Wong J O, Chang C L, Cheng J T
Department of Anesthesiology, National Cheng Kung University, Medical College, Tainan, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 1994 Jun;32(2):109-14.
We investigated the modulatory effect of subcutaneous administration of different doses of nifedipine (1.5 or 15 mg/kg), a calcium channel blocker, on fentanyl (15 micrograms/kg), an opioid mu-agonist, in rats. The drugs were tested individually as well as in combination. Normal saline and dimethyl sulfoxide were used as controls. Nociceptive sensitivity was assessed by tail-flick technique. No analgesic effect by nifedipine alone at any of the three doses was observed. A slight analgesic effect by fentanyl alone, lasting up to 60 minutes, was noted in the tail-flick responses only (p < 0.05). The combination of both drugs did not enhance or prolong the analgesic effect of fentanyl. The same results were obtained in a supplementary study using higher doses of fentanyl (30 micrograms/kg) with nifedipine (15 mg/kg). Our results suggested that, unlike other calcium channel blockers, nifedipine injected subcutaneously does not enhance fentanyl analgesia.
我们研究了皮下注射不同剂量的钙通道阻滞剂硝苯地平(1.5或15毫克/千克)对阿片μ受体激动剂芬太尼(15微克/千克)在大鼠体内的调节作用。这些药物单独以及联合进行了测试。生理盐水和二甲基亚砜用作对照。通过甩尾技术评估伤害性感受敏感性。未观察到硝苯地平在任何三个剂量下单独具有镇痛作用。仅在甩尾反应中,观察到芬太尼单独具有轻微镇痛作用,持续长达60分钟(p<0.05)。两种药物联合使用并未增强或延长芬太尼的镇痛作用。在一项补充研究中,使用更高剂量的芬太尼(30微克/千克)与硝苯地平(15毫克/千克)也得到了相同结果。我们的结果表明,与其他钙通道阻滞剂不同,皮下注射硝苯地平不会增强芬太尼的镇痛作用。