国际麻醉学与复苏杂志   2014, Issue (11): 7-7
    
切口周围组织中IL-1β参与尼古丁戒断切口痛大鼠术后痛觉过敏的研究
逯素芬, 于爱兰, 刘献文, 张宗旺1()
1.山东省聊城市人民医院
IL-1 Beta in the surrounding incision tissue contributes to postoperative hyperalgesia in incisional rats with nicotine withdrawal
 全文:
摘要:

目的:探讨切口周围组织中白细胞介素-1β(Interleukin-1β,IL-1β)在尼古丁戒断切口痛大鼠术后痛觉过敏中的作用。方法:SD大鼠96只,分为正常对照组(Naïve组,n=6)、尼古丁戒断组(NT组)、切口痛组(IP组)和尼古丁戒断切口痛组(NT+IP组)。NT组、IP组和NT+IP组大鼠按术前2h、术后2h、24h、48h和72h分为5个亚组,每个亚组6只。观察各组大鼠上述时间点机械刺激缩足阈值(Mechanical withdrawal threshold,MWT)、热刺激缩足潜伏期(Thermal withdrawal latency,TWL)和后爪水肿的变化;取大鼠术侧后爪切口周围皮肤组织,应用酶联免疫分析法检测IL-1β含量。结果:与IP组比较,NT+IP组大鼠术后2h、24h、48h、72h MWT和TWL均降低(P<0.05),以术后48h降低最为显著(P<0.01)。与IP组比较,NT+IP组大鼠术后2h、24h、48h、72h术侧后爪水肿明显,以术后24h水肿最为显著(P<0.01)。与IP组各时间点比较,NT+IP组大鼠在相应时间点切口周围组织中IL-1β水平明显增高(P<0.01)。与术前2h比较,NT+IP组大鼠切口周围组织中IL-1β水平术后各时间点均明显升高(P<0.01)。结论:尼古丁戒断引起大鼠术后痛觉敏感性增高,局部水肿明显;IL-1β参与了尼古丁戒断切口痛大鼠术后痛觉过敏。

关键词: 尼古丁;依赖;戒断;疼痛;白细胞介素-1β
Abstract:

Objective: To explore the contribution of interleukin-1 beta in the surrounding tissue in postoperative hyperalgesia in incisional rats with nicotine withdrawal. Methods: 96 SD rats were randomly divided into Naïve group(n=6), NT group, IP group and NT+IP group. The rats in NT group, IP group and NT+IP group were divided into 5 sub-groups by preoperative 2h, postoperative2h, 24h, 48h and 72h, six in each sub-group. MWT and TWL were determined at time point above for every rats, and hind paw edema were observed respectively. And then measure the levels of IL-1β in the surrounding incision tissue by Elisa. Results: Compared with IP Group, foot plantar MWT and TWL in NT+IP group significantly reduced at postoperative 2h, 24h, 48h and 72h (P<0.05), and was the most significant at postoperative 48h (P<0.01). Compare with IP group for each time point, IL-1β level in NT+IP group was significantly increased (P<0.01). Within NT+IP group, compared with preoperative 2h, the IL-1β level at all the time points significantly increased (P<0.01). Conclusion: Nicotine withdrawal may cause postoperative hyperalgesia and hind paw edema in incisional rats. IL-1β were involved in postoperative hyperalgesia in incsional rats with nicotine abstinence.

Key words: Nicotine; Dependence; Withdrawal; Pain ; IL-1beta