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七氟醚对山羊的麻醉效能及心肺效应:与异氟醚和氟烷的比较

Anesthetic potency and cardiopulmonary effects of sevoflurane in goats: comparison with isoflurane and halothane.

作者信息

Hikasa Y, Okuyama K, Kakuta T, Takase K, Ogasawara S

机构信息

Department of Veterinary Medicine, Faculty of Agriculture, Tottori University, Koyama-Minami, Japan.

出版信息

Can J Vet Res. 1998 Oct;62(4):299-306.

Abstract

The anesthetic potency and cardiopulmonary effects of sevoflurane were compared with those of isoflurane and halothane in goats. The (mean +/- SD) minimal alveolar concentration (MAC) was 0.96 +/- 0.12% for halothane, 1.29 +/- 0.11% for isoflurane, and 2.33 +/- 0.15% for sevoflurane. Cardiopulmonary effects of sevoflurane, halothane and isoflurane were examined at end-tidal concentrations equivalent to 1, 1.5 and 2 MAC during either spontaneous or controlled ventilation (SV or CV). During SV, there were no significant differences in respiration rate, tidal volume and minute ventilation between anesthetics. Dose-dependent decreases in both tidal volume and minute ventilation induced by halothane were greater than those by either sevoflurane or isoflurane. Hypercapnia and acidosis induced by sevoflurane were not significantly different from those by either isoflurane or halothane at 1 and 1.5 MAC, but were less than those by halothane at 2 MAC. There was no significant difference in heart rate between anesthetics during SV and CV. During SV, all anesthetics induced dose-dependent decreases in arterial pressure, rate pressure product, systemic vascular resistance, left ventricular minute work index and left ventricular stroke work index. Systemic vascular resistance with isoflurane at 2 MAC was lower than that with sevoflurane. During CV, sevoflurane induced dose-dependent circulatory depression (decreases in arterial pressure, cardiac index, rate pressure product, systemic vascular resistance, left ventricular minute work index and right ventricular minute work index), similar to isoflurane. Halothane did not significantly alter systemic vascular resistance from 1 to 2 MAC.

摘要

在山羊中比较了七氟醚与异氟醚和氟烷的麻醉效能及心肺效应。(均值±标准差)氟烷的最低肺泡浓度(MAC)为0.96±0.12%,异氟醚为1.29±0.11%,七氟醚为2.33±0.15%。在自主通气或控制通气(SV或CV)期间,在相当于1、1.5和2 MAC的呼气末浓度下检测七氟醚、氟烷和异氟醚的心肺效应。在SV期间,各麻醉药之间的呼吸频率、潮气量和分钟通气量无显著差异。氟烷引起的潮气量和分钟通气量的剂量依赖性降低大于七氟醚或异氟醚。在1和1.5 MAC时,七氟醚引起的高碳酸血症和酸中毒与异氟醚或氟烷引起的无显著差异,但在2 MAC时低于氟烷。在SV和CV期间,各麻醉药之间的心率无显著差异。在SV期间,所有麻醉药均引起动脉压、率压积、全身血管阻力、左心室分钟作功指数和左心室每搏作功指数的剂量依赖性降低。2 MAC时异氟醚的全身血管阻力低于七氟醚。在CV期间,七氟醚引起剂量依赖性循环抑制(动脉压、心脏指数、率压积、全身血管阻力、左心室分钟作功指数和右心室分钟作功指数降低),与异氟醚相似。氟烷在1至2 MAC时未显著改变全身血管阻力。

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