Pires Oscar César, Ashmawi Hazem Adel, Constantino Elton, Pelogia Naira Correa Cusma, Posso Irimar de Paula
Instituto Básico de Biociências-Universidade de Taubaté (UNITAU), Taubaté, São Paulo, Brazil.
Rev Bras Anestesiol. 2011 Mar-Apr;61(2):202-5, 206-10, 108-12. doi: 10.1016/S0034-7094(11)70024-1.
There is evidence that the passage of nociceptive information through the posterior horn of the spinal cord (PHSC) on its way to rostral levels of the central nervous system undergoes profound excitatory and inhibitory influences. The objective of the present study was to compare the effects of the subarachnoid administration of methysergide, phentolamine, and phentolamine associated with methysergide on phases I, intermediate, and II of the modified formalin test in rats.
Twenty-eight male Wistar rats distributed randomly in four groups (n=7) to received subarachnoid saline solution (GC), phentolamine (GF), methysergide (GM), or phentolamine associated with methysergide (GFM). Pain was induced by the administration of formalin in the dorsal region of the right hind paw. The test was divided in three phases: phase I, intermediate, and phase II. Statistical analysis of the results was performed using the software SPSS (Statistical Package for Social Sciences), adopting a level of significance of 5%.
In the intermediate phase the number of paw elevations was significantly higher in GF, GM, and GFM groups when compared to the GC group.
The results suggest the existence of a noradrenergic and serotonergic effect in the inhibitory descending system of acute pain, with the possibility of using serotonergic and α1-adrenergic antagonists to control acute pain.
有证据表明,伤害性信息在传向中枢神经系统高位水平的过程中,通过脊髓后角(PHSC)时会受到深刻的兴奋性和抑制性影响。本研究的目的是比较蛛网膜下腔注射美西麦角、酚妥拉明以及酚妥拉明与美西麦角联合用药对大鼠改良福尔马林试验的第一阶段、中间阶段和第二阶段的影响。
将28只雄性Wistar大鼠随机分为四组(每组n = 7),分别接受蛛网膜下腔注射生理盐水(GC组)、酚妥拉明(GF组)、美西麦角(GM组)或酚妥拉明与美西麦角联合用药(GFM组)。通过在右后爪背侧注射福尔马林诱发疼痛。试验分为三个阶段:第一阶段、中间阶段和第二阶段。使用SPSS软件(社会科学统计软件包)对结果进行统计分析,显著性水平设定为5%。
在中间阶段,与GC组相比,GF组、GM组和GFM组的爪抬起次数显著增加。
结果表明,在急性疼痛的抑制性下行系统中存在去甲肾上腺素能和血清素能效应,使用血清素能和α1 - 肾上腺素能拮抗剂控制急性疼痛具有可能性。