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伤害性感受向大鼠初级体感皮层的传递——镇静和镇痛作用的比较。

Nociceptive transmission to rat primary somatosensory cortex--comparison of sedative and analgesic effects.

机构信息

Neuronano Research Center, Department of Experimental Medical Sciences, Lund University, Lund, Sweden.

出版信息

PLoS One. 2013;8(1):e53966. doi: 10.1371/journal.pone.0053966. Epub 2013 Jan 8.

Abstract

CO(2)-laser C-fibre evoked cortical potentials (LCEPs) is a potentially useful animal model for studies of pain mechanisms. A potential confounding factor when assessing analgesic effects of systemically administered drugs using LCEP is sedation. This study aims to clarify: 1) the relation between level of anaesthesia and magnitude of LCEP, 2) the effects of a sedative and an analgesic on LCEP and dominant EEG frequency 3) the effects of a sedative and analgesic on LCEP when dominant EEG frequency is kept stable. LCEP and EEG were recorded in isoflurane/nitrous-oxide anaesthetized rats. Increasing isoflurane level gradually reduced LCEPs and lowered dominant EEG frequencies. Systemic midazolam (10 μmol/kg) profoundly reduced LCEP (19% of control) and lowered dominant EEG frequency. Similarly, morphine 1 and 3 mg/kg reduced LCEP (39%, 12% of control, respectively) and decreased EEG frequency. When keeping the dominant EEG frequency stable, midazolam caused no significant change of LCEP. Under these premises, morphine at 3 mg/kg, but not 1 mg/kg, caused a significant LCEP reduction (26% of control). In conclusion, the present data indicate that the sedative effects should be accounted for when assessing the analgesic effects of drug. Furthermore, it is suggested that LCEP, given that changes in EEG induced by sedation are compensated for, can provide information about the analgesic properties of systemically administrated drugs.

摘要

CO(2)-激光 C 纤维诱发的皮质电位(LCEPs)是一种用于研究疼痛机制的潜在有用的动物模型。当使用 LCEP 评估系统给予的药物的镇痛效果时,一个潜在的混杂因素是镇静作用。本研究旨在阐明:1)麻醉水平与 LCEP 幅度之间的关系,2)镇静剂和镇痛药对 LCEP 和主导 EEG 频率的影响,3)当主导 EEG 频率保持稳定时,镇静剂和镇痛药对 LCEP 的影响。在异氟烷/氧化亚氮麻醉的大鼠中记录 LCEP 和 EEG。逐渐增加异氟烷水平会逐渐降低 LCEPs 和降低主导 EEG 频率。全身给予咪达唑仑(10 μmol/kg)会显著降低 LCEP(对照的 19%)和降低主导 EEG 频率。同样,吗啡 1 和 3 mg/kg 也会降低 LCEP(分别为对照的 39%和 12%)和 EEG 频率。当保持主导 EEG 频率稳定时,咪达唑仑对 LCEP 没有明显影响。在这些前提下,吗啡 3mg/kg 而不是 1mg/kg 会导致 LCEP 显著降低(对照的 26%)。总之,目前的数据表明,在评估药物的镇痛效果时,应该考虑镇静作用的影响。此外,建议在补偿镇静作用引起的 EEG 变化的前提下,LCEP 可以提供有关系统给予药物的镇痛特性的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1689/3540052/56e99a8869e0/pone.0053966.g001.jpg

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