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吗啡眼药水可减轻人因后马托品引起的瞳孔散大。

Morphine eye-drops reduce homatropine induced mydriasis in man.

作者信息

Fanciullacci M, Cangi F, Gatto G, Boccuni M, Pietrini U

出版信息

Experientia. 1984 Jul 15;40(7):731-3. doi: 10.1007/BF01949747.

DOI:10.1007/BF01949747
PMID:6547680
Abstract

In 7 healthy volunteers 4% morphine eye-drops, when administered to one eye, caused a miosis limited to that eye. In 7 other healthy volunteers morphine was administered into one eye after bilateral instillation of 0.5% homatropine ophthalmic drops; the eye treated with morphine and homatropine showed a mydriasis less intense than the other eye treated only with homatropine. It is suggested that topical morphine locally affects sympathetic function by inhibiting noradrenaline release into the iris neuromuscular junction.

摘要

在7名健康志愿者中,向一只眼睛滴入4%的吗啡滴眼液后,仅该只眼睛出现瞳孔缩小。在另外7名健康志愿者中,双侧滴入0.5%后马托品滴眼液后,再向一只眼睛注入吗啡;用吗啡和后马托品治疗的眼睛,其瞳孔散大程度低于仅用后马托品治疗的另一只眼睛。提示局部应用吗啡通过抑制去甲肾上腺素释放至虹膜神经肌肉接头而局部影响交感神经功能。

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本文引用的文献

1
Effect of morphine on some sympathetically innervated effectors.吗啡对某些受交感神经支配的效应器的作用。
Br J Pharmacol Chemother. 1961 Dec;17(3):539-51. doi: 10.1111/j.1476-5381.1961.tb01141.x.
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The naloxone conjunctival test in morphine addiction.
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3
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Naloxone eye drops reverse the miosis in runners--implications for an endogenous opiate test.
Can J Appl Sport Sci. 1983 Jun;8(2):98-103.
5
Disruption of iris adrenergic transmission as an index of poor endorphin modulation in headache.虹膜肾上腺素能传递中断作为头痛中内啡肽调节不良的指标。
Adv Neurol. 1982;33:365-74.
6
The local effect of morphine, nalorphine, and codeine on the diameter of the pupil of the eye.吗啡、烯丙吗啡和可待因对眼瞳孔直径的局部作用。
Clin Pharmacol Ther. 1968 May-Jun;9(3):358-64. doi: 10.1002/cpt196893358.
7
The effects of morphine on the release of noradrenaline from the cat isolated nictitating membrane and the guinea-pig ileum myenteric plexus-longitudinal muscle preparation.吗啡对猫离体瞬膜及豚鼠回肠肌间神经丛 - 纵肌标本去甲肾上腺素释放的影响。
Br J Pharmacol. 1975 Apr;53(4):505-12. doi: 10.1111/j.1476-5381.1975.tb07387.x.
8
Mechanism of morphine-induced miosis in the dog.吗啡诱导犬瞳孔缩小的机制。
J Pharmacol Exp Ther. 1975 Feb;192(2):415-31.
9
Antagonism of morphine-induced miosis by naloxone and amphetamine in rabbits.纳洛酮和苯丙胺对家兔吗啡诱导的瞳孔缩小的拮抗作用。
Pharmacol Res Commun. 1976 Dec;8(6):591-9. doi: 10.1016/0031-6989(76)90051-5.
10
Enkephalin-induced dilatation of pial arteries in vitro probably mediated by opiate receptors.脑啡肽在体外诱导软脑膜动脉扩张,这可能由阿片受体介导。
Eur J Pharmacol. 1978 Oct 1;51(3):295-7. doi: 10.1016/0014-2999(78)90415-6.