Namiki A, Collins J G, Kitahata L M, Kikuchi H, Homma E, Thalhammer J G
Anesthesiology. 1980 Dec;53(6):475-80. doi: 10.1097/00000542-198012000-00007.
This study was undertaken to examine the dose-response effects of clinical concentrations of halothane on activity of wide-dynamic-range (WDR) neurons in the dorsal horn of the spinal cord of the decerebrate, spinal cord-transected cat. All cells (n = 40) responded maximally to high-intensity (greater than 45 C) noxious heat stimulation. Following administration of halothane, 0.5, 1.0, and 1.5 per cent, the mean spontaneous discharge frequency was significantly decreased (P < 0.01) by 44, 74, and 87 per cent, respectively. The mean evoked discharge frequencies were also significantly decreased at all temperatures (46, 48.5 51 C) by all concentrations of halothane. The slope of the regression line relating heat intensity and evoked neuronal discharge frequency was significantly decreased (P < 0.01) with both 1.0 and 1.5 per cent halothane by 46 and 75 per cent, respectively. Since the spinal cord was transected, these results indicate that these effects were the result of a direct action at the level of the spinal cord. The neuronal activity that was suppressed was evoked by stimuli that were exclusively noxious. This substantiates the ability of halothane to modify the transmission of noxious information at the spinal cord level, and thus explains a mechanism by which halothane may induce analgesia.
本研究旨在检测临床浓度的氟烷对去大脑、脊髓横断猫脊髓背角广动力范围(WDR)神经元活动的剂量反应效应。所有细胞(n = 40)对高强度(大于45℃)有害热刺激反应最大。给予0.5%、1.0%和1.5%的氟烷后,平均自发放电频率分别显著降低(P < 0.01)44%、74%和87%。在所有温度(46℃、48.5℃、51℃)下,所有浓度的氟烷均使平均诱发放电频率显著降低。在46℃时,1.0%和1.5%的氟烷使热强度与诱发性神经元放电频率之间的回归线斜率分别显著降低(P < 0.01)46%和75%。由于脊髓已横断,这些结果表明这些效应是脊髓水平直接作用的结果。被抑制的神经元活动是由仅有害的刺激诱发的。这证实了氟烷在脊髓水平改变有害信息传递的能力,从而解释了氟烷可能诱导镇痛的一种机制。