国际麻醉学与复苏杂志   2020, Issue (10): 1-1
    
肾上腺素、去甲肾上腺素以及甲氧明对低氧性肺动脉高压模型大鼠肺动脉张力的影响
高顺恒, 吴梦溪, 王志萍1()
1.徐州医科大学
Effects of epinephrine, norepinephrine and methoxamine on pulmonary artery tension in a rats model of hypoxic pulmonary hypertension
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摘要:

目的 评价肾上腺素、去甲肾上腺素、甲氧明对低氧性肺动脉高压大鼠模型肺动脉张力的影响。 方法 48只雄性SD大鼠随机分为常氧对照组(C组)和低氧干预组(H组)各24只。4周后检测两组大鼠体重、右心室收缩压、右颈总动脉压,以及两组大鼠二级肺动脉环和肠系膜动脉环对不同浓度肾上腺素(adrenaline,AD)、去甲肾上腺素(norepinephrine,NE)、甲氧明(methoxamine,MOX)的反应性。 结果 4周后,H组的体重、平均动脉压明显低于C组(P0.05),而右心室收缩压明显高于C组(P0.05)。H组肺动脉环对AD、NE、MOX的反应性较肠系膜动脉弱,而C组肺动脉环较常氧组对AD、NE、MOX的反应性增强,且与肠系膜动脉环相比,反应性更强;H组肠系膜动脉环与C组相比并无明显改变。AD、NE在两组中对肺动脉环的反应性和最大收缩张力相似,而MOX与AD、NE相比较弱。 结论 在低氧性肺动脉高压模型中,肺动脉对AD、NE、MOX产生剂量依赖性收缩反应,且较正常肺动脉环反应性和最大收缩效能更强。MOX与AD、NE相比,对肺动脉的收缩作用较弱。

关键词: 肾上腺素;去甲肾上腺素;甲氧明;肺动脉环;肺动脉高压
Abstract:

Objective To evaluate the effects of adrenaline, norepinephrine and methoxamine on pulmonary artery tension in a rat model of hypoxic pulmonary hypertension. Methods Totally 48 male SD rats were randomly divided into two groups: the normoxic control group (Group C) and the hypoxic intervention group (Group H). After 4 weeks, the body weight, right ventricular systolic pressure, right common carotid artery pressure, and the secondary pulmonary artery and superior mesenteric artery ring of the two groups were measured for different concentrations of epinephrine (adrenaline, AD) and norepinephrine (norepinephrine,NE) , methoxylated (methoxamine,MOX) reactivity. Results After 4 weeks, the body weight and mean arterial pressure of group H were significantly lower than those of group C (P 0.05), and the right ventricular systolic pressure was significantly higher than that of group C (P 0.05). The pulmonary artery ring in group H is less responsive to AD, NE, and MOX than the mesentery artery, while the pulmonary artery ring in group C is more responsive to AD, NE, and MOX than the normoxic group, and is more reactive than the mesenteric artery ring ; The mesenteric artery ring in group H was not significantly changed compared with group C. AD and NE were similar in response to pulmonary artery ring and maximum contractile tension in both groups, while MOX was weaker than AD and NE. Conclusion In the hypoxic pulmonary hypertension model, the pulmonary artery has a dose-dependent contractile response to AD, NE, and MOX, and has stronger reactivity and maximum contractile efficacy than normal pulmonary arterial rings. Compared with AD and NE, MOX has a weaker contraction effect on the pulmonary artery.

Key words: Adrenaline; Norepinephrine; Methoxamine; Pulmonary artery ring; Pulmonary hypertension;