Senami Masaki, Aoki Mitsuru, Kitahata Luke M, Collins J G, Kumeta Yukihiro, Murata Kenji
Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510 U.S.A.
Pain. 1986 Oct;27(1):81-90. doi: 10.1016/0304-3959(86)90225-3.
The direct application of preservative-free morphine sulfate (1.5%, 1 ml, 19.8 mumol) or fentanyl (0.06%, 1 ml, 1.07 mumol) on the superficial radial or saphenous nerve of cats did not alter the response of single C polymodal nociceptive fibers (PMNs) to noxious radiant heat stimulation of their peripheral receptive fields. Intravenous administration of fentanyl (100 or 200 micrograms/kg, 0.179 or 0.358 mumol/kg) also showed a similar lack of effect on the radiant heat evoked responses of single PMNs. Slight changes in the mean latencies following drug administration were recognized, which were not statistically significant. The use of morphine (1.5%, 1 ml, 19.8 mumol) with preservatives (chlorbutanol 0.5% and sodium bisulfite less than 0.1%) caused conduction block of PMNs within 6-15 min. Subsequent washout of the drug resulted in the return of the unitary discharges within 8 min. Lidocaine (0.25 and 0.5%, 10.7 mumol and 21.4 mumol) caused conduction block within 5-18 min. These data support the classically held concept that opiates, in clinically useful concentrations, do not alter peripheral nerve function.
将无防腐剂的硫酸吗啡(1.5%,1毫升,19.8微摩尔)或芬太尼(0.06%,1毫升,1.07微摩尔)直接应用于猫的桡浅神经或隐神经,并未改变单个C类多模式伤害性感受器纤维(PMNs)对其外周感受野有害辐射热刺激的反应。静脉注射芬太尼(100或200微克/千克,0.179或0.358微摩尔/千克)对单个PMNs的辐射热诱发反应也显示出类似的无效作用。给药后平均潜伏期有轻微变化,但无统计学意义。使用含防腐剂(0.5%氯丁醇和小于0.1%亚硫酸氢钠)的吗啡(1.5%,1毫升,19.8微摩尔)在6 - 15分钟内导致PMNs传导阻滞。随后冲洗药物,8分钟内单位放电恢复。利多卡因(0.25%和0.5%,10.7微摩尔和21.4微摩尔)在5 - 18分钟内导致传导阻滞。这些数据支持传统观念,即临床有效浓度的阿片类药物不会改变外周神经功能。