国际麻醉学与复苏杂志   2014, Issue (2): 9-9
    
鞘内注射KN93和Ifenprodil对瑞芬太尼诱发切口痛大鼠痛觉过敏的镇痛作用
张兢, 顾小萍, 程崇学, 马正良1()
1.南京鼓楼医院
Analgesic effect of intrathecally injection of KN93 and Ifenprodil on remifentanil-induced hyperalgesia in a rat model of incisional pain
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摘要:

【摘要】 目的 观察分别鞘内注射KN93及Ifenprodil对瑞芬太尼诱发切口痛大鼠痛觉过敏的镇痛作用。方法 SD雄性大鼠30只随机分为五组:空白对照组(C组,n=6)、切口痛(I组,n=6)、瑞芬太尼组(R组,n=6)、KN93组(K组,n=6)及Ifenprodil组(F组,n=6)。除空白对照组外均做切口痛模型,瑞芬组、KN93组及Ifenprodil组制作模型的同时经皮下泵注瑞芬太尼(0.04mg•kg-1,1mg 溶于40ml生理盐水)30min。瑞芬太尼组、KN93组及Ifenprodil组术前30min分别鞘内给予10%DMSO 20μl、KN93 20μl(50μg•20μl-1)和Ifenprodil(10μg•20μl-1)。各组分别在术前24h及术后2h、6h、24h、48h检测术侧热缩足潜伏期PWTL及机械缩足阈值PMWT。结果 与C组相比,I组术后手术侧PWTL(P<0.05)及PMWT(P<0.05)明显降低;与I组相比,R组术后手术侧PWTL(P <0.05)及PMWT(P <0.05)明显降低;与R组相比,术前30分钟鞘内注射KN93,术后PWTL 分别是(15.32±0.73)s、(15.79±0.32)s、(14.86±0.98)s、(14.76±0.82)s及PMWT (31.75±1.38) g、(29.27±1.16) g、(30.84±1.02) g、(30.49±1.22) g明显升高(P <0.05),术前30分钟鞘内注射Ifenprodil,术后PWTL 分别是(14.24±0.79)s、(15.33±0.29)s、(15.29±0.74)s、(15.21±0.45)s及PMWT(29.33±1.83)g、(30.22±2.12)g、(29.47±1.54)g、(30.16±1.04)g明显升高(P <0.05)。结论 鞘内注射KN93及Ifenprodil均能够有效缓解瑞芬太尼诱发的痛觉过敏。

关键词: 钙-钙调蛋白依赖性激酶Ⅱ;NR2B;瑞芬太尼;切口痛
Abstract:

【Abstract】 Objective To investigate the analgesic effects of intrathecal KN93 and Ifenprodil injection on pain induced by remifentanil in a incision pain model. Methods Thirty SD rats were divided randomly into 5 groups (n=6): control group (C group,n=6); incision pain group (I group,n=6); Remifentanil group (R group,n=6); KN93 group (K group ,n=6) and Ifenprodil group (F group ,n=6). These groups were to be a model of incisional pain except control group. In R group, K group and F group, remifentanil ( 0.04mg •kg-1, 40ml 1mg dissolved in saline ) needed to be infused subcutaneously 30 min. R group、K group and F group were respectively intrathecal injected 20μl DMSO(10%)、20μl KN93(50μg•20μl-1) and Ifenprodil(10μg•20μl-1).Paw withdrawal mechanical threshold (PWMT) and paw withdrawal thermal latency (PWTL) were tested on 24 h before and 2 h, 6 h, 24 h, 48 h after operation. Results Compared with C group, PWTL (P < 0.05 ) and PMWT (P < 0.05 ) was significantly decreased after operation on the ipsilateral side; compared with I group, PWTL (P < 0.05 ) and PMWT (P < 0.05 ) was significantly reduced in R group. After KN93 was intrathecally injected 30 min before operation, PWTL were (15.32±0.73)s、(15.79±0.32)s、(14.86±0.98)s、(14.76±0.82)s and PMWT (31.75±1.38)g、(29.27±1.16)g、(30.84±1.02)g、(30.49±1.22)g, was significantly increased (P < 0.05 ).And preoperative 30 minutes intrathecal injection of Ifenprodil, PWTL were (14.24±0.79)s、(15.33±0.29)s、(15.29±0.74)s、(15.21±0.45)s and PMWT (29.33±1.83)g、(30.22±2.12)g、(29.47±1.54)g、(30.16±1.04)g obviously increased (P < 0.05 ). Conclusion Intrathecal injection of KN93 and Ifenprodil can effectively alleviate remifentanil-induced hyperalgesia.

Key words: CaMKⅡ;NR2B; Remifentanil ;Incision pain