Tzeng Jann-Inn, Wang Jieh-Neng, Wang Jhi-Joung, Chen Yu-Wen, Hung Ching-Hsia
Department of Anesthesiology, Chi-Mei Medical Center, Yong Kang, Tainan, Taiwan.
Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Neurosci Lett. 2016 Apr 8;618:94-98. doi: 10.1016/j.neulet.2016.02.061. Epub 2016 Mar 3.
The purpose of the experiment was to evaluate the local anesthetic effect of rimantadine in spinal anesthesia. Rimantadine in a dose-dependent fashion was constructed after intrathecally injecting the rats with four different doses. The potency and duration of rimantadine were compared with that of the local anesthetic lidocaine at producing spinal motor, nociceptive, and proprioceptive blockades. We demonstrated that intrathecal rimantadine dose-dependently produced spinal motor, nociceptive, and proprioceptive blockades. On the 50% effective dose (ED50) basis, the ranks of potencies at inducing spinal motor, nociceptive, and proprioceptive blockades was lidocaine>rimantadine (P<0.01). Rimantadine exhibited more nociceptive block (ED50) than motor block (P<0.05). At equi-anesthetic doses (ED25, ED50, and ED75), the spinal block duration produced by rimantadine was longer than that produced by lidocaine (P<0.01). Furthermore, rimantadine (26.52μmol/kg) prolonged the nociceptive nerve block more than the motor block (P<0.001). Our preclinical data showed that rimantadine, with a more sensory-selective action over motor block, was less potent than lidocaine. Rimantadine produced longer duration in spinal anesthesia when compared with lidocaine.
该实验的目的是评估金刚烷胺在脊髓麻醉中的局部麻醉效果。在给大鼠鞘内注射四种不同剂量的金刚烷胺后,以剂量依赖方式构建模型。将金刚烷胺在产生脊髓运动、伤害性感受和本体感觉阻滞方面的效能和持续时间与局部麻醉药利多卡因进行比较。我们证明鞘内注射金刚烷胺可剂量依赖性地产生脊髓运动、伤害性感受和本体感觉阻滞。在50%有效剂量(ED50)的基础上,诱导脊髓运动、伤害性感受和本体感觉阻滞的效能排序为利多卡因>金刚烷胺(P<0.01)。金刚烷胺的伤害性感受阻滞(ED50)比运动阻滞更明显(P<0.05)。在等效麻醉剂量(ED25、ED50和ED75)下,金刚烷胺产生的脊髓阻滞持续时间比利多卡因更长(P<0.01)。此外,金刚烷胺(26.52μmol/kg)对伤害性神经阻滞的延长作用大于运动阻滞(P<0.001)。我们的临床前数据表明,金刚烷胺对运动阻滞具有更强的感觉选择性作用,但其效能低于利多卡因。与利多卡因相比,金刚烷胺在脊髓麻醉中产生的持续时间更长。