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[通过皮肤电刺激测试镇痛药的实验方法评估(作者译)]

[Evaluation of an experimental method for testing analgesic drugs by electrical stimulation of the skin (author's transl)].

作者信息

Stacher G, Bauer P, Lahoda R, Schulze D, Landgraf M

出版信息

Wien Klin Wochenschr. 1976 Oct 15;88(19):636-41.

PMID:983073
Abstract

The pain threshold and pain tolerance were determined by electrical stimulation of the skin employing a newly-developed apparatus. The efficacy of the method was evaluated in a double-blind cross-over study on ten healthy subjects with administration of 50 mg pentazocine plus 500 mg acetylsalicylic acid (P + A) orally in comparison with a placebo. The sensitivity of this method in determining the pain threshold was compared with a fixed intensity-variable time modification of the radiant heat method. The presence of sedative side effects of the drugs was tested by measurement of the reaction time to visual stimuli. All measurements were performed before and then 60 and 90 minutes after drug administration and an analysis of variance was carried out on the data. There was a significant elevation of both the pain threshold and pain tolerance as determined electrically after the administration of P + A as compared with the placebo experiments. A similar tendency was obtained with the thermal method, but the increase in pain threshold was not statistically significant. No significant changes were found in optical reaction time. It may be concluded that the apparatus developed by us appears to be a valuable tool in the evaluation of effectiveness of analgesic drugs.

摘要

采用一种新研制的仪器通过电刺激皮肤来测定疼痛阈值和疼痛耐受力。在一项双盲交叉研究中,对10名健康受试者进行评估该方法的有效性,口服50毫克喷他佐辛加500毫克阿司匹林(P + A),并与安慰剂作比较。将该方法在测定疼痛阈值方面的敏感性与辐射热法的固定强度可变时间改进方法进行比较。通过测量对视觉刺激的反应时间来检测药物镇静副作用的存在。所有测量均在给药前以及给药后60分钟和90分钟进行,并对数据进行方差分析。与安慰剂实验相比,服用P + A后通过电刺激测定的疼痛阈值和疼痛耐受力均显著升高。热法也得到了类似的趋势,但疼痛阈值的增加在统计学上并不显著。视觉反应时间未发现显著变化。可以得出结论,我们研制的仪器似乎是评估镇痛药有效性的一种有价值的工具。

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