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麦角异林对二氧化碳通气反应的影响。

Effects of eseroline on the ventilatory response to CO2.

作者信息

Berkenbosch A, Rupreht J, DeGoede J, Olievier C N, Wolsink J G

机构信息

Department of Physiology, University of Leiden, Netherlands.

出版信息

Eur J Pharmacol. 1993 Feb 23;232(1):21-8. doi: 10.1016/0014-2999(93)90723-u.

Abstract

The effect of eseroline on the normoxic hypercapnic ventilatory response was assessed in nine alpha-chloralose-urethane-anaesthetized cats. The ventilatory responses to step changes in end-tidal PCO2 were determined before (control), during i.v. infusion of eseroline (bolus of 1.2 mg.kg-1 followed by 0.65 mg.kg-1 x h-1) and 1 h after the end of the infusion. Each response was separated into central and peripheral chemoreflexes, characterized by CO2 sensitivity, time constant, time delay and apnoeic threshold. We found that eseroline depressed ventilation by affecting both tidal volume and breathing frequency. The ventilatory response to CO2 was depressed due to a decrease in the CO2 sensitivity of peripheral chemoreceptors from 0.20 to 0.12 l.min-1 x kPa-1 and in the CO2 sensitivity of central chemoreceptors from 1.04 to 0.50 l.min-1 x kPa-1 (P < 0.01). However, the ratio of these sensitivities was not changed, like the apnoeic threshold. The depressant effect was reversed by naloxone. We conclude that the depressant effect of eseroline on ventilatory response to CO2 is mainly due to an action on the respiratory integrating centres in the brainstem rather than on the CO2 sensitivity of peripheral and central chemoreceptors.

摘要

在9只α-氯醛糖-乌拉坦麻醉的猫身上评估了麦角异林对常氧高碳酸通气反应的影响。在静脉输注麦角异林前(对照)、输注期间(静脉推注1.2mg·kg⁻¹,随后以0.65mg·kg⁻¹×h⁻¹持续输注)以及输注结束后1小时,测定对呼气末PCO₂阶跃变化的通气反应。每个反应被分为中枢和外周化学反射,其特征为CO₂敏感性、时间常数、时间延迟和呼吸暂停阈值。我们发现麦角异林通过影响潮气量和呼吸频率来抑制通气。对CO₂的通气反应受到抑制,这是由于外周化学感受器的CO₂敏感性从0.20降至0.12l·min⁻¹×kPa⁻¹,中枢化学感受器的CO₂敏感性从1.04降至0.50l·min⁻¹×kPa⁻¹(P<0.01)。然而,这些敏感性的比值以及呼吸暂停阈值并未改变。纳洛酮可逆转这种抑制作用。我们得出结论,麦角异林对CO₂通气反应的抑制作用主要是由于其对脑干呼吸整合中枢的作用,而非对外周和中枢化学感受器的CO₂敏感性的作用。

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