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[多巴胺受体对低氧通气反应的影响]

[Effect of dopamine receptor on hypoxic ventilatory response].

作者信息

Osanai S, Akiba Y, Matsumoto H, Nakano H, Kikuchi K

机构信息

First Department of Internal Medicine, Asahikawa Medical College.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Dec;35(12):1318-23.

PMID:9567075
Abstract

We studied the effect of intravenous administration of a dopamine (DA) agonist and antagonist on the hypoxic response of phrenic nerve activity in anesthetized, vagotomized and mechanically ventilated rabbits. The experiments were performed in both intact and carotid sinus denervated animals. In the intact animals, hypoxic challenge (FIO2 = 0.10) increased the amplitude of integrated phrenic nerve activity (iPNA) without any alteration in respiratory frequency. In the carotid sinus denervated animals, the hypoxia progressively depressed iPNA. Neither the DA antagonist, haloperidol (0.5mg/kg i.v.), nor the DA agonist, apomorphine (0.3mg/kg, i.v.) changed the iPNA during normoxia in either the intact or denervated group. Administration of haloperidol enhanced iPNA response to hypoxia in the intact group. Apomorphine decreased the hypoxic response to iPNA. Although apomorphine did not change the control hypoxic response to iPNA in the denervated group, haloperidol augmented hypoxic respiratory depression in the carotid sinus denervated group. Therefore, we concluded that the effect of DA on peripheral chemoreceptors inhibits the hypoxic ventilatory response, but stimulates the hypoxic ventilatory response in the central nervous system.

摘要

我们研究了静脉注射多巴胺(DA)激动剂和拮抗剂对麻醉、迷走神经切断并机械通气的家兔膈神经活动缺氧反应的影响。实验在完整动物和颈动脉窦去神经动物中进行。在完整动物中,缺氧刺激(吸入氧分数=FIO2 = 0.10)增加了整合膈神经活动(iPNA)的幅度,而呼吸频率无任何改变。在颈动脉窦去神经动物中,缺氧逐渐抑制iPNA。无论是DA拮抗剂氟哌啶醇(0.5mg/kg静脉注射)还是DA激动剂阿扑吗啡(0.3mg/kg,静脉注射),在正常氧合状态下,均未改变完整组或去神经组的iPNA。在完整组中,注射氟哌啶醇增强了iPNA对缺氧的反应。阿扑吗啡降低了对iPNA的缺氧反应。虽然阿扑吗啡在去神经组中未改变对照iPNA的缺氧反应,但氟哌啶醇增强了颈动脉窦去神经组的缺氧性呼吸抑制。因此,我们得出结论,DA对外周化学感受器的作用抑制缺氧通气反应,但刺激中枢神经系统的缺氧通气反应。

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