Sugiyama T, Azuma I, Araie M, Fujisawa S, Urashima H, Nagasawa M
Department of Ophthalmology, Osaka Medical College, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Oct;102(10):662-6.
The effect of systemic application of carteolol, which induces almost the same plasma carteolol level as obtained by a long-term instillation on rabbit eyes, on the tissue blood flow in the optic nerve head (ONH) was investigated in rabbits. The plasma carteolol levels in 27 rabbits which received 3-week instillation, intravenous injection (10, 20, 30 micrograms/kg), or continuous intravenous injection (2.5, 5, 20, 40, 80 micrograms/kg/hr) were measured by gas chromatography-negative-ion chemical ionization mass spectrometry. The plasma level with 3-week instillation was determined as 5.55 ng/ml and a continuous intravenous injection (5 micrograms/kg/hr) caused nearly the same plasma level. The intravenous injection of this dose significantly increased the ONH blood flow which was determined by the hydrogen clearance method, compared with controls from 30 minutes to 2 hours after the injection (n = 10). The vascular resistance in ONH was thought to be reduced because mean blood pressure and intraocular pressure (n = 6) were not significantly changed. The results suggest that the plasma carteolol level in rabbits after a long-term instillation can increase ONH blood flow due to a decreased vascular resistance.
研究了全身应用卡替洛尔对兔视神经乳头(ONH)组织血流的影响,全身应用卡替洛尔诱导的血浆卡替洛尔水平与长期滴注于兔眼所获得的水平几乎相同。通过气相色谱-负离子化学电离质谱法测量了27只接受3周滴注、静脉注射(10、20、30微克/千克)或持续静脉注射(2.5、5、20、40、80微克/千克/小时)的兔的血浆卡替洛尔水平。3周滴注后的血浆水平确定为5.55纳克/毫升,持续静脉注射(5微克/千克/小时)导致几乎相同的血浆水平。与注射后30分钟至2小时的对照组相比(n = 10),静脉注射该剂量通过氢清除法测定显著增加了ONH血流。由于平均血压和眼压(n = 6)没有显著变化,因此认为ONH中的血管阻力降低。结果表明,长期滴注后兔体内的血浆卡替洛尔水平可因血管阻力降低而增加ONH血流。