大鼠切口痛模型中氯化锂对瑞芬太尼诱发痛觉过敏的影响
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南京市卫生局重大课题(zkx08028)


effects of lithium chloride on remifentanil-induced hyperalgesia in rat model of incisional pain
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    摘要:

    目的:在大鼠切口痛模型中,观察氯化锂对瑞芬太尼引起的痛觉过敏的影响-方法:42只sd雄性大鼠,随机分成7组:对照组(c组);切口痛组(i组);瑞芬太尼组(r组);切口痛+氯化锂组(il组);切口痛+瑞芬太尼+低浓度氯化锂组(rl1组);切口痛+瑞芬太尼+中等浓度氯化锂组(rl2组);切口痛+瑞芬太尼+高浓度氯化锂组(rl3组)-每组6只-il组给予氯化锂36 mg/kg体重;rl1-rl2-rl3组分别给予氯化锂9-18-36 mg/kg体重,均在七氟醚吸入前10 min腹腔注射,体积均为0.4 ml,而c-i-r组给予生理盐水0.4 ml-r组和各rl组均在七氟醚吸入后15 min在皮下以0.8 ml/h的速度泵入瑞芬太尼40 μg/kg体重,c-i-il组泵生理盐水-除c组外均做切口痛模型-各组均测定并计算出术前24 h(t0)-术后6 h(t1)-24 h(t2)-48 h(t3)大鼠右后爪的机械缩足反射阈值(pmw)及热缩足反射潜伏期(pwtl)-结果:在t1-t2-t3时点,与i组相比,r组的pmw和pwtl明显降低(p < 0.05)-与i组相比,il组能缓解pmw和pwtl的降低(p < 0.05)-与r组比,各rl组能明显缓解pmw和pwtl的降低(p < 0.05)-结论:在大鼠切口痛模型中,瑞芬太尼可以诱发切口周围组织的痛觉过敏;氯化锂可以提高切口痛的阈值并预防瑞芬太尼诱发的痛觉过敏-

    Abstract:

    objective:to observe the effects of lithium chloride(licl)pretreatment on remifentanil-induced hyperalgesia in rats model of incisional pain. methods:fourty-two male sprague dawley(sd) rats were randomly divided into seven groups(n=6):control group(c),incisional pain group(i),remifentanil+ incisional pain group(r),incisional pain+licl group(il),remifentanil+incisional pain+low-dose licl group(rl1),remifentanil+incisional pain+medium-dose licl group(rl2),remifentanil+incisional pain+high-dose licl group(rl3). licl 0.4 ml were administered to il group and rl1~3 groups intraperitoneally ten minutes before anesthesia with sevoflurane,the dose of licl in il group and rl1~3 groups were 36,9,18,36 mg/kg respectively,accordingly saline were administered intraperitoneally to group c,i and r. r group and rl1~3 groups were pumped subcutaneously with remifentanil(40 μg/kg)at the speed of 0.8 ml/h at fifteen minutes after anesthesia with sevoflurane,while group c,i and il were pumped subcutaneously with saline accordingly. all groups except c were made the model of incisional pain. at t0(24 hours before operation)and t1(6 hours after operation),t2(24 hours after operation),t3(48 h after operation)respectively,paw withdrawal thermal latency(pwtl) and paw mechanical withdrawal threshold(pmw) were detected on the rats’ right hindpaw in all groups. results:at t1,t2,t3,the pmw and pwtl were significantly lower in group r and significantly higher in group il then those in group i(p < 0.05). comparing with group r,the pmw and pwtl in rl groups were significantly higher(p < 0.05). conclusion:in rat model of incisional pain,remifentanil could induce hyperalgesia on the area of adjacent to the incision;lithium chloride could increase the pain threshold of incision and prevent the remifentanil-induced hyperalgesia.

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王 琛,姚维娜,马正良,顾小萍.大鼠切口痛模型中氯化锂对瑞芬太尼诱发痛觉过敏的影响[J].南京医科大学学报(自然科学版),2011,(4):495-499

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  • 收稿日期:2010-08-10
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