hz) was reduced by 58 +/- 6 and 77 +/- 4%, respectively (p < 0.05 from 0.75% halothane; analysis of variance and Tukey's test). In contrast, the increases in CBF elicited by hypercapnia were not attenuated (P > 0.05 from 0.75% halothane). At 1% halothane, FN stimulation did not change CGU in neocortex (frontal cortex: unstimulated 48 +/- 6, mumol.100 g-1.min-1, FN stimulation: 47 +/- 11; P > 0.05; n = 5/group). In the group of rats in which the pressor response was studied (n = 7), halothane produced a dose-dependent attenuation of the elevations in AP. The degree of attenuation of the AP response was comparable to that of the CBF response (P > 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们研究了氟烷麻醉对电刺激小脑顶核(FN)引起的脑血流量(CBF)增加和动脉压(AP)升高的影响。将大鼠麻醉(0.75 - 2%氟烷),安装仪器以连续记录动脉压,并进行通气。通过立体定向植入的微电极刺激小脑顶核。在脑血流量实验中,通过在C1水平横断脊髓消除了由小脑顶核刺激引起的动脉压升高。脊髓横断后,通过静脉注射去氧肾上腺素维持动脉压。分别用激光多普勒血流仪或2 - 脱氧葡萄糖法测量脑血流量或脑葡萄糖利用率(CGU)。小脑顶核刺激可引起脑血流量增加,且与刺激强度(10 - 150微安)或频率(10 - 150赫兹)呈正相关。在1%氟烷浓度下,小脑顶核刺激(100微安;75赫兹;n = 8)使脑血流量增加123±16%。随着氟烷麻醉水平的升高,脑血流量的增加呈剂量依赖性减弱。在氟烷浓度为1.5%和2%时,脑血流量对小脑顶核刺激(100微安;75赫兹)的反应分别降低了58±6%和77±4%(与0.75%氟烷相比,p < 0.05;方差分析和Tukey检验)。相比之下,高碳酸血症引起的脑血流量增加并未减弱(与0.75%氟烷相比,P > 0.05)。在1%氟烷浓度下,小脑顶核刺激并未改变新皮质(额叶皮质:未刺激时为48±6微摩尔·100克-1·分钟-1,小脑顶核刺激后为47±11;P > 0.05;每组n = 5)的脑葡萄糖利用率。在研究升压反应的大鼠组(n = 7)中,氟烷使动脉压升高呈剂量依赖性减弱。动脉压反应的减弱程度与脑血流量反应相当(P > 0.05)。(摘要截短至250字)

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