Hashim M A, Waterman A E, Pearson H
Department of Surgery and Obstetrics, Bangladesh Agricultural University, Mysmengh.
Vet Rec. 1995;137(26):658-61.
The effects of surgery, and of halothane and isoflurane, on oesophageal pressures were examined in 30 dogs. The dogs were premedicated with a combination of acepromazine maleate (0.1 mg/kg) and pethidine hydrochloride (1 mg/kg), and anaesthesia was induced with thiopentone (10 mg/kg). Ten of the dogs underwent abdominal surgery with halothane, 10 underwent abdominal surgery with isoflurane and 10 underwent non-abdominal surgery with halothane. Gastric pressure, lower oesophageal sphincter pressure and oesophageal barrier pressures were measured at five to 10 minutes after induction, five to 10 minutes after the initial surgical incision, during the abdominal surgery and while the skin was being sutured. There were no significant differences in lower oesophageal sphincter pressure between the groups of dogs but the pressures were greater in all the dogs during the surgical manipulation than shortly after induction or while the skin was being sutured. During abdominal surgery with halothane the barrier pressure was significantly higher (P < 0.05) than during non-abdominal surgery with halothane. The barrier pressure was lower (P < 0.001) during skin suturing after abdominal surgery with isoflurane than after abdominal or non-abdominal surgery with halothane. The lower oesophageal sphincter appears to be more sensitive to isoflurane than halothane.
在30只狗身上研究了手术以及氟烷和异氟烷对食管压力的影响。这些狗先用马来酸乙酰丙嗪(0.1毫克/千克)和盐酸哌替啶(1毫克/千克)联合进行术前用药,然后用硫喷妥钠(10毫克/千克)诱导麻醉。其中10只狗用氟烷进行腹部手术,10只狗用异氟烷进行腹部手术,10只狗用氟烷进行非腹部手术。在诱导后5至10分钟、初次手术切口后5至10分钟、腹部手术期间以及皮肤缝合时测量胃内压力、食管下括约肌压力和食管屏障压力。各组狗之间食管下括约肌压力没有显著差异,但在手术操作期间所有狗的压力都高于诱导后不久或皮肤缝合时。在使用氟烷进行腹部手术期间,屏障压力显著高于使用氟烷进行非腹部手术期间(P<0.05)。与使用氟烷进行腹部或非腹部手术后相比,在使用异氟烷进行腹部手术后皮肤缝合期间屏障压力较低(P<0.001)。食管下括约肌似乎对异氟烷比氟烷更敏感。