Cooper Dale M, Hoffman Wherly, Wheat Nathan, Lee Hsiu-Yung
Department of Veterinary Resources, Greenfield Laboratories, Eli Lilly and Company, St. Greenfield, Indiana 46140, USA.
Comp Med. 2005 Aug;55(4):344-53.
This study evaluated the duration of clinical effects and referred hyperalgesia in rats (n = 10 per group) undergo ing abdominal surgery with analgesics (ketoprofen at 3 mg/kg and buprenorphine at 0.01 or 0.1 mg/kg) administered intramuscularly twice daily for 72 h beginning prior to surgery; no-surgery and no-analgesia control groups were included. Food and water consumption and body weight were monitored daily. As a measure of referred hyperalgesia, tail-flick latency was measured daily, before and 4 h after analgesia administration. Compared with those of the no-surgery controls, significant decreases in food consumption and body weight occurred 24 h after surgery without analgesics. There were nonsignificant reductions in these effects by analgesics, but the benefits were not significantly different than those of saline. These parameters continued to be decreased with variable significance in the buprenorphine groups at 48 and 72 h after surgery. In both buprenorphine-treated groups, water consumption was significantly increased at 24 h after surgery but not at 48 or 72 h. Tail-flick latency was not significantly different between the no-surgery and no-analgesia groups but was significantly increased 4 h after high-dose buprenorphine administration and declined nonsignificantly over time in the other groups. We conclude that painful effects from surgery are present primarily during the first 24 h after surgery. The analgesic regimens tested did not completely reduce these effects. Buprenorphine was associated with adverse effects for as long as 72 h after surgery. Referred hyperalgesia from this abdominal surgery could not be measured using the tail-flick assay.
本研究评估了接受腹部手术的大鼠(每组10只)的临床效应持续时间和牵涉性痛觉过敏情况。这些大鼠在手术前开始每天两次肌肉注射镇痛药(酮洛芬3mg/kg以及丁丙诺啡0.01或0.1mg/kg),持续72小时;设置了未手术和未使用镇痛药的对照组。每天监测食物和水的摄入量以及体重。作为牵涉性痛觉过敏的指标,每天在给予镇痛药前和给药后4小时测量甩尾潜伏期。与未手术对照组相比,未使用镇痛药的大鼠在术后24小时出现食物摄入量和体重显著下降。镇痛药对这些效应有非显著的减轻作用,但效果与生理盐水组无显著差异。在术后48小时和72小时,丁丙诺啡组这些参数持续下降,差异有统计学意义。在两个丁丙诺啡治疗组中,术后24小时水摄入量显著增加,但在48小时和72小时未增加。未手术组和未使用镇痛药组之间甩尾潜伏期无显著差异,但在高剂量丁丙诺啡给药后4小时显著增加,其他组随时间非显著下降。我们得出结论,手术引起的疼痛效应主要出现在术后的前24小时。所测试的镇痛方案并未完全减轻这些效应。丁丙诺啡在术后长达72小时都伴有不良反应。无法使用甩尾试验测量这种腹部手术引起的牵涉性痛觉过敏。