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一种用于评估氟烷麻醉下大鼠电针镇痛的最小应激模型。

A minimal stress model for the assessment of electroacupuncture analgesia in rats under halothane.

作者信息

Wen Yeong-Ray, Yeh Geng-Chang, Shyu Bai-Chuang, Ling Qing-Dong, Wang Kuo-Ching, Chen Ta-Liang, Sun Wei-Zen

机构信息

Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Eur J Pain. 2007 Oct;11(7):733-42. doi: 10.1016/j.ejpain.2006.11.003. Epub 2007 Jan 10.

Abstract

The use of anesthetics in acupuncture analgesia is controversial. We evaluate a steady-state light anesthesia model to test whether minimal stress manipulation and reliable measurement of analgesia could be simultaneously achieved during electroacupuncture (EA) in animals. A series of experiments were performed. Firstly, EA compliance and tail-flick latencies (TFL) were compared in rats under 0.1%, 0.3%, 0.5%, 0.7%, or 1.1% halothane for 120min. Under 0.5% halothane, TFL were then measured in groups receiving EA at intensity of 3, 10 or 20 volt (V), 1 or 2mg/kg morphine, 20V EA plus naloxone, or control. Subsequently, the effect of EA on formalin-induced hyperalgesia was tested and c-fos expression in the spinal dorsal horn was analyzed. Rats exhibited profound irritable behaviors and highly variable TFL under 0.1% or 0.3% halothane, as well as a time-dependent increase of TFL under 0.7% or 1.1% halothane. TFL remained constant at 0.5% halothane, and needle insertion and electrical stimulation were well tolerated. Under 0.5% halothane, EA increased TFL and suppressed formalin-induced hyperalgesia in an intensity-dependent and naloxone-reversible manner. EA of 20V prolonged TFL by 74%, suppressed formalin-induced hyperalgesia by 32.6% and decreased c-fos expression by 29.7% at the superficial and deep dorsal horn with statistically significant difference. In conclusion, 0.5% halothane provides a steady-state anesthetic level which enables the humane application of EA stimulus with the least interference on analgesic assessment. This condition serves as a minimal stress EA model in animals devoid of stress-induced analgesia while maintaining physiological and biochemical response in the experiment.

摘要

在针刺镇痛中使用麻醉剂存在争议。我们评估了一种稳态轻度麻醉模型,以测试在动物进行电针(EA)时,是否能同时实现最小应激操作和可靠的镇痛测量。进行了一系列实验。首先,比较了大鼠在0.1%、0.3%、0.5%、0.7%或1.1%氟烷麻醉120分钟下的电针顺应性和甩尾潜伏期(TFL)。在0.5%氟烷麻醉下,然后测量接受3、10或20伏(V)强度电针、1或2毫克/千克吗啡、20V电针加纳洛酮或对照组的TFL。随后,测试了电针对福尔马林诱导的痛觉过敏的影响,并分析了脊髓背角中的c-fos表达。在0.1%或0.3%氟烷麻醉下,大鼠表现出严重的烦躁行为且TFL高度可变,而在0.7%或1.1%氟烷麻醉下,TFL呈时间依赖性增加。在0.5%氟烷麻醉下,TFL保持恒定,且针刺和电刺激耐受性良好。在0.5%氟烷麻醉下,电针以强度依赖性和纳洛酮可逆的方式增加TFL并抑制福尔马林诱导的痛觉过敏。20V电针使TFL延长74%,抑制福尔马林诱导的痛觉过敏32.6%,并使浅、深背角的c-fos表达降低29.7%,差异具有统计学意义。总之,0.5%氟烷提供了一个稳态麻醉水平,能够在对镇痛评估干扰最小的情况下人道地施加电针刺激。这种条件在没有应激诱导镇痛的情况下作为动物最小应激电针模型,同时在实验中维持生理和生化反应。

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