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吗啡从脑脊液间隙起作用时产生的镇痛作用。

Analgesia produced by morphine when acting from the liquor space.

作者信息

Dey P K, Feldberg W

出版信息

Br J Pharmacol. 1976 Nov;58(3):383-93. doi: 10.1111/j.1476-5381.1976.tb07715.x.

Abstract

1 In cats analgesia was produced by morphine sulphate introduced into different parts of the liquor space in doses too small to be effective on intravenous injection. Analgesia was measured with the tail pinch method of Russell & Tate (1975). 2 On infusion into the fourth ventricle or into the subarachnoid space beneath the ventral surface of the brain stem caudal to the pons, doses of 100 to 200 mug of morphine sulphate were sufficient to produce strong long-lasting analgesia. On injection into the cisterna magna somewhat larger doses (400 to 800mug) were required. 3 It is concluded that the site where morphine acts when producing analgesia in all three circumstances is at the ventral surface of the brain stem. 4 The possibility is discussed that the structures acted upon are tryptaminergic nerve fibres. They arise from the raphe nuclei, belong to a descending inhibitory pathway, and on their way to the spinal cord, reach the ventral surface of the brain stem lateral to each pyramid, where they could be reached and acted upon by the morphine. This theory postulates a morphine sensitivity of tryptaminergic nerve fibres.

摘要
  1. 在猫身上,通过将硫酸吗啡注入脑脊液空间的不同部位来产生镇痛作用,所用剂量小到静脉注射时无效。采用Russell和Tate(1975年)的夹尾法来测定镇痛效果。2. 当向第四脑室或脑桥尾侧脑干腹面下方的蛛网膜下腔注入时,100至200微克的硫酸吗啡剂量足以产生强烈的持久镇痛作用。向枕大池注射时则需要稍大剂量(400至800微克)。3. 得出的结论是,在所有这三种情况下吗啡产生镇痛作用的部位是脑干腹面。4. 讨论了这样一种可能性,即受作用的结构是色胺能神经纤维。它们起源于中缝核,属于下行抑制通路,在到达脊髓的途中,会到达每个锥体外侧的脑干腹面,在那里它们可能会被吗啡作用。该理论假定色胺能神经纤维对吗啡敏感。

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