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夹捏诱导镇痛:颈部有害刺激抑制脊髓和中脑对有害外周刺激的神经反应。

Clip-induced analgesia: noxious neck pinch suppresses spinal and mesencephalic neural responses to noxious peripheral stimulation.

作者信息

Fleischmann A, Urca G

机构信息

Department of Physiology and Pharmacology, Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Israel.

出版信息

Physiol Behav. 1989 Aug;46(2):151-7. doi: 10.1016/0031-9384(89)90248-5.

Abstract

Pinch of the nape of the neck, of mice, with a serrated clip, produces immobility and lack of responsiveness to noxious stimulation. In this study we attempted to determine whether clip application produces true blockade of nociception, independent of its immobilizing effect, and examined the level of the neuroaxis at which such an effect takes place. To this end nociception was measured using indices not requiring a motor response. Neck pinch eliminated the elevation of heart rate induced by noxious pinch of the tail without affecting heart rate by itself providing evidence for its analgesic effect. Direct evidence that neck pinch suppresses the transmission of noxious information is also provided. Neck pinch inhibits neural activity evoked by noxious peripheral stimulation while exerting minimal effects on the effects of nonnoxious stimuli. Thus, sensory evoked activity in the periaqueductal gray area, elicited by noxious electrical stimulation, but not innocuous stimuli, is inhibited by neck pinch. Similarly, neck pinch inhibits the response of spinal cord neurons to noxious but not nonnoxious stimulation. It, therefore, appears that neck pinch produces true analgesia by activating supraspinal systems which in turn acts to inhibit the transmission of nociception both at spinal and supraspinal levels.

摘要

用锯齿状夹子夹住小鼠的颈部,会使其静止不动且对伤害性刺激无反应。在本研究中,我们试图确定夹捏操作是否能产生真正的痛觉阻断,而不依赖于其制动效果,并研究这种效果发生的神经轴水平。为此,使用不需要运动反应的指标来测量痛觉。颈部夹捏消除了尾部伤害性夹捏引起的心率升高,而自身并不影响心率,这为其镇痛作用提供了证据。还提供了颈部夹捏抑制伤害性信息传递的直接证据。颈部夹捏抑制有害外周刺激诱发的神经活动,而对无害刺激的影响最小。因此,伤害性电刺激而非无害刺激诱发的导水管周围灰质区域的感觉诱发活动会被颈部夹捏抑制。同样,颈部夹捏抑制脊髓神经元对伤害性而非无害刺激的反应。因此,颈部夹捏似乎通过激活脊髓上系统产生真正的镇痛作用,而脊髓上系统反过来又在脊髓和脊髓上水平抑制痛觉的传递。

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