Wang B C, Hiller J M, Simon E J, Hillman D E, Rosenberg C, Turndorf H
Department of Anesthesiology, New York University School of Medicine, NY 10016.
Reg Anesth. 1992 Nov-Dec;17(6):334-9.
This study focused on the distribution of 3H-morphine in the spinal cord, roots, urine, and blood, after epidural administration in rabbits.
Under nitrous oxide, halothane, and oxygen endotracheal anesthesia, the cisterna magna of New Zealand albino rabbits was cannulated for cerebrospinal fluid sampling, and catheters were placed in the lumbar epidural space. Through the epidural catheter, 200 pmol of 3H-morphine contained in 500 microliters of 1.3 mM (0.21 mg) morphine was injected. Arterial blood and cisternal CSF were sampled at 0, 5, 15, 30, 45, 60, 90, and 120 minutes after injection. Animals were killed with intravenous pentobarbital at the end of 120 minutes (n = 3), 6 hours (n = 4), and 12 hours (n = 2). In each animal the brain, spinal cord, spinal roots, liver, kidneys, and urinary bladder were removed.
The injection site over the cord was identified and all tissues were immediately frozen at -70 degrees C. Two-mm thick cross-sections, were taken from every centimeter of the spinal cord. Radioactivity in the series of sections was determined by scintillation spectroscopy. At 2 hours, 4.2% +/- 1.1% of the injected radioactivity was recovered, and at 6 hours 1.6% +/- 0.6% was recovered. Radioactivity was concentrated mainly around the lumbar injection site, and it decreased as the distance increased from the injection site and coincided with elapsed time after the injection.
Multiple linear regression analysis of radioactive labels showed the significant effect of time, distance from the injection site, and the time-distance interaction on the distribution of 3H-morphine in the spinal cord (p < 0.0001 for time and rostral and caudal distance from the injection site; and p < 0.0001 for interaction between time and distance.) A major portion of the injected radioactivity was recovered in the urine and a small amount in other tissues and body fluid: bladder, liver, spinal roots, kidney, plasma, and cerebrospinal fluid.
本研究聚焦于家兔硬膜外给药后³H-吗啡在脊髓、神经根、尿液及血液中的分布情况。
在氧化亚氮、氟烷及氧气气管内麻醉下,对新西兰白化家兔的枕大池进行插管以采集脑脊液,并在腰段硬膜外间隙放置导管。通过硬膜外导管注入含200皮摩尔³H-吗啡的500微升1.3毫摩尔(0.21毫克)吗啡溶液。注射后0、5、15、30、45、60、90及120分钟采集动脉血及枕大池脑脊液样本。在120分钟末(n = 3)、6小时(n = 4)及12小时(n = 2),经静脉注射戊巴比妥处死动物。取出每只动物的脑、脊髓、脊神经根、肝脏、肾脏及膀胱。
确定脊髓上的注射部位,所有组织立即在-70℃下冷冻。每隔1厘米从脊髓取2毫米厚的横断面。通过闪烁光谱法测定一系列切片中的放射性。2小时时,回收了注入放射性的4.2%±1.1%,6小时时回收了1.6%±0.6%。放射性主要集中在腰段注射部位周围,且随着与注射部位距离的增加而降低,并与注射后的时间推移相符。
对放射性标记物的多元线性回归分析表明,时间、与注射部位的距离以及时间-距离相互作用对³H-吗啡在脊髓中的分布有显著影响(时间及与注射部位的头端和尾端距离的p < 0.0001;时间与距离之间相互作用的p < 0.0001)。注入的放射性大部分在尿液中回收,少量在其他组织和体液(膀胱、肝脏、脊神经根、肾脏、血浆及脑脊液)中回收。