Clark W G, Cumby H R
Br J Pharmacol. 1978 May;63(1):65-71. doi: 10.1111/j.1476-5381.1978.tb07775.x.
1 The effect of morphine on body temperature was studied in conscious, unrestrained cats provided with implanted third or lateral cerebral ventricular cannulae, jugular venous catheters and retroperitoneal thermocouples.2 Intraventricular injections of 2.5-50 mug and intravenous injections of 1-10 mg/kg morphine sulphate produced dose-related hyperthermic responses. Similar mean increases in body temperature after administration of a given dose were elicited in cats which had not previously received morphine and, provided that tolerance was avoided by spacing injections at least 72 h apart, in cats which received a series of injections of morphine. Morphine was at least 850 times more potent when injected into the third ventricle than when given intravenously. Increasing the dose of morphine sulphate injected into the third ventricle to 1250 mug only prolonged the hyperthermia. Morphine did not produce hypothermia at any dose tested.3 Injection of 10 mug morphine sulphate into the third ventricle produced similar hyperthermias at ambient temperatures (tas) of 4-6, 21-23 and 33-36 degrees C. The increase in body temperature was associated with shivering at the lower tas. At the highest ta, shivering was not evoked, but respiratory rate decreased after morphine if it was initially elevated. These results suggest that morphine increased the level at which body temperature was regulated.4 Neither metiamide nor indomethacin antagonized morphine so histamine and prostaglandins were apparently not required for the hyperthermic effect.
在有意识、未受束缚的猫身上研究了吗啡对体温的影响,这些猫植入了第三脑室或侧脑室插管、颈静脉导管和腹膜后热电偶。
脑室内注射2.5 - 50微克以及静脉注射1 - 10毫克/千克硫酸吗啡产生了剂量相关的体温升高反应。在未预先接受吗啡的猫以及(通过将注射间隔至少72小时以避免耐受性的情况下)接受一系列吗啡注射的猫中,给予给定剂量后体温平均升高相似。吗啡注入第三脑室时的效力至少比静脉注射高850倍。将注入第三脑室的硫酸吗啡剂量增加到1250微克只会延长体温升高的时间。在任何测试剂量下,吗啡都不会产生体温过低。
向第三脑室内注射10微克硫酸吗啡在环境温度(tas)为4 - 6、21 - 23和33 - 36摄氏度时产生相似的体温升高。在较低的tas下,体温升高与颤抖有关。在最高的tas下,不会诱发颤抖,但如果最初呼吸频率升高,吗啡注射后呼吸频率会降低。这些结果表明吗啡提高了体温调节的水平。
甲硫咪胺和吲哚美辛均不能拮抗吗啡,因此组胺和前列腺素显然不是体温升高作用所必需的。