Tzeng Jann-Inn, Lin Heng-Teng, Chen Yu-Wen, Hung Ching-Hsia, Wang Jhi-Joung
Department of Anesthesiology, Chi-Mei Medical Center, Yong Kang, Tainan City, Taiwan.
Department of Physical Medicine and Rehabilitation, Madou Sin-Lau Hospital, Tainan City, Taiwan; Department of Nursing, Chung Hwa University of Medical Technology, Tainan City, Taiwan.
Eur J Pharmacol. 2015 Apr 5;752:55-60. doi: 10.1016/j.ejphar.2015.02.006. Epub 2015 Feb 17.
This study aimed to assess the local anesthetic effects of chlorpheniramine in spinal anesthesia and is compared with mepivacaine, a widely-used local anesthetic. Spinal anesthesia with chlorpheniramine and mepivacaine was constructed in a dosage-dependent fashion after the rats were injected intrathecally. The spinal block effect of chlorpheniramine in motor function, nociception, and proprioception was compared to that of mepivacaine. We revealed that intrathecal chlorpheniramine and mepivacaine exhibited a dose-dependent spinal block of motor function, nociception, and proprioception. On the 50% effective dose (ED50) basis, the ranks of potencies in motor function, nociception, and proprioception were chlorpheniramine>mepivacaine (P<0.01 for the differences). On the equianesthetic basis (ED25, ED50, ED75), the duration of spinal anesthesia with chlorpheniramine was greater than that of mepivacaine (P<0.01 for the differences). Instead of mepivacaine, chlorpheniramine produced a greater duration of sensory blockade than the motor blockade. These preclinical data showed that chlorpheniramine has a better sensory-selective action over motor block to produce more potent and long-lasting spinal anesthesia than mepivacaine.
本研究旨在评估氯苯那敏在脊髓麻醉中的局部麻醉作用,并与广泛使用的局部麻醉药甲哌卡因进行比较。在大鼠鞘内注射后,以剂量依赖性方式构建氯苯那敏和甲哌卡因的脊髓麻醉。将氯苯那敏在运动功能、痛觉和本体感觉方面的脊髓阻滞效果与甲哌卡因的进行比较。我们发现鞘内注射氯苯那敏和甲哌卡因对运动功能、痛觉和本体感觉均表现出剂量依赖性的脊髓阻滞。在50%有效剂量(ED50)的基础上,氯苯那敏在运动功能、痛觉和本体感觉方面的效能排序高于甲哌卡因(差异P<0.01)。在等效麻醉剂量(ED25、ED50、ED75)的基础上,氯苯那敏的脊髓麻醉持续时间长于甲哌卡因(差异P<0.01)。与甲哌卡因不同,氯苯那敏产生的感觉阻滞持续时间长于运动阻滞。这些临床前数据表明,与甲哌卡因相比,氯苯那敏在感觉选择性作用方面优于运动阻滞,可产生更强效、更持久的脊髓麻醉。