Toth Linda A
Emeritus faculty, Southern Illinois University School of Medicine, Springfield, Illinois;, Email:
Comp Med. 2019 Dec 1;69(6):571-578. doi: 10.30802/AALAS-CM-19-000029. Epub 2019 Jun 18.
This overview provides a brief summary of the complex interactions that link sleep, pain, and analgesic medications. Sleep scientists and clinicians are well aware of these relationships and understand that maintaining healthy pain-free subjects in a stable environment is essential to generating interpretable data and valid conclusions. However, these concepts and the data that support bidirectional interactions between sleep and pain may be less known to those who are not sleep scientists yet need such information to protect and advance both animal wellbeing and research validity (for example, veterinarians, IACUC members). Abundant human evidence supports the disruptive effect of pain and the modulatory effects of analgesic drugs on sleep; however, analgesic drugs can alter both sleep and the electroencephalogram, which is the primary objective measure for identifying sleep and evaluating sleep properties in both humans and animals. Consideration of the modulatory and interactive relationships of sleep, pain, and analgesic medications is essential to designing and conducting valid and reproducible sleep research using animal subjects.
本综述简要总结了睡眠、疼痛和镇痛药之间复杂的相互作用。睡眠科学家和临床医生深知这些关系,并明白在稳定环境中维持健康且无痛的受试者对于生成可解释的数据和有效结论至关重要。然而,对于那些并非睡眠科学家但又需要此类信息以保护和促进动物健康及研究有效性的人(例如兽医、机构动物护理和使用委员会成员)来说,这些概念以及支持睡眠与疼痛之间双向相互作用的数据可能并不那么为人所知。大量的人类证据支持疼痛对睡眠的干扰作用以及镇痛药对睡眠的调节作用;然而,镇痛药会改变睡眠和脑电图,而脑电图是识别睡眠以及评估人类和动物睡眠特性的主要客观指标。在设计和开展使用动物受试者的有效且可重复的睡眠研究时,考虑睡眠、疼痛和镇痛药之间的调节和相互作用关系至关重要。