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对吗啡镇痛作用的条件性耐受:实验组中的代偿性痛觉过敏还是对照组中的条件性痛觉减退?

Conditioned tolerance to morphine hypoalgesia: compensatory hyperalgesia in the experimental group or conditioned hypoalgesia in the control group?

作者信息

Westbrook R F, Greeley J D

机构信息

School of Psychology, University of New South Wales, Kensington, Sydney, Australia.

出版信息

Q J Exp Psychol B. 1992 Oct;45(3):161-87.

PMID:1455012
Abstract

Five experiments used rats to examine the role of noxious stimulation in the development of contextually controlled morphine hypoalgesic tolerance and in the mediation of this tolerance by an associated hyperalgesic response. There was evidence for contextually controlled tolerance to morphine's hypoalgesic effects and an associated hyperalgesic response in rats injected with morphine and trained with noxious stimulation, but not in rats repeatedly exposed to morphine in the absence of that stimulation (Experiments 1 and 5). Latent inhibition (Experiment 2) and extinction (Experiment 3) of tolerance also depended upon pairing drug-related cues with noxious stimulation. The level of sensitivity-reactivity to noxious stimulation in morphine-tolerant rats tested with the drug was related to the intensity of the noxious stimulation that had been paired with the test context (Experiment 4). The results were interpreted to mean that some of the evidence for a Pavlovian involvement in tolerance development can be explained in terms of morphine's interference with the acquisition, but not with the expression of the hypoalgesic response otherwise acquired by cues paired with noxious stimulation.

摘要

五项实验使用大鼠来研究伤害性刺激在情境控制的吗啡镇痛耐受性发展中所起的作用,以及通过相关的痛觉过敏反应对这种耐受性的介导作用。有证据表明,在注射吗啡并接受伤害性刺激训练的大鼠中,存在对吗啡镇痛作用的情境控制耐受性以及相关的痛觉过敏反应,但在没有这种刺激的情况下反复接触吗啡的大鼠中则不存在(实验1和5)。耐受性的潜伏抑制(实验2)和消退(实验3)也取决于将与药物相关的线索与伤害性刺激配对。用药物测试的吗啡耐受大鼠对伤害性刺激的敏感性反应水平与曾与测试情境配对的伤害性刺激强度有关(实验4)。结果被解释为意味着,一些关于巴甫洛夫式机制参与耐受性发展的证据,可以用吗啡对通过与伤害性刺激配对的线索原本获得的镇痛反应的习得过程产生干扰来解释,但不是对其表达的干扰。

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