Kassa J
Vojenská lékarská akademie JEP, Hradec Králové.
Cas Lek Cesk. 1998 May 18;137(10):299-302.
The pharmacological prophylaxis protecting the organism against organophosphorus compounds could increase the effect of antidotal treatment of poisoning with organophosphates.
The influence of the pharmacological prophylaxis with Panpal (pyridostigmine in combination with benaetyzine and trihexyphenidyle) on acetylcholinesterase activity in diaphragm and various parts of brain at 1 and 3 h following non-treated and treated (the oxime HI-6 in combination with atropine) soman poisoning was tested on male rats. While Panpal did not significantly influence the acetylcholinesterase activity in brain following non-treated as well as treated soman poisoning. Panpal increased so many-induced acetylcholinesterase inhibition following non-treated poisoning and decreased the reactivating effect of the oxime HI-6 following treated soman poisoning in diaphragm.
Our data confirm the importance of the combination of reversible acetylcholinesterase inhibitor pyridostigmine with anticholinergic drugs in the pharmacological prophylaxis of soman poisoning because of the elimination of consequences of pyridostigmine-induced increasing in acetylcholinesterase inhibition in the peripheral compartment.
保护机体免受有机磷化合物侵害的药物预防措施可增强有机磷中毒解毒治疗的效果。
在雄性大鼠身上测试了Panpal(吡啶斯的明与贝那替秦和苯海索联合使用)进行药物预防对未处理和经处理(肟HI-6与阿托品联合使用)梭曼中毒后1小时和3小时膈肌及大脑各部位乙酰胆碱酯酶活性的影响。在未处理及处理过的梭曼中毒后,Panpal对大脑中的乙酰胆碱酯酶活性均无显著影响。在未处理的中毒情况下,Panpal增加了梭曼诱导的乙酰胆碱酯酶抑制作用;在处理过的梭曼中毒情况下,Panpal降低了肟HI-6对膈肌的重活化作用。
我们的数据证实了可逆性乙酰胆碱酯酶抑制剂吡啶斯的明与抗胆碱能药物联合用于梭曼中毒药物预防的重要性,因为这样可消除吡啶斯的明在外周部位诱导的乙酰胆碱酯酶抑制作用增强所带来的后果。