Gilly H, Kramer R, Zahorovsky I
Anaesthesist. 1985 Nov;34(11):619-26.
The effects of both morphine (Mo) and naloxone (Nal), topically applied to the desheathed saphenous nerve, were studied in Sprague-Dawley rats during 22 min of superfusion at various concentrations (Mo: 0.086, 0.28, 0.86, 2.8, 8.6 mM/l; Nal: 0.1, 0.33, 1.0 mM/l) by recording single C-fibres. C-fibres were electrically stimulated and the latencies of action potentials were measured. Both drugs impaired nerve conduction in a dose-dependent, fully reversible manner. At high concentrations, conduction was blocked in 5 of 11 (Mo 2.8 mM/l) and 3 of 8 (Nal 1 mM/l) fibres. Mo (8.6 mM/l) instantly blocked all C-fibres investigated. Subsequent washing out of the drug resulted in complete recovery. The findings indicate that Mo and Nal also show local anaesthetic properties; a non-opiate receptor-specific mechanism is postulated. In spite of their blocking action, at present neither Mo nor Nal seems to provide distinct advantages over other agents that have been used successfully to induce reversible nerve blockade at peripheral sites. Due to the rather high dosage necessary (1-2 mg/ml), well-known side-effects of these opiates must also be taken into consideration.
在斯普拉格-道利大鼠中,通过记录单根C纤维,研究了局部应用于去鞘隐神经的吗啡(Mo)和纳洛酮(Nal)在不同浓度(Mo:0.086、0.28、0.86、2.8、8.6 mM/l;Nal:0.1、0.33、1.0 mM/l)下22分钟的超灌注过程中的作用。对C纤维进行电刺激并测量动作电位的潜伏期。两种药物均以剂量依赖性、完全可逆的方式损害神经传导。在高浓度时,11根纤维中有5根(Mo 2.8 mM/l)和8根纤维中有3根(Nal 1 mM/l)的传导被阻断。Mo(8.6 mM/l)立即阻断了所有研究的C纤维。随后将药物冲洗掉导致完全恢复。研究结果表明,Mo和Nal也表现出局部麻醉特性;推测存在一种非阿片受体特异性机制。尽管它们具有阻断作用,但目前Mo和Nal似乎都没有比其他已成功用于在外周部位诱导可逆性神经阻滞的药物具有明显优势。由于所需剂量相当高(1-2 mg/ml),这些阿片类药物的众所周知的副作用也必须予以考虑。