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局部麻醉药布法卡因和利多卡因对豚鼠心肌跨膜动作电位、不应期及钠系统再激活的影响。

Effects of the local anesthetics brufacain and lidocaine on transmembrane action potentials, refractory period, and reactivation of the sodium system in guinea pig heart muscle.

作者信息

Iven H, Brasch H

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1977 Mar;297(2):153-61. doi: 10.1007/BF00499925.

DOI:10.1007/BF00499925
PMID:854090
Abstract

Lidocaine (3-10(-5) and 10(-4) M) and equimolar concentrations of brufacain dose-dependently reduced the depolarization velocity (dV/dtmax) and the force of contraction of guinea pig atria and papillary muscles. Repolarization time was increased in atria but reduced in papillary muscles. The maximum effects on action potential parameters were identical but developed with brufacain more slowly than with lidocaine. In papillary muscles lidocaine (3-10(-5) M) prolonged the functional refractory period. No such effect but even a shortening was observed with brufacain. As brufacain reduced the duration of the action potential (AP) more than the functional refractory period, the "relative refractory period" (in percent of AP duration) was slightly prolonged. The half-time of the recovery of the Na+ system was increased three to five times the control value after lidocaine but only doubled after brufacain.

摘要

利多卡因(3×10⁻⁵和10⁻⁴M)以及等摩尔浓度的布法卡因剂量依赖性地降低豚鼠心房和乳头肌的去极化速度(dV/dtmax)和收缩力。心房的复极化时间延长,而乳头肌的复极化时间缩短。对动作电位参数的最大影响相同,但布法卡因的作用比利多卡因发展得更慢。在乳头肌中,利多卡因(3×10⁻⁵M)延长了功能不应期。布法卡因未观察到这种作用,甚至观察到缩短。由于布法卡因比功能不应期更能缩短动作电位(AP)的持续时间,“相对不应期”(占AP持续时间的百分比)略有延长。利多卡因作用后,Na⁺系统恢复的半衰期增加到对照值的三到五倍,但布法卡因作用后仅增加一倍。

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引用本文的文献

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Effects of tocainide and lidocaine on the transmembrane action potentials as related to external potassium and calcium concentrations in guinea-pig papillary muscles.妥卡尼和利多卡因对豚鼠乳头肌跨膜动作电位的影响与细胞外钾和钙浓度的关系
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2
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Naunyn Schmiedebergs Arch Pharmacol. 1983 Aug;323(4):343-9. doi: 10.1007/BF00512474.
3
Lidocaine block of cardiac sodium channels.

本文引用的文献

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J Clin Invest. 1970 Jan;49(1):63-77. doi: 10.1172/JCI106224.
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Prilocaine. An experimental study in man of a new local anaesthetic with special regards to efficacy, toxicity and excretion.丙胺卡因。一种新型局部麻醉药在人体的实验研究,特别关注其疗效、毒性及排泄。
Acta Chir Scand Suppl. 1966;358:1-82.
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