国际麻醉学与复苏杂志   2012, Issue (10): 8-8
    
己酮可可碱对大鼠趾部切口术后痛觉 过敏镇痛效应的实验观察
徐旭, 石翊飒, 刘志龙, 王红, 汪静, 李雅楠, 张荣智1()
1.兰州大学
Effects of pentoxifylline of prior intraperitoneal administration on the plantar incision-induced hyperalgesia in rats
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摘要:

目的 观察预先腹腔单次和连续注射己酮可可碱(pentoxifyllin, PTX)对大鼠趾部切口术后痛觉过敏的影响。方法 成年雄性SD大鼠60只,体重180 g ~250 g,采用大鼠趾部切口模型,按完全随机双盲法随机分为两组(每组30只):单次给药组(Ⅰ组)和连续给药组(Ⅱ组)。Ⅰ组分为5个亚组(每组6只):对照组(C组)给予生理盐水(NS),PTX处理组(PTX1~4组)单次腹腔给予12.5、25、50、100 mg/kg不同剂量的PTX;Ⅱ组分为5个亚组(每组6只):对照组(C组)给予NS, PTX处理组(PTX1~4组)连续腹腔给予12.5、25、50、100 mg/kg不同剂量的PTX。Ⅰ组于术前30 min,单次腹腔给予不同剂量的PTX和相应量的NS,测术前(T0)、术后1(T1)、3(T2)、5 h(T3)各时点的机械缩足反射阈值(mechanical withdrawal threshold, MWT)、热缩腿潜伏期阈值和热缩腿时间;Ⅱ组于术前30 min和术后1 d~7 d,每天1次腹腔给予不同剂量的PTX和相应量NS,测术前(T0)、术后1 h(T1)和1(T2)、2(T3)、3(T4)、5(T5)、7d(T6)各时点的MWT、热缩腿潜伏期阈值和热缩腿时间。结果 ① 组内比较:Ⅰ组中,与T2 时比较,PTX3组PTX4组T1 时MWT升高(P<0.05或P<0.01);与T3时比较,PTX3组PTX4组T1~2时MWT升高,PTX3组PTX4组T1时热缩腿潜伏期阈值升高,且热缩腿时间缩短(P<0.05或P<0.01)。② 组间比较:Ⅰ组中,与C组比较,PTX3组PTX4组T1~2时MWT升高,PTX3组T1时、PTX4组T1~2时热缩腿潜伏期阈值升高,且热缩腿时间缩短 (P<0.05或P<0.01)。Ⅱ组中,与C组比较,PTX3组PTX4组T1~4时MWT升高,PTX3组T1时、PTX4组T1~4时热缩腿潜伏期阈值升高,PTX3组T1~2时、PTX4组T1~3时热缩腿时间缩短 (P<0.05或P<0.01)。在Ⅰ组和Ⅱ组中,PTX1组、PTX2组与C组比较,上述指标差异无统计学意义(P>0.05)。结论 PTX可有效减轻大鼠趾部切口术后痛觉过敏,其效应呈剂量依赖性。

关键词: 己酮可可碱;趾部切口;单次给药;连续给药;痛觉过敏
Abstract:

Objective To investigate the effects of the single and the continuous pentoxifylline (PTX) injection of prior intraperitoneal administration applied on the plantar incision-induced postoperative hyperalgesia in rats. Methods The postoperative pain rats model with plantar incision were used for this experiment. All sixty adult male Sprague-Dawley rats weighting 180 g–250 g were randomly divided into two groups: single-dose group (group I) and the continuous treatment group (group II). The group I was divided into 5 subgroups (n=6): control group (group C) was given normal saline(NS), PTX treatment groups (group PTX1-4) were given 12.5, 25, 50, 100 mg/kg PTX by single time intraperitoneal administration. Group II was divided into 5 subgroups (n=6): control group (group C) was given NS, pentoxifylline treatment groups (group PTX1-4) were administered PTX (12.5, 25, 50, 100 mg/kg intraperitoneally) systemically daily. In the preoperative 30 min, all subgroups of the group I were given different doses of PTX intraperitoneally and the corresponding volume of NS, and measured at each time point of the mechanical withdrawal threshold (MWT),thermal withdrawal latency and withdrawal duration at pre-incision (T0), then 1, 3, 5 h after surgery (T1-3). From 30 min before the operation to day1-7 post-operation, all subgroups of the group II were systemically daily intraperitoneally administrated different doses of PTX and the corresponding volume of NS, and measured at each time point of the mechanical withdrawal threshold (MWT), thermal withdrawal latency and withdrawal duration at pre-incision (T0), then 1, 2, 3, 5, 7 d after surgery (T1-6). Results ① Comparison in the groups: in group I, MWT was higher at T1 than at T2 in group PTX3,4 (P<0.05 or P<0.01). Compared with them in group PTX3,4 at T3, MWT was increased at T1-2 ,and thermal withdrawal latency threshold was increased too, following thermal withdrawal duration reduced at T1(P<0.05 or P<0.01). ② Comparison between groups: in group I, compared with group C, MWT was significantly raised at T1-2 in group PTX3,4. Furthermore, thermal threshold latency threshold was up-regulated and thermal withdrawal duration was down-regulated at T1 in group PTX3 and at T1-2 in group PTX4(P<0.05 or P<0.01). In group II, compared with group C, MWT was significantly increased at T1-4 in group PTX3-4. Thermal threshold latency threshold was up-regulated at T1 in group PTX3 and at T1-4 in group PTX4. Thermal withdrawal duration was negative regulator at T1-2 in group PTX3 and at T1-3 in group PTX4 in addition(P<0.05 or P<0.01). There data shown none significant difference among group PTX1,2 with group C, in group I and II (P>0.05). Conclusions Pentoxifylline can effectively reduce the plantar incision-induced mechanical allodynia and heat hyperalgesia expression lever in rats, meanwhile showed a dose-dependent analgesic effect.

Key words: Pentoxifylline;Plantar incisional pain;Single intraperitoneal administration;Systermically daily administration; Hyperpathia