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尼古丁暴露对出生后低氧和高碳酸血症通气反应的影响。

Effect of nicotine exposure on postnatal ventilatory responses to hypoxia and hypercapnia.

作者信息

Bamford O S, Schuen J N, Carroll J L

机构信息

Department of Pediatrics, Johns Hopkins Children's Center, Baltimore, MD 21287, USA.

出版信息

Respir Physiol. 1996 Oct;106(1):1-11. doi: 10.1016/0034-5687(96)00051-5.

Abstract

The risk of SIDS is increased up to fourfold by maternal smoking, by an unknown mechanism. We tested the hypothesis that prenatal nicotine exposure can cause abnormal postnatal development of breathing control. Osmotic minipumps were implanted into pregnant rats to deliver either nicotine bitartrate (6 mg kg-1 day-1) (NIC) or saline (CON) throughout gestation and for 1 week postnatal. NIC and CON rat pups from 4 age groups (means 3, 8, 18 and 34 days) were studied. Ventilation was recorded at 30 degrees C in air and after 10 min at FIO2 = 0.1 and 0.15, and at FICO2 = 0.05. Ventilatory responses to FIO2 = 0.1 and FICO2 = 0.05 showed significant changes with age but were unaffected by NIC at all ages. The weak respiratory responses to FIO2 = 0.15 were unaffected by NIC or age. Oxygen consumption in normoxia and hypoxia, and hypoxic depression of oxygen consumption, declined with age but were not affected by NIC. We conclude that NIC exposure alone has no detectable effect on the postnatal development of respiratory responses to moderate levels of hypoxia or hypercapnia for short periods. However, effects of NIC on the responses to more severe or prolonged stimuli cannot be ruled out.

摘要

母亲吸烟会使婴儿猝死综合征(SIDS)的风险增加至四倍,其机制尚不清楚。我们检验了这样一个假设:产前尼古丁暴露会导致出生后呼吸控制发育异常。在妊娠期间及产后1周,将渗透微型泵植入怀孕大鼠体内,以输送重酒石酸尼古丁(6毫克/千克/天)(NIC组)或生理盐水(CON组)。对4个年龄组(平均年龄分别为3、8、18和34天)的NIC组和CON组幼鼠进行了研究。在30摄氏度的空气中、在FIO2 = 0.1和0.15以及FICO2 = 0.05条件下10分钟后记录通气情况。对FIO2 = 0.1和FICO2 = 0.05的通气反应随年龄有显著变化,但在所有年龄组均不受NIC影响。对FIO2 = 0.15的微弱呼吸反应不受NIC或年龄影响。常氧和低氧条件下的耗氧量以及低氧对耗氧量的抑制作用随年龄下降,但不受NIC影响。我们得出结论,单独暴露于尼古丁对短期内中度低氧或高碳酸血症的出生后呼吸反应发育没有可检测到的影响。然而,不能排除尼古丁对更严重或持续刺激的反应有影响。

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