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有证据表明存在一个脊髓部位,阿片类药物可能在此处发挥作用以抑制射乳反射。

Evidence for a spinal site at which opioids may act to inhibit the milk-ejection reflex.

作者信息

Wright D M

出版信息

J Endocrinol. 1985 Sep;106(3):401-7. doi: 10.1677/joe.0.1060401.

Abstract

Morphine was injected into the lumbar subarachnoid space of anaesthetized lactating rats (7-10 days post partum) to examine its effect on the milk-ejection reflex at a spinal level. Although the delay until the first milk-ejection response to the suckling of hungry pups was variable (3-60 min) the subsequent responses occurred at regular intervals of 7.5 +/- 0.4 min; milk-ejection responses were detected by measurement of intramammary pressure and by the characteristic behaviour of the pups. Injection of morphine (4-50 micrograms) via a cannula inserted into the spinal subarachnoid space inhibited reflex milk ejection in a dose-related manner without affecting the sensitivity of the mammary gland to exogenous oxytocin (1 mu., i.v.); injection extradurally was without effect. The opiate antagonist naloxone (10 micrograms), when injected intrathecally, did not significantly alter the pattern of reflex milk ejection or the amplitude of the intramammary pressure response, but prevented the inhibitory effect of morphine when administered with the opiate. Pethidine (250 and 400 micrograms) also inhibited the milk-ejection reflex. It is unlikely that the effect of spinal administration of morphine occurred as the result of the transportation to a supraspinal site since release of oxytocin evoked by intraventricular injection of hypertonic sodium chloride (3 mol/l) was blocked by intraventricular injection of morphine (4 micrograms) but not by a much larger dose (40 micrograms) injected intrathecally.

摘要

将吗啡注入麻醉的哺乳期大鼠(产后7 - 10天)的腰段蛛网膜下腔,以研究其在脊髓水平对喷乳反射的影响。尽管饥饿幼崽吸吮后至首次喷乳反应的延迟时间各不相同(3 - 60分钟),但随后的反应以7.5±0.4分钟的规律间隔出现;通过测量乳腺内压力和观察幼崽的特征性行为来检测喷乳反应。经插入脊髓蛛网膜下腔的套管注射吗啡(4 - 50微克)以剂量相关的方式抑制反射性喷乳,而不影响乳腺对外源性催产素(1单位,静脉注射)的敏感性;硬膜外注射则无作用。阿片拮抗剂纳洛酮(10微克)鞘内注射时,并未显著改变反射性喷乳模式或乳腺内压力反应的幅度,但与吗啡同时给药时可防止吗啡的抑制作用。哌替啶(250和400微克)也抑制喷乳反射。脊髓注射吗啡的作用不太可能是由于药物转运到脊髓以上部位所致,因为脑室内注射高渗氯化钠(3摩尔/升)诱发的催产素释放可被脑室内注射吗啡(4微克)阻断,但鞘内注射大得多的剂量(40微克)则无此作用。

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