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镇痛药对大鼠足底切口所致有害热阈值降低的影响,该阈值通过升温水浴法测量。

Effects of analgesics on the plantar incision-induced drop of the noxious heat threshold measured with an increasing-temperature water bath in the rat.

作者信息

Füredi Réka, Bölcskei Kata, Szolcsányi János, Petho Gábor

机构信息

Department of Pharmacology and Pharmacotherapy, University of Pécs, Pécs, Hungary.

出版信息

Eur J Pharmacol. 2009 Mar 1;605(1-3):63-7. doi: 10.1016/j.ejphar.2008.12.035. Epub 2009 Jan 10.

Abstract

The behavioural noxious heat threshold i.e. the lowest temperature evoking nocifensive behaviour was previously shown to decrease in short-lasting, but not in sustained, inflammatory thermal hyperalgesias. The aim of this study was to examine whether the surgical incision-induced lasting heat hyperalgesia involves a drop of the heat threshold and to assess the effects of conventional opioid and non-opioid analgesics in this model. One of the hind paws of rats was immersed into a water bath whose temperature was near-linearly increased from 30 degrees C until the animal withdrew its paw from the water. The corresponding bath temperature was considered as the behavioural noxious heat threshold. Hyperalgesia to heat was induced by a standardized plantar surgical incision performed under pentobarbital anaesthesia which led to a 5-7 degrees C decrease of the noxious heat threshold for seven days. Morphine, diclofenac, and paracetamol administered intraperitoneally 18 h after incision dose-dependently inhibited the drop of heat threshold with minimum effective doses of 0.3, 1, and 100 mg/kg, respectively, as assessed 20, 30 and 40 min after treatment. Thermal hyperalgesia was also decreased by intraplantar treatment with morphine (10 microg) or diclofenac (100 microg). In conclusion, the incision-induced sustained thermal hyperalgesia in rats involves a drop of the heat threshold suggesting that mechanisms of postsurgical pain are distinct from those of pure inflammatory pain. The thermal antihyperalgesic actions of systemically and/or locally applied morphine, diclofenac and paracetamol could be detected with high temporal resolution and sensitivity in this model.

摘要

行为性热痛阈,即引发伤害性防御行为的最低温度,先前已表明在短暂性而非持续性炎症性热痛觉过敏中会降低。本研究的目的是检查手术切口诱导的持续性热痛觉过敏是否涉及热痛阈的下降,并评估传统阿片类和非阿片类镇痛药在该模型中的作用。将大鼠的一只后爪浸入水温从30℃近乎线性升高的水浴中,直至动物将爪子从水中缩回。相应的水浴温度被视为行为性热痛阈。在戊巴比妥麻醉下进行标准化足底手术切口诱导热痛觉过敏,这导致有害热痛阈降低5 - 7℃,持续7天。在切口后18小时腹腔注射吗啡、双氯芬酸和对乙酰氨基酚,分别以0.3、1和100mg/kg的最小有效剂量剂量依赖性地抑制热痛阈的下降,在治疗后20、30和40分钟进行评估。足底注射吗啡(10μg)或双氯芬酸(100μg)也可减轻热痛觉过敏。总之,大鼠切口诱导的持续性热痛觉过敏涉及热痛阈的下降,提示术后疼痛的机制与单纯炎症性疼痛的机制不同。在该模型中,可以高时间分辨率和灵敏度检测到全身和/或局部应用吗啡、双氯芬酸和对乙酰氨基酚的热抗痛觉过敏作用。

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