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[非那西泮和西多卡比在幻肢痛综合征中的作用]

[The effect of fenazepam and sidnocarb in the phantom pain syndrome].

作者信息

Danilova E I, Grafova V N, Reshetnik V K

出版信息

Eksp Klin Farmakol. 1994 Jan-Feb;57(1):11-3.

PMID:7908239
Abstract

The phantom-pain syndrome model was used to examine the effects of phenazepam, sydnocarb and their combination in chronic oral administration. Phenazepam was shown to have no effects on the development of the phantom-pain syndrome. Sydnocarb arrested the progression of the pain syndrome, reduced its symptoms, alleviated inflammatory manifestations and extremity edema. The agent increased animals' excitability. When their combination was used, the clinical signs of the pain syndrome developed in the same way as with sydnocarb alone. At the same time phenazepam decreased the animals' aggression and excitability caused by sydnocarb. It is suggested that enhancing the efficiency of inhibitory GABAergic processes may result in lower clinical signs of the phantom-pain syndrome in case of involvement of brain catecholaminergic systems whose activation increases the inhibitory functions of its related GABA. The sympathomimetic action of sydnocarb induces an elevation of norepinephrine concentrations in the nerve endings and postsynaptic receptors, resulting in trophic improvement and restoration of tissue viability.

摘要

采用幻肢痛综合征模型研究了非那西泮、喜得镇及其联合用药长期口服给药的效果。结果表明,非那西泮对幻肢痛综合征的发展没有影响。喜得镇可阻止疼痛综合征的进展,减轻其症状,缓解炎症表现和肢体水肿。该药物会增加动物的兴奋性。当联合使用这两种药物时,疼痛综合征的临床症状与单独使用喜得镇时的发展方式相同。同时,非那西泮可降低喜得镇引起的动物攻击性和兴奋性。有人认为,在脑儿茶酚胺能系统参与的情况下,增强抑制性γ-氨基丁酸能过程的效率可能会降低幻肢痛综合征的临床症状,因为该系统的激活会增强其相关γ-氨基丁酸的抑制功能。喜得镇的拟交感神经作用会导致神经末梢和突触后受体中去甲肾上腺素浓度升高,从而改善营养状况并恢复组织活力。

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