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关于可乐定的中枢性降压作用机制。

On the mechanism of central hypotensive action of clonidine.

作者信息

Srimal R C, Gulati K, Dhawan B N

出版信息

Can J Physiol Pharmacol. 1977 Oct;55(5):1007-14. doi: 10.1139/y77-138.

Abstract

The hypotensive effect of clonidine in anaesthetised (pentobarbitone) cat has been analysed with the help of pharmacological tools. Application of clonidine (0.1%) to the exposed ventral surface of medulla oblongata produced hypotension (28.6%) and bradycardia (18%). Similar application of glycine (5%) and GABA (10%) also lowered the blood pressure of cat by 20.3% and 29.3%, respectively. The hypotension as well as the bradycardia owing to clonidine were significantly (p less than 0.01) blocked by similar prior application of atropine methylnitrate (1%) and hemicholinium-3 (HC3, 1%), whereas HC3 pretreatment only insignificantly blocked the hypotension produced by glycine (p greater than 0.80) and GABA (p less than 0.70). Topical application of atropine (1%) also blocked (p less than 0.05) the hypotensive effect of clonidine. Intravenous administration of clonidine (50 microgram/kg) produced hypotension (34.6%) after an initial hypertensive response and bradycardia (38.8%). The hypotension was significantly (p less than 0.01) blocked by pretreatment of the cat with intracerebroventricular atropine (4 mg) or HC3 (0.5 mg). Topical application of atropine (1%) to the ventral surface of medulla also significantly (p less than 0.05) reduced the hypotension and bradycardia resulting from intravenous administration of clonidine. It is concluded that an intact cholinergic link in the brainstem is essential for the hypotensive effect of clonidine.

摘要

借助药理学工具分析了可乐定对麻醉(戊巴比妥)猫的降压作用。将可乐定(0.1%)应用于暴露的延髓腹面可产生低血压(28.6%)和心动过缓(18%)。类似地应用甘氨酸(5%)和γ-氨基丁酸(GABA,10%)也分别使猫的血压降低了20.3%和29.3%。由于可乐定引起的低血压和心动过缓被预先类似地应用硝酸甲基阿托品(1%)和半胱氨酸-3(HC3,1%)显著(p小于0.01)阻断,而HC3预处理仅对甘氨酸(p大于0.80)和GABA(p小于0.70)产生的低血压有不显著的阻断作用。局部应用阿托品(1%)也阻断了(p小于0.05)可乐定的降压作用。静脉注射可乐定(50微克/千克)在最初的高血压反应后产生低血压(34.6%)和心动过缓(38.8%)。预先给猫脑室内注射阿托品(4毫克)或HC3(0.5毫克)可显著(p小于0.01)阻断低血压。局部应用阿托品(1%)于延髓腹面也显著(p小于0.05)降低了静脉注射可乐定引起的低血压和心动过缓。结论是脑干中完整的胆碱能联系对于可乐定的降压作用至关重要。

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