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异氟烷麻醉对波兰兔相关生理指标及血流动力学影响的研究

Effect of isoflurane anesthesia on related physiological indexes and hemodynamics in Polish rabbits

  • 摘要: 为了探究不同浓度异氟烷麻醉对波兰兔血浆肾素-血管紧张素-醛固酮系统(RAAS)及血流动力学的影响,试验将18只健康波兰兔随机分为异氟烷低浓度组(L-ISO组,1%异氟烷麻醉)、异氟烷中浓度组(M-ISO组,3%异氟烷麻醉)、异氟烷高浓度组(H-ISO组,5%异氟烷麻醉),持续麻醉20 min,观察对波兰兔的麻醉效果,分别于异氟烷麻醉前(0分钟)、麻醉后(5,10,15,20分钟)及苏醒后(10分钟)监测各组波兰兔体温(T)、心率(HR)、血氧饱和度(SpO2)、呼吸频率(RR)、收缩压(SAP)、舒张压(DAP)、平均动脉压(MAP);并同步采集股动脉血液,检测血浆肾素、血管紧张素Ⅱ(ANG-Ⅱ)和醛固酮(ALD)含量,分析肾素、ANG-Ⅱ和ALD含量与SAP、DAP和MAP的相关性。结果表明:各组在麻醉后15,20分钟T显著低于麻醉前(0分钟)(P<0.05);各组HR和RR在麻醉后5,10,15,20分钟显著低于麻醉前(0分钟,P<0.05);H-ISO组SpO2在15,20分钟显著低于麻醉前(0分钟,P<0.05)。各组SAP、DAP、MAP在麻醉后5,10,15,20分钟显著低于麻醉前(0分钟,P<0.05)。M-ISO组和H-ISO组肾素、ANG-Ⅱ和ALD含量在麻醉后5,10,15,20分钟显著低于麻醉前(0分钟,P<0.05),L-ISO组肾素和ALD含量在麻醉后20分钟显著低于麻醉前(0分钟,P<0.05)。H-ISO组T在麻醉后10,15,20分钟时显著低于L-ISO组和M-ISO组(P<0.05);H-ISO组HR、RR在麻醉后15,20分钟时显著低于L-ISO组和M-ISO组(P<0.05);H-ISO组SAP在麻醉后5,10,15分钟时显著低于L-ISO组和M-ISO组(P<0.05);H-ISO组和M-ISO组DAP在麻醉后5分钟时显著低于L-ISO组(P<0.05),H-ISO组在麻醉后10分钟时显著低于L-ISO组(P<0.05);H-ISO组和M-ISO组MAP在麻醉后5,10分钟时显著低于L-ISO组(P<0.05),H-ISO组在麻醉后15分钟时显著低于L-ISO组(P<0.05);H-ISO组SAP在苏醒后(10分钟)显著低于L-ISO组(P<0.05),H-ISO组DAP和MAP在苏醒后(10分钟)显著低于L-ISO组和M-ISO组(P<0.05)。H-ISO组和M-ISO组肾素和ALD含量在麻醉后5,10,15,20分钟时,ANG-Ⅱ含量在麻醉后15,20分钟时显著低于L-ISO组(P<0.05)。M-ISO组肾素、ANG-Ⅱ和ALD含量与SAP、DAP和MAP显著相关(P<0.01),L-ISO组和H-ISO组SAP、DAP和MAP与肾素、ANG-Ⅱ和ALD含量相关性较小。说明不同浓度异氟烷麻醉可引起波兰兔生理指标、血流动力学和RAAS系统变化,3%浓度异氟烷麻醉波兰兔效果较好,其引起的血浆中肾素、ANG-Ⅱ、ALD含量变化参与了对波兰兔血流动力学指标的调节。

     

    Abstract: In order to explore the effect of isoflurane anesthesia at different concentrations on plasma renin-angiotensin-aldosterone system(RAAS) and hemodynamics in Polish rabbits, the experiment randomly divided 18 healthy Polish rabbits into the isoflurane low concentration group(L-ISO group, 1% isoflurane anesthesia), medium concentration group(M-ISO group, 3% isoflurane anesthesia), and high concentration group(H-ISO group, 5% isoflurane anesthesia); the anesthesia lasted for 20 min, and the anesthetic effect on Polish rabbits was observed. Body temperature(T), heart rate(HR), oxygen saturation(SpO2), respiratory rate(RR), systolic blood pressure(SAP), diastolic blood pressure(DAP), and mean arterial pressure(MAP) of Polish rabbits in each group were monitored before isoflurane anesthesia(0 min), 5, 10, 15, 20 min after anesthesia and 10 min after recovery. Blood from the femoral artery was collected simultaneously to detect the plasma levels of Renin, angiotensin Ⅱ(ANG-Ⅱ), and aldosterone(ALD) and to analyze the correlation between the levels of Renin, ANG-Ⅱ, and ALD with SAP, DAP, and MAP. The results showed that T at 15, 20 min after anesthesia was significantly lower than that at 0 min in each group(P<0.05). HR and RR at 5, 10, 15, 20 min after anesthesia were significantly lower than those at 0 min in each group(P<0.05). SpO2 at 15, 20 min was significantly lower than that at 0 min in the H-ISO group(P<0.05). SAP, DAP and MAP at 5, 10, 15, 20 min after anesthesia were significantly lower than those at 0 min in each group(P<0.05). The levels of Renin, ANG-Ⅱ and ALD at 5, 10, 15, and 20 min after anesthesia were significantly lower than those at 0 min in the M-ISO and H-ISO groups(P<0.05); the levels of Renin and ALD at 20 min after anesthesia were significantly lower than those at 0 min in the L-ISO group(P<0.05). T in the H-ISO group was significantly lower than that in the L-ISO and M-ISO groups at 10, 15, 20 min(P<0.05). HR and RR in the H-ISO group were significantly lower than those in the L-ISO and M-ISO groups at 15 and 20 min(P<0.05). SAP in the H-ISO group was significantly lower than that in the L-ISO and M-ISO groups at 5, 10, and 15 min after anesthesia(P<0.05). DAP in the H-ISO and M-ISO groups was significantly lower than that in the L-ISO group at 5 min after anesthesia(P<0.05), and was significantly lower in the H-ISO group than that in the L-ISO group at 10 min after anesthesia(P<0.05). MAP in the H-ISO and M-ISO groups was significantly lower than that in the L-ISO group at 5, 10 min after anesthesia(P<0.05), and was significantly lower in the H-ISO group than that in the L-ISO group at 15 min after anesthesia(P<0.05). SAP in the H-ISO group was significantly lower than that in the L-ISO group at 10 min after recovery(P<0.05). DAP and MAP in the H-ISO group were significantly lower than those in the L-ISO and M-ISO groups at 10 min after recovery(P<0.05). Renin and ALD contents at 5,10,15,20 min and ANG-Ⅱ contents at 15,20 min in the H-ISO and M-ISO groups were significantly lower than that in the L-ISO group after anesthesia(P<0.05). ALD content decreased significantly with the increase of isoflurane concentration in three groups at 5, 10, 15, 20 min after anesthesia(P<0.05). The contents of Renin, ANG-Ⅱ and ALD in the M-ISO group were significantly correlated with SAP, DAP and MAP(P<0.01), while SAP, DAP and MAP in the L-ISO and H-ISO groups were less correlated with the contents of Renin, ANG-Ⅱ and ALD. The results suggested that different concentrations of isoflurane anesthesia could cause changes in physiological indexes, hemodynamics and RAAS system in Polish rabbits. 3% concentration of isoflurane anesthesia to Polish rabbits was the best, which caused the changes of the contents of Renin, ANG-Ⅱ and ALD in plasma which involved in the regulation of hemodynamic indexes in Polish rabbits.

     

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