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硫酸吗啡和氧化亚氮镇痛对人类慢性疼痛状态影响的比较。

A comparison of the effects of morphine sulphate and nitrous oxide analgesia on chronic pain states in man.

作者信息

Gillman M A, Lichtigfeld F J

出版信息

J Neurol Sci. 1981 Jan;49(1):41-5. doi: 10.1016/0022-510x(81)90186-6.

DOI:10.1016/0022-510x(81)90186-6
PMID:7205318
Abstract

The effect of nitrous oxide and morphine sulphate on chronic pain states in man are compared. The similarity of effect indicate that nitrous oxide acts on the morphine receptor. In all cases where analgesia was produced naloxone reversal occurred. These results provide additional evidence for a dual system hypothesis of pain perception and that nitrous oxide analgesia is mediated by the endogenous opiate system. In the light of these findings, the possibility of using nitrous oxide to replace morphine sulphate as a screening test for deep brain stimulation analgesia is discussed.

摘要

比较了一氧化二氮和硫酸吗啡对人类慢性疼痛状态的影响。效果的相似性表明一氧化二氮作用于吗啡受体。在所有产生镇痛作用的情况下,纳洛酮均可逆转。这些结果为疼痛感知的双系统假说提供了额外证据,且一氧化二氮镇痛是由内源性阿片系统介导的。鉴于这些发现,讨论了使用一氧化二氮替代硫酸吗啡作为深部脑刺激镇痛筛查试验的可能性。

相似文献

1
A comparison of the effects of morphine sulphate and nitrous oxide analgesia on chronic pain states in man.硫酸吗啡和氧化亚氮镇痛对人类慢性疼痛状态影响的比较。
J Neurol Sci. 1981 Jan;49(1):41-5. doi: 10.1016/0022-510x(81)90186-6.
2
Antagonism of nitrous oxide analgesia by naloxone in man.
Anesthesiology. 1980 May;52(5):414-7. doi: 10.1097/00000542-198005000-00007.
3
Central noradrenergic mediation of nitrous oxide-induced analgesia in rats.大鼠中氧化亚氮诱导镇痛的中枢去甲肾上腺素能介导作用。
Can J Anaesth. 1998 Nov;45(11):1123-9. doi: 10.1007/BF03012404.
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Stereospecific reversal of nitrous oxide analgesia by naloxone.纳洛酮对氧化亚氮镇痛作用的立体特异性逆转。
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Nitrous oxide analgesia for refractory pain in the terminally ill.一氧化二氮用于晚期绝症患者难治性疼痛的镇痛治疗。
JAMA. 1983;250(4):511-3.
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Post-operative pain relief: comparison of methadone and morphine when used concurrently with nitrous-oxide analgesia.术后疼痛缓解:美沙酮与吗啡在与一氧化二氮镇痛同时使用时的比较。
Br Med J. 1966 Sep 10;2(5514):616-8. doi: 10.1136/bmj.2.5514.616.
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Nitrous oxide/oxygen mixture for analgesia in adult cancer patients with breakthrough pain: A randomized, double-blind controlled trial.氧化亚氮/氧气混合用于缓解成人癌症患者爆发性疼痛的镇痛效果:一项随机、双盲对照试验。
Eur J Pain. 2018 Mar;22(3):492-500. doi: 10.1002/ejp.1144. Epub 2017 Dec 11.
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Paradoxical effect of naloxone on nitrous oxide analgesia in man.
Eur J Pharmacol. 1980 Jan 25;61(2):175-7. doi: 10.1016/0014-2999(80)90160-0.
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Nitrous oxide "analgesia": resemblance to opiate action.
Science. 1976 Nov 26;194(4268):967-8. doi: 10.1126/science.982058.
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Lack of an opiate response to nitrous oxide in mice resistant to the activity-stimulating effects of morphine.
J Pharmacol Exp Ther. 1982 Mar;220(3):499-503.

引用本文的文献

1
What is better for psychiatry: Titrated or fixed concentrations of nitrous oxide?对于精神病学而言,哪种更好:滴定浓度还是固定浓度的一氧化二氮?
Front Psychiatry. 2022 Aug 22;13:773190. doi: 10.3389/fpsyt.2022.773190. eCollection 2022.
2
Mini-Review: A Brief History of Nitrous Oxide (N2O) Use in Neuropsychiatry.综述:一氧化二氮(N₂O)在神经精神病学中的应用简史
Curr Drug Res Rev. 2019;11(1):12-20. doi: 10.2174/1874473711666181008163107.
3
Ultra-low concentrations of naloxone selectively antagonize excitatory effects of morphine on sensory neurons, thereby increasing its antinociceptive potency and attenuating tolerance/dependence during chronic cotreatment.
超低浓度的纳洛酮可选择性拮抗吗啡对感觉神经元的兴奋作用,从而增强其镇痛效力,并减轻慢性联合治疗期间的耐受性/依赖性。
Proc Natl Acad Sci U S A. 1995 Nov 7;92(23):10540-4. doi: 10.1073/pnas.92.23.10540.
4
Bibliography for the control of anxiety, fear and pain in dentistry.牙科焦虑、恐惧和疼痛控制的参考文献。
Anesth Prog. 1982 Nov-Dec;29(6):11pp.
5
Naloxone and its antagonism of anaesthesia and analgesia.纳洛酮及其对麻醉和镇痛的拮抗作用。
Can Anaesth Soc J. 1984 Jan;31(1):117-9. doi: 10.1007/BF03011497.
6
Nitrous oxide analgesia and the endogenous opioid system.氧化亚氮镇痛与内源性阿片系统。
Can Anaesth Soc J. 1985 Mar;32(2):200-1. doi: 10.1007/BF03010056.