Xu Xiao-Jun, Puke Malcolm J C, Wiesenfeld-Hallin Zsuzsanna
Karolinska Institute, StockholmSweden, Department of Clinical Physiology, Section of Clinical Neurophysiology, Huddinge University Hospital, HuddingeSweden Department of Anaesthesiology, Karolinska Hospital, StockholmSweden.
Pain. 1992 Nov;51(2):145-151. doi: 10.1016/0304-3959(92)90255-A.
The effect of intrathecal (i.t.) alpha 2-adrenoceptor agonist, clonidine, on the spinal nociceptive flexor reflex was studied in decerebrate, spinalized, unanesthetized rats with intact sciatic nerves or in rats in which the sciatic nerve had been ipsilaterally sectioned. In rats with intact nerves i.t. clonidine caused a dose-dependent biphasic effect on flexor reflex excitability. At low dose (10 ng) the effect of clonidine was purely facilitatory, whereas with 50-100 ng clonidine the initial facilitation was often followed by reflex depression. Long-lasting, strong reflex depression was observed after i.t. injection of high doses of clonidine (1 and 10 micrograms). Four to 18 days after sciatic nerve section, the depressive effect of clonidine on the flexor reflex was dramatically enhanced. Depression was frequently observed already with doses of 5 and 10 ng, and maximal depression was reached at 100 ng and 1 micrograms in axotomized rats. The facilitatory effect of low doses of clonidine on the reflex was also observed, although somewhat less frequently than in normals. The depressive effect of clonidine on the flexor reflex was reversed by the selective alpha 2-receptor antagonist, atipamezole (20 micrograms, i.t.), in rats with both intact and sectioned sciatic nerves. The present results revealed an increased sensitivity and effectiveness of the depression of spinal reflex mechanisms by i.t. clonidine after sciatic nerve section, which is opposite to the decreased sensitivity to i.t. morphine after axotomy that we observed previously.(ABSTRACT TRUNCATED AT 250 WORDS)
在去大脑、脊髓横断、未麻醉且坐骨神经完整的大鼠或坐骨神经已被同侧切断的大鼠中,研究了鞘内注射α2肾上腺素能受体激动剂可乐定对脊髓伤害性屈肌反射的影响。在神经完整的大鼠中,鞘内注射可乐定对屈肌反射兴奋性产生剂量依赖性双相效应。低剂量(10纳克)时,可乐定的效应完全是易化性的,而50 - 100纳克可乐定时,最初的易化作用之后常伴有反射抑制。鞘内注射高剂量可乐定(1和10微克)后观察到持久、强烈的反射抑制。坐骨神经切断后4至18天,可乐定对屈肌反射的抑制作用显著增强。5和10纳克剂量时就经常观察到抑制作用,在轴突切断的大鼠中,100纳克和1微克时达到最大抑制。低剂量可乐定对反射的易化作用也有观察到,尽管比正常情况下频率稍低。在坐骨神经完整和切断的大鼠中,选择性α2受体拮抗剂阿替美唑(20微克,鞘内注射)可逆转可乐定对屈肌反射的抑制作用。目前的结果显示,坐骨神经切断后,鞘内注射可乐定对脊髓反射机制抑制的敏感性和有效性增加,这与我们之前观察到的轴突切断后对鞘内注射吗啡敏感性降低相反。(摘要截短于250字)