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吗啡对豚鼠离体回肠蠕动作用机制的研究。

Studies on the mechanism of the action of morphine on the peristalsis of guinea pig ileum in situ.

作者信息

Aldunate J, Yojay L, Mardones J

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1975;291(4):395-403. doi: 10.1007/BF00501797.

Abstract

The influence of some drugs on the effect of morphine on the threshold pressure required to elicit peristalsis in the guinea pig ileum in situ was studied, in order to test the hypothesis that this effect of morphine is mediated by catecholamine release. Tachyphylaxis to this effect of morphine was confirmed. Pretreatemnt with two 8 mg/kg doses of reserpine, 24 and 48 hrs before the experiment, significantly reduced the effect of morphine on the pressure threshold. The i.v. administration of 10 mg/kg dl-Dopa re-established the effect of morphine in reserpinized animals to the level of the untreated controls. Pretreatment with guanethidine (15 mg/kg) decreased and even prevented this effect of morphine. Phentolamine pretreatment (10 mg/kg) also significantly inhibited the effect of morphine. Neither DCI nor propranolol influenced this morphine effect. Pretreatment with reserpine, guanethidine or phentolamine reduced the basic pressure threshold needed to elicit peristalsis. The possibility that the decrease of local circulation induced by hypotenison would reduce the local concentration of morphine was rejected because the same doses of guanethidine or phentolamine did not modify the effect of hexamethonium given i.v. in this preparation. All these results support the idea that the effect of morphine on intestinal peristalsis is mediated by a catecholamine acting on alpha-receptors, e.g. norepinephrine.

摘要

研究了某些药物对吗啡作用于豚鼠离体回肠诱发蠕动所需阈压力的影响,以检验吗啡的这种作用是由儿茶酚胺释放介导的这一假说。证实了对吗啡这种作用的快速耐受性。在实验前24小时和48小时,用两个8毫克/千克剂量的利血平预处理,显著降低了吗啡对压力阈值的作用。静脉注射10毫克/千克的dl-多巴可使利血平化动物体内吗啡的作用恢复到未处理对照的水平。用胍乙啶(15毫克/千克)预处理可降低甚至阻止吗啡的这种作用。酚妥拉明预处理(10毫克/千克)也显著抑制了吗啡的作用。DCI和普萘洛尔均未影响吗啡的这种作用。用利血平、胍乙啶或酚妥拉明预处理可降低诱发蠕动所需的基础压力阈值。低血压引起的局部循环减少会降低吗啡局部浓度的可能性被排除,因为相同剂量的胍乙啶或酚妥拉明并未改变静脉注射六甲铵在该制剂中的作用。所有这些结果支持这样一种观点,即吗啡对肠道蠕动的作用是由作用于α受体的儿茶酚胺介导的,例如去甲肾上腺素。

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