Niv D, Nemirovsky A, Rudick V, Geller E, Urca G
Department of Anesthesiology, Tel-Aviv Sourasky Medical Center, Israel.
Anesth Analg. 1995 May;80(5):886-9. doi: 10.1097/00000539-199505000-00006.
The application of morphine simultaneously into the spinal cord and brain ventricles produces a supraadditive antinociceptive effect. In this study, we attempted to determine whether combined intrathecal (IT) and intraperitoneal (IP) administration of small doses of morphine also produces such a synergistic antinociceptive effect. The experiments were performed on male Wistar rats. Nociception was measured using the tail immersion test. For IT administration morphine was injected through a catheter implanted in the subarachnoid space. Combined administration of small doses of IT (1 microgram) and IP (1 mg/kg) morphine resulted in a strong, highly significant antinociceptive effect. This effect was not only much higher than that produced by separate administration of the same doses of morphine, but also much higher than the expected effect of the combination. These results demonstrate that low doses of IT and IP morphine interact in a supraadditive fashion to produce potent analgesia.
同时向脊髓和脑室注射吗啡会产生超相加性镇痛效果。在本研究中,我们试图确定鞘内(IT)和腹腔内(IP)联合给予小剂量吗啡是否也会产生这种协同镇痛效果。实验在雄性Wistar大鼠身上进行。使用尾浸试验测量痛觉。对于鞘内给药,通过植入蛛网膜下腔的导管注射吗啡。小剂量鞘内(1微克)和腹腔内(1毫克/千克)联合给予吗啡产生了强烈、高度显著的镇痛效果。这种效果不仅远高于相同剂量吗啡单独给药所产生的效果,而且也远高于该组合的预期效果。这些结果表明,低剂量的鞘内和腹腔内吗啡以超相加的方式相互作用,产生强效镇痛作用。