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使用无创牙科痛觉测量法评估静脉注射和鞘内注射吗啡对麻醉犬的镇痛效果。

Use of noninvasive dental dolorimetry to evaluate analgesic effects of intravenous and intrathecal administration of morphine in anesthetized dogs.

作者信息

Brown Dorothy C, Bernier Noemie, Shofer Frances, Steinberg Sheldon A, Perkowski Sandra Z

机构信息

Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.

出版信息

Am J Vet Res. 2002 Oct;63(10):1349-53. doi: 10.2460/ajvr.2002.63.1349.

Abstract

OBJECTIVE

To determine whether changes in amplitude of the reflex-evoked muscle action potential (REMP) elicited by noninvasive dental dolorimetry (electrical stimulation of the tooth pulp) in anesthetized dogs may be used to objectively evaluate the effectiveness of IV and intrathecal (IT) administration of morphine.

ANIMALS

6 male Beagles that were 2 to 6 years old.

PROCEDURE

Dogs were used in a crossover design with at least a 5-day washout period between treatments. Each dog received morphine, saline (0.9% NaCl) solution, and oxytocin via the IV and IT routes of administration; however, only results for morphine and saline treatments were reported here. Dogs were anesthetized and prepared for noninvasive dental dolorimetry. After IV or IT administration, electrical stimulation was applied to a tooth, and REMPs of the digastricus muscle were recorded at 5-minute intervals for 60 minutes. To determine differences in REMP amplitude between treatments, a linear regression line was fitted for each dog-treatment combination.

RESULTS

The IV administration of morphine significantly inhibited REMP amplitude, compared with IV administration of saline solution. Intrathecal administration of morphine significantly inhibited REMP amplitude, compared with IT administration of saline solution.

CONCLUSIONS AND CLINICAL RELEVANCE

Noninvasive dental dolorimetry in anesthetized dogs has promise as a technique for use in evaluating the analgesic potential of drugs administered IV and IT through evaluation of their effect on REMP amplitude recorded for the digastricus muscle.

摘要

目的

确定在麻醉犬中,通过无创牙科痛觉测定法(牙髓电刺激)诱发的反射性肌肉动作电位(REMP)幅度的变化是否可用于客观评估静脉注射(IV)和鞘内注射(IT)吗啡的效果。

动物

6只2至6岁的雄性比格犬。

方法

采用交叉设计,各处理之间至少有5天的洗脱期。每只犬通过静脉注射和鞘内注射途径接受吗啡、生理盐水(0.9%氯化钠)溶液和催产素;然而,此处仅报告吗啡和生理盐水处理的结果。犬麻醉后准备进行无创牙科痛觉测定。静脉注射或鞘内注射后,对一颗牙齿施加电刺激,并每隔5分钟记录60分钟的二腹肌REMP。为确定各处理之间REMP幅度的差异,为每个犬-处理组合拟合一条线性回归线。

结果

与静脉注射生理盐水溶液相比,静脉注射吗啡显著抑制了REMP幅度。与鞘内注射生理盐水溶液相比,鞘内注射吗啡显著抑制了REMP幅度。

结论及临床意义

麻醉犬的无创牙科痛觉测定法有望成为一种技术,通过评估药物对二腹肌记录的REMP幅度的影响,用于评估静脉注射和鞘内注射药物的镇痛潜力。

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