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鞘内注射吗啡和纳曲酮对坐骨神经切断大鼠自残行为的影响。

The effects of intrathecal morphine and naltrexone on autotomy in sciatic nerve sectioned rats.

作者信息

Wiesenfeld-Hallin Z

机构信息

Department of Clinical Neurophysiology, Huddinge University Hospital, S-141 86 HuddingeSweden.

出版信息

Pain. 1984 Mar;18(3):267-278. doi: 10.1016/0304-3959(84)90821-2.

Abstract

Rats were implanted with an intrathecal catheter aimed at the lumbar enlargement (LE). Morphine hydrochloride (240 micrograms/day) was infused continuously on the spinal cord for 14 days with an osmotic minipump delivering 0.5 microliter/h solution or a bolus dose of naltrexone (37.5, 75 or 150 micrograms) was injected intrathecally. Intrathecally infused morphine delivered on the dorsum of the LE induced analgesia, as tested on the hot plate, whereas normal saline was without effect. Naltrexone caused hyperalgesia revealed as decreased threshold for vocalization to electrical stimulation of the tail. Rats with unilaterally sectioned sciatic nerves that were continuously infused with morphine on the dorsum of the LE autotomized significantly less than saline controls. Nerve sectioned rats injected with naltrexone had an overall level of autotomy similar to saline controls. However, autotomy had a somewhat earlier onset and was more severe with naltrexone than with saline. It is therefore concluded that intrathecal infusion of opiates specifically reduces autotomy, a behavior that may occur as a result of chronic discomfort or pain following nerve injury. Furthermore, the endogenous opiate system at the spinal level may be involved in the control of autotomy.

摘要

将鞘内导管植入大鼠腰椎膨大(LE)处。用渗透微型泵以0.5微升/小时的速度持续14天向脊髓输注盐酸吗啡(240微克/天),或者鞘内注射大剂量纳曲酮(37.5、75或150微克)。如在热板试验中所示,在LE背部鞘内输注吗啡可诱导镇痛,而生理盐水则无此作用。纳曲酮导致痛觉过敏,表现为对尾部电刺激发声阈值降低。在LE背部持续输注吗啡的单侧坐骨神经切断的大鼠自切行为明显少于生理盐水对照组。注射纳曲酮的神经切断大鼠的自切总体水平与生理盐水对照组相似。然而,与生理盐水相比,纳曲酮组自切行为的发作稍早且更严重。因此得出结论,鞘内输注阿片类药物可特异性减少自切行为,这种行为可能是神经损伤后慢性不适或疼痛的结果。此外,脊髓水平的内源性阿片系统可能参与自切行为的控制。

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