国际麻醉学与复苏杂志   2011, Issue (4): 13-13
    
不同剂量氯胺酮、羟丁酸钠对福尔马林致痛小鼠胃肠推进运动的影响
谢敏, 王硕, 马吉宁, 刘卫卫, 孙斌, 张咏梅1()
1.徐州医学院麻醉生理学教研室
The Effects of Different-dose of Ketamine and Sodium Oxybate on Gastrointestinal Motility in Formalin-induced Pain in Mice
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摘要:

摘要:目的 探讨不同浓度氯胺酮、羟丁酸钠对福尔马林致痛小鼠胃肠推进运动的影响。方法 实验小鼠按随机数字法分层随机,分为疼痛模型组(n = 32)、静脉麻醉药组(n = 24)、静脉麻醉药+疼痛模型组(n = 56)共三大组。各组均采用炭末胶液(含12%活性炭和4%黄芪胶)灌胃,计算30 min炭末胶液在小肠内推进距离占小肠全长的百分比,以此作为胃肠推进运动的指标。小鼠足底皮下分别注射2%、4%、6%建立福尔马林炎性疼痛模型。结果 与正常对照组相比,2%福尔马林疼痛模型组小鼠胃肠推进运动明显减慢(P < 0.05),而4%及6%福尔马林疼痛模型组小鼠胃肠推进运动无统计学意义。与生理盐水组相比,麻醉剂量氯胺酮和羟丁酸钠组小鼠胃肠推进运动虽有不同程度减慢,但无统计学意义(P > 0.05)。在4%福尔马林疼痛模型下,与生理盐水组相比,麻醉剂量氯胺酮组增加小鼠胃肠推进运动(P < 0.05),镇痛剂量与小剂量氯胺酮组对胃肠推进运动影响甚微(P > 0.05),麻醉剂量与小剂量羟丁酸钠组胃肠推进运动减慢(P < 0.05)。结论 2%福尔马林疼痛模型组小鼠胃肠推进运动明显减慢,腹腔注射麻醉剂量氯胺酮能促进疼痛刺激后小鼠的胃肠推进运动,而麻醉剂量和小剂量羟丁酸钠则抑制小鼠的胃肠推进。

关键词: 疼痛;氯胺酮;羟丁酸钠;胃肠运动
Abstract:

Objective To investigate the effects of different dose of ketamine and sodium oxybate on gastrointestinal peristalsis in mice model of formalin-induced pain. Methods The mice were divided into three groups by Random number method and Stratified sampling: pain model group (n = 32), intravenous anesthetic group (n = 24), and pain model + intravenous anesthetic group (n = 56). During the experiment, a meal consisting of an aqueous suspension (0.3 ml) of 12% charcoal, used as a marker, and 4% tragacanth mucilage was administered intragastrically. The percentage distance traveled by the charcoal plug in the small intestine (from the pylorus to the caecum) was measured as the gastrointestinal transit 30 minutes after receiving the test meal. The mice received an intra plantar injection of different concentration (2%, 4%, 6%) of formalin solution as formalin induced pain model. Results The 2% dose of formalin pain model group significantly reduced the rate of gastrointestinal motility in mice (P < 0.05), while the 4% and 6% dose of formalin pain model groups had little influence on gastrointestinal motility than that in black group. The intraperitoneal injection of anesthetic-doses of ketamine and sodium oxybate slowed down the gastrointestinal motility in mice, but had no statistical significance than that in normal saline group(P > 0.05). For formalin-induced pain model, compared with normal saline group the anesthetic-dose of ketamine increased the rate of gastrointestinal motility in mice (P < 0.05). Analgesic-dose and low-dose of ketamine had little effect on gastrointestinal motility in mice. The anesthetic-dose and low-dose of sodium oxybate decreased the rate of gastrointestinal motility (P < 0.05). Conclusion The 2% dose of formalin significantly reduced the rate of gastrointestinal motility in mice. The anesthesia-dose ketamine promoted the gastrointestinal motility in formalin-induced pain model mice, while the anesthetic-dose and low-dose of sodium oxybate could inhibit the gastrointestinal motility in mice.

Key words: pain; ketamine; sodium oxybate; gastrointestinal peristalsis