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吗啡的高血糖作用。

The hyperglycaemic effect of morphine.

作者信息

Feldberg W, Shaligram S V

出版信息

Br J Pharmacol. 1972 Dec;46(4):602-18. doi: 10.1111/j.1476-5381.1972.tb06887.x.

Abstract
  1. In the unanaesthetized cat, an injection of 0.75 mg of morphine into a lateral cerebral ventricle produced strong hyperglycaemia; on intravenous injection, 10 to 30 times larger doses were required. Other effects produced with both injections were shivering, pupillary dilatation, opening of the eyes, miaowing, periods of excitation, and analgesia. Between the periods of excitation the cat did not react to objects moving in front of its eyes and it had a vacant stare.2. Noradrenaline, adrenaline, and 5-hydroxytryptamine (5-HT) injected intraventricularly (250 mug, twice) depressed the hyperglycaemia due to intraventricular morphine, and noradrenaline also depressed the hyperglycaemia due to intravenous morphine. Adrenaline produced the strongest and 5-HT the weakest depression. 5-HT did not depress the other effects of morphine, but the catecholamines depressed most of them; only analgesia and the vacant stare appeared to be unaffected.3. Reserpine injected intraventricularly (0.5 mg, twice) greatly accentuated the hyperglycaemia as well as the other effects produced by intraventricular morphine, but pupillary dilatation and opening of the eyes no longer occurred; the protrusion of the nictitating membranes produced by the reserpine persisted.4. Pentobarbitone sodium injected intraperitoneally in an anaesthetizing dose practically abolished the morphine hyperglycaemia, but injected intraventricularly in a dose of a few milligrammes, it had a two fold effect: depression followed by enhancement of the morphine hyperglycaemia. The enhancement may be due to sensitization of the effect of the adrenaline released by morphine, since adrenaline hyperglycaemia was enhanced as well.5. Morphine did not seem to act on structures in the walls of either the lateral or third ventricle when producing its hyperglycaemic effect on intraventricular injection. The action may therefore be on more caudally situated parts of the neuro-axis, on the central grey, on structures in the floor of the fourth ventricle or of the lateral recesses, or even on structures near the ventral surface of the brain stem.
摘要
  1. 在未麻醉的猫身上,向一侧脑室注射0.75毫克吗啡会引起强烈的高血糖症;静脉注射时,则需要10至30倍大的剂量。两种注射方式产生的其他效应包括颤抖、瞳孔散大、睁眼、喵喵叫、兴奋期和镇痛。在兴奋期之间,猫对在其眼前移动的物体没有反应,眼神茫然。

  2. 脑室内注射去甲肾上腺素、肾上腺素和5-羟色胺(5-HT)(250微克,两次)可抑制因脑室内注射吗啡引起的高血糖症,去甲肾上腺素也可抑制静脉注射吗啡引起的高血糖症。肾上腺素的抑制作用最强,5-HT最弱。5-HT不抑制吗啡的其他效应,但儿茶酚胺抑制了其中大部分效应;似乎只有镇痛和眼神茫然不受影响。

  3. 脑室内注射利血平(0.5毫克,两次)会大大加剧高血糖症以及脑室内注射吗啡产生的其他效应,但不再出现瞳孔散大和睁眼;利血平引起的瞬膜突出持续存在。

  4. 以麻醉剂量腹腔注射戊巴比妥钠实际上消除了吗啡引起的高血糖症,但以几毫克的剂量脑室内注射时,它有双重作用:先是抑制,随后增强吗啡引起的高血糖症。这种增强可能是由于对吗啡释放的肾上腺素的效应产生了致敏作用,因为肾上腺素引起的高血糖症也增强了。

  5. 吗啡在脑室内注射产生高血糖效应时,似乎并未作用于侧脑室或第三脑室壁的结构。因此,其作用可能是在神经轴更靠尾端的部位,在中央灰质,在第四脑室底部或外侧隐窝的结构上,甚至在脑干腹侧表面附近的结构上。

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The hyperglycaemic effect of morphine.吗啡的高血糖作用。
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Hyperglycaemia induced by drugs.药物诱发的高血糖症。
J Physiol. 1961 Jun;157(1):124-36. doi: 10.1113/jphysiol.1961.sp006710.
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Injections of drugs into the lateral ventricle of the cat.将药物注射到猫的侧脑室。
J Physiol. 1954 Jan;123(1):148-67. doi: 10.1113/jphysiol.1954.sp005040.
7
The hyperglycaemic action of sodium salicylate.水杨酸钠的高血糖作用。
Br J Pharmacol Chemother. 1967 Aug;30(3):554-60. doi: 10.1111/j.1476-5381.1967.tb02161.x.

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