Lizarraga Ignacio, Chambers J P
Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand.
Res Vet Sci. 2006 Apr;80(2):194-200. doi: 10.1016/j.rvsc.2005.06.001. Epub 2005 Aug 8.
The level within the central nervous system where non-steroidal anti-inflammatory drugs (NSAIDs) produce analgesia and the mechanisms by which they mediate this effect are still uncertain. This study assessed the central analgesic effects of ketoprofen, phenylbutazone, salicylic acid and tolfenamic acid in sheep implanted with indwelling intrathecal (i.t.) catheters and submitted to mechanical noxious stimulation. The sheep received i.t. cumulative concentrations (0.375-200 microM; 100 microL) as well as a single intravenous (i.v.) dose (3, 8, 10 and 2 mg/kg, respectively) of each NSAID. The sheep were also given i.t. naloxone (5.49 mM; 100 microL) and atipamezole (4.03 mM; 100 microL) prior to i.v. ketoprofen. None of the i.t. NSAIDs increased mechanical thresholds. Intravenously, only ketoprofen and tolfenamic acid raised the pain thresholds. The hypoalgesic effect of i.v. ketoprofen was prevented by i.t. naloxone or atipamezole. Although NSAIDs had no direct effect on the spinal cord, their analgesic action appeared to be spinally mediated.
非甾体抗炎药(NSAIDs)在中枢神经系统产生镇痛作用的水平及其介导这种作用的机制仍不明确。本研究评估了酮洛芬、保泰松、水杨酸和托芬那酸对植入鞘内(i.t.)留置导管并接受机械性伤害性刺激的绵羊的中枢镇痛作用。绵羊接受了每种NSAIDs的鞘内累积浓度(0.375 - 200微摩尔;100微升)以及单次静脉注射(i.v.)剂量(分别为3、8、10和2毫克/千克)。在静脉注射酮洛芬之前,绵羊还接受了鞘内注射纳洛酮(5.49毫摩尔;100微升)和阿替美唑(4.03毫摩尔;100微升)。鞘内注射的NSAIDs均未提高机械阈值。静脉注射时,只有酮洛芬和托芬那酸提高了疼痛阈值。静脉注射酮洛芬的镇痛作用可被鞘内注射纳洛酮或阿替美唑阻断。尽管NSAIDs对脊髓没有直接作用,但其镇痛作用似乎是通过脊髓介导的。