Objective.To compare the effects of alfentanil and esmolol on hemodynamic and catecholamine response to tracheal intubation. Methods.Thirty five adult patients were randomly allocated to on...Objective.To compare the effects of alfentanil and esmolol on hemodynamic and catecholamine response to tracheal intubation. Methods.Thirty five adult patients were randomly allocated to one of three groups,Group A(control group),Group B(esmolol group)and Group C(alfentanil group).The patients received either 2 mg/kg esmolol(in Group B)or 30 μg/kg alfentanil(in Group C)before intubation.Tracheal intubation was performed with 4 mg/kg thiopental and 0 1 mg/kg vecuronium and 3% isoflurane.Systolic blood pressure(SBP),diastolic blood pressure(DBP),mean blood pressure(MBP),heart rate(HR),norepinephrine(NE),epinephrine(E)and dopamine(DA)were measured before and after intubation. Results.The control group had a baseline SBP of 149±23 mmHg while Groups B,C had a baseline SBP of 148±23,and 150±21mmHg,respectively(P>0 05).Three min after tracheal intubation,the control group SBP increased to 160±30 mmHg and Group B remained at the baseline level,147±5 mmHg,and Group C significantly decreased to 91±22 mmHg(P<0 01).Two min after intubation HR in Group B increased significantly but 3 min after intubation HR in Groups B and C were significantly lower than that of control group(P<0 05).NE in Groups A and B increased significantly to 5 75±3 51 and 6 75±3 30 nmol/L 3 min after intubation(P<0 01).In Group C,3 min after intubation NE was not significantly different from the baseline but E decreased significantly(P<0 01). Conclusion.2 mg/kg esmolol can moderate the hemodynamic response to tracheal intubation to a certain extent and 30μg/kg alfentanil can completely attenuate the hemodynamic and catecholamine responses.展开更多
Neurofibromatosis type 2 is a well known disease of the human skin. Its microscopic and ultramicroscopic features are also well defined. Aim: The aim of this work was to study the involvement of catecholaminergic ner...Neurofibromatosis type 2 is a well known disease of the human skin. Its microscopic and ultramicroscopic features are also well defined. Aim: The aim of this work was to study the involvement of catecholaminergic nerve fibers in the human skin neurofibromatosis. Bioptic fragments of the human skin have been harvested from healthy and diseased subjects. On these specimens the following analysis were performed: 1) light microscopic observation after colouring with hematoxyline-Eosine. 2) lmmunochemical staining for Protein Gene Product 9.5.3) Fluorescent staining for catecholaminergic nerve fibers. 4) Quantitative analysis of images by means of the Quantimet analyzer Leica. 5) Statistical analysis of the quantitative morphological data comparing the healthy with diseased subjects. Comparing the light microscopy images in normal and pathological subjects the authors can affirm that the skin neurofibromatosis induces a strong decrease of the nerve fibers cutted in small pieces and destroyed. Also the catecholaminergic nerve fibers are strongly reduced and destroyed. Quantitative analysis of images and statistical analysis of the morphological data confirm that neurofibromatosis induces strong changes of the skin nerve fibers. The authors' results confirm that the neurofibromatosis type 2 induces an almost total destruction of the skin nerve fibers.展开更多
Objective:To investigate whether moxibustion affects the secretion of catecholamine as adrenalin, noradrenaline and dopamine. Methods: Twenty Wistar rats were allocated to two groups. One was moxibustion-group (10 ...Objective:To investigate whether moxibustion affects the secretion of catecholamine as adrenalin, noradrenaline and dopamine. Methods: Twenty Wistar rats were allocated to two groups. One was moxibustion-group (10 rats), and the other was non-moxibustion-group (10 rats). Four ignited moxa-cones were applied to bilateral “Shenshu” (肾俞 BL 23). When a moxa-cone burned out, another one was replaced. At the end of each experiment, blood sample (2 mL/rat) was collected from the heart for assaying plasma adrenalin, noradrenaline and dopamine contents with high pressure liquid chromatography. Results: The presented results showed that plasma adrenalin and noradrenaline contents of moxibustion-group are significantly higher than those of non-moxibustion-group (P 〈 0.01). However, there is no significant difference of dopamine between moxibustion-and non-moxibustion-groups (P 〉 0.05). Conclusion: These results demonstrated that moxibustion stimulates the secretion of adrenaline and noradrenaline in normal rats.展开更多
文摘Objective.To compare the effects of alfentanil and esmolol on hemodynamic and catecholamine response to tracheal intubation. Methods.Thirty five adult patients were randomly allocated to one of three groups,Group A(control group),Group B(esmolol group)and Group C(alfentanil group).The patients received either 2 mg/kg esmolol(in Group B)or 30 μg/kg alfentanil(in Group C)before intubation.Tracheal intubation was performed with 4 mg/kg thiopental and 0 1 mg/kg vecuronium and 3% isoflurane.Systolic blood pressure(SBP),diastolic blood pressure(DBP),mean blood pressure(MBP),heart rate(HR),norepinephrine(NE),epinephrine(E)and dopamine(DA)were measured before and after intubation. Results.The control group had a baseline SBP of 149±23 mmHg while Groups B,C had a baseline SBP of 148±23,and 150±21mmHg,respectively(P>0 05).Three min after tracheal intubation,the control group SBP increased to 160±30 mmHg and Group B remained at the baseline level,147±5 mmHg,and Group C significantly decreased to 91±22 mmHg(P<0 01).Two min after intubation HR in Group B increased significantly but 3 min after intubation HR in Groups B and C were significantly lower than that of control group(P<0 05).NE in Groups A and B increased significantly to 5 75±3 51 and 6 75±3 30 nmol/L 3 min after intubation(P<0 01).In Group C,3 min after intubation NE was not significantly different from the baseline but E decreased significantly(P<0 01). Conclusion.2 mg/kg esmolol can moderate the hemodynamic response to tracheal intubation to a certain extent and 30μg/kg alfentanil can completely attenuate the hemodynamic and catecholamine responses.
文摘Neurofibromatosis type 2 is a well known disease of the human skin. Its microscopic and ultramicroscopic features are also well defined. Aim: The aim of this work was to study the involvement of catecholaminergic nerve fibers in the human skin neurofibromatosis. Bioptic fragments of the human skin have been harvested from healthy and diseased subjects. On these specimens the following analysis were performed: 1) light microscopic observation after colouring with hematoxyline-Eosine. 2) lmmunochemical staining for Protein Gene Product 9.5.3) Fluorescent staining for catecholaminergic nerve fibers. 4) Quantitative analysis of images by means of the Quantimet analyzer Leica. 5) Statistical analysis of the quantitative morphological data comparing the healthy with diseased subjects. Comparing the light microscopy images in normal and pathological subjects the authors can affirm that the skin neurofibromatosis induces a strong decrease of the nerve fibers cutted in small pieces and destroyed. Also the catecholaminergic nerve fibers are strongly reduced and destroyed. Quantitative analysis of images and statistical analysis of the morphological data confirm that neurofibromatosis induces strong changes of the skin nerve fibers. The authors' results confirm that the neurofibromatosis type 2 induces an almost total destruction of the skin nerve fibers.
文摘Objective:To investigate whether moxibustion affects the secretion of catecholamine as adrenalin, noradrenaline and dopamine. Methods: Twenty Wistar rats were allocated to two groups. One was moxibustion-group (10 rats), and the other was non-moxibustion-group (10 rats). Four ignited moxa-cones were applied to bilateral “Shenshu” (肾俞 BL 23). When a moxa-cone burned out, another one was replaced. At the end of each experiment, blood sample (2 mL/rat) was collected from the heart for assaying plasma adrenalin, noradrenaline and dopamine contents with high pressure liquid chromatography. Results: The presented results showed that plasma adrenalin and noradrenaline contents of moxibustion-group are significantly higher than those of non-moxibustion-group (P 〈 0.01). However, there is no significant difference of dopamine between moxibustion-and non-moxibustion-groups (P 〉 0.05). Conclusion: These results demonstrated that moxibustion stimulates the secretion of adrenaline and noradrenaline in normal rats.