Hao J X, Xu I S, Xu X J, Wiesenfeld-Hallin Z
Karolinska Institute, Department of Medical Laboratory Sciences and Technology, Huddinge University Hospital, Sweden.
Acta Anaesthesiol Scand. 1999 Nov;43(10):1027-34. doi: 10.1034/j.1399-6576.1999.431010.x.
Increased response to mechanical or cold stimulation of hind paws was observed in rats with partial sciatic nerve injury as a result of photochemically induced ischemia. The present study examined the effects of intrathecal morphine, clonidine and baclofen on the allodynia-like responses.
The left sciatic nerves of rats were irradiated for 2 min with an argon ion laser under chloral hydrate anesthesia. The threshold of paw withdrawal to mechanical stimulation was determined with a series of monofilaments (von Frey hairs). The response to cold stimulation was tested by spraying ethyl chloride on the plantar surface of the paw. When rats were exhibiting stable mechanical and cold allodynia-like behaviors after nerve injury, the effects of i.t. morphine (1, 2, 7 microg), clonidine (1, 2, 7 microg) and baclofen (0.1, 0.2, 0.7, 9 microg) in a cumulative dose regime were investigated.
Intrathecal morphine dose-dependently alleviated the mechanical and cold allodynia without inducing motor impairment or sedation. Intrathecal clonidine did not alter the response of hind paws to mechanical stimulation, but reduced the cold allodynia. Intrathecal baclofen reduced the responses of rats to mechanical stimulation only at doses that also induced profound motor deficits.
The present data suggest that intrathecal morphine, and to some extent clonidine, but not baclofen, alleviated the abnormal pain-related behaviors in this new rat model of partial peripheral nerve injury. Differences in the pharmacological profile between the present model and other models of peripheral nerve injury are discussed.
在因光化学诱导缺血导致部分坐骨神经损伤的大鼠中,观察到后爪对机械或冷刺激的反应增强。本研究考察了鞘内注射吗啡、可乐定和巴氯芬对类痛觉过敏反应的影响。
在水合氯醛麻醉下,用氩离子激光对大鼠左侧坐骨神经照射2分钟。用一系列单丝(von Frey毛发)测定爪对机械刺激的缩爪阈值。通过将氯乙烷喷在爪的足底表面来测试对冷刺激的反应。当大鼠在神经损伤后表现出稳定的机械性和冷性类痛觉过敏行为时,研究了累积剂量方案下鞘内注射吗啡(1、2、7微克)、可乐定(1、2、7微克)和巴氯芬(0.1、0.2、0.7、9微克)的作用。
鞘内注射吗啡剂量依赖性地减轻机械性和冷性痛觉过敏,且不引起运动障碍或镇静。鞘内注射可乐定未改变后爪对机械刺激的反应,但减轻了冷性痛觉过敏。鞘内注射巴氯芬仅在也引起严重运动缺陷的剂量下才降低大鼠对机械刺激的反应。
目前的数据表明,在这种新的部分周围神经损伤大鼠模型中,鞘内注射吗啡以及在一定程度上可乐定可减轻异常的疼痛相关行为,而巴氯芬则不能。讨论了本模型与其他周围神经损伤模型在药理学特征上的差异。