Saraiva R A, Willis B A, Steward A, Lunn J N, Mapleson W W
Br J Anaesth. 1977 Feb;49(2):115-9. doi: 10.1093/bja/49.2.115.
In a study of the influence of nutritional state on halothane anaesthesia, results were obtained which showed how the blood/gas partition coefficient for halothane varied with blood chemistry in 20 patients undergoing elective surgery. For each patient the partition coefficient lambda was measured by equilibration at 37 degrees C of a blood sample with a 1% halothane in 5% carbon dioxide in air mixture, followed by chemical extraction and estimation of the halothane content by gas chromatography. The haematocrit and haemoglobin, serum albumin, total protein, triglyceride and cholesterol concentrations were measured by routine laboratory methods. Regressions were sought of lambda on each of these, and on the globulin concentration and the ratios of albumin: globulin and albumin: total protein, deduced from these determinations. The only statistically significant regression (P = 0.0004) was that of lambda on the serum triglyceride concentration (T) (mmol/litre): lambda = 1.83 + 0.424T. The dependence of lambda on haemoglobin concentration was not statistically significant, but the slope of the regression was consistent with those of previous investigators. The regressions of lambda, corrected to the mean triglyceride concentration, on the ratios of albumin: globulin and albumin: total protein were not statistically significant but were not significantly different from an earlier reported result.
在一项关于营养状态对氟烷麻醉影响的研究中,得出的结果表明了在20名接受择期手术的患者中,氟烷的血/气分配系数是如何随血液化学成分变化的。对于每位患者,分配系数λ通过在37℃下使血样与含1%氟烷的5%二氧化碳-空气混合物平衡,然后进行化学萃取并通过气相色谱法估算氟烷含量来测定。血细胞比容、血红蛋白、血清白蛋白、总蛋白、甘油三酯和胆固醇浓度通过常规实验室方法测量。研究了λ与上述各项指标以及球蛋白浓度、白蛋白:球蛋白和白蛋白:总蛋白比率(由这些测定推导得出)之间的回归关系。唯一具有统计学显著意义的回归关系(P = 0.0004)是λ与血清甘油三酯浓度(T)(毫摩尔/升)之间的关系:λ = 1.83 + 0.424T。λ与血红蛋白浓度之间的相关性无统计学显著意义,但回归斜率与先前研究者的结果一致。校正至平均甘油三酯浓度后,λ与白蛋白:球蛋白和白蛋白:总蛋白比率之间的回归关系无统计学显著意义,但与先前报道的结果无显著差异。