Chinese Journal of Clinical Anatomy ›› 2021, Vol. 39 ›› Issue (6): 700-706.doi: 10.13418/j.issn.1001-165x.2021.06.010

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Comparison of the efficacy of seven antispasmodic drugs in the prevention of norepinephrine-induced vasospasm

Zhao Hu1, Ma Qiming2, Chen Shaofeng2, Wu Dongfang3   

  1. 1.Department of Pharmacy, Changji Chinese Medicine Hospital, Changji 831100, Xinjiang Uygur Autonomous Region, China;  2. Fujian Medical University, Fuzhou 350122, Fujian Province, China;  3.Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
  • Received:2021-02-10 Online:2021-11-25 Published:2021-12-01

Abstract: Objective To explore the use of antispasmodic drugs to prevent norepinephrine- induced vasospasm.  Methods Sixty-four SD rats were randomly divided into 8 groups. The rats were pretreated with 7 kinds of antispasmodic drugs for 30 minutes(Prostaglandin E1, sodium nitroprusside, magnesium sulfate, papaverine, phentolamine, verapamil and lidocainehydrocloride). Normal saline was used as a control agent. Then 0.1 ml norepinephrine (1:1000) was added to trigger vasospasm. The perfusion intensity and diameter of the femoral artery and vein were monitored by a laser speckle blood flow imaging system. Spss19.0 was used to compare the perfusion difference between groups. Results In the control group (normal saline), local application of norepinephrine for 5 minutes reduced arterial perfusion by 91% and venous perfusion by 78%. Both sodium nitroprusside and phentolamine could prevent the vasospasm of femoral artery and vein (P<0.05); papaverine only prevented the spasm of the femoral artery, and prostaglandin E1 only prevented the spasm of the femoral vein. Conclusions Pretreatment with sodium nitroprusside and phentolamine can prevent norepinephrine-induced vasospasm. Sodium nitroprusside has the strongest preventive effect, followed by phentolamine.

Key words: Vasospasm,  Antispasmodic drugs,  Preoperative prevention

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