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细辛水煎液对分娩大鼠镇痛及产程的影响

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目的 观察细辛水煎液对分娩大鼠镇痛及产程的影响,并探讨其可能机制。方法 将40只孕鼠随机分为正常组、细辛组、佛波酯组、细辛联合佛波酯组,各10只。受孕第18天细辛联合佛波酯组灌胃细辛水煎液12。0 g·kg-1,皮下注射佛波酯1 μg;佛波酯组灌胃等量蒸馏水,皮下注射佛波酯1 μg;细辛组灌胃细辛水煎液12。0 g·kg-1,皮下注射等体积生理盐水;正常组灌胃等量蒸馏水,皮下注射等体积生理盐水。每日 1 次,干预 3 d。记录产程时间;热水甩尾法检测痛阈值;检测血清 5-羟色胺(5-hydroxytryptamine,5-HT)、强啡肽(dynorphin,DYN)水平;检测血清谷光甘肽(glutathione,GSH)水平;蛋白印迹法(Western blotting)检测脊髓组织蛋白激酶Cε(protein kinase Cε,PKCε)、瞬时感受器电位香草素受体1(transient receptor potential vanilloid receptor 1,TRPV1)蛋白的表达水平。结果 与正常组比较,细辛组分娩发动时间、半产程时间和总产程时间均缩短,痛阈值、血清DYN和GSH水平均升高,血清5-HT水平、脊髓组织PKCε和TRPV1蛋白的表达水平均降低(P<0。05);佛波酯组分娩发动时间、半产程时间和总产程时间均延长,痛阈值、血清DYN和GSH水平均降低,血清5-HT水平、脊髓组织PKCε和TRPV1蛋白的表达水平均升高(P<0。05)。与细辛联合佛波酯组比较,细辛组分娩发动时间、半产程时间和总产程时间均缩短,痛阈值、血清DYN和GSH水平均升高,血清5-HT水平、脊髓组织PKCε和TRPV1蛋白的表达水平均降低(P<0。05);佛波酯组分娩发动时间、半产程时间和总产程时间均延长,痛阈值、血清DYN和GSH水平均降低,血清5-HT水平、脊髓组织PKCε和TRPV1蛋白的表达水平均升高(P<0。05)。结论 细辛水煎液可缩短分娩产程、发挥镇痛效应,其作用机制可能与抑制PKCε/TRPV1通路有关。
Effect of Asarum Decoction on analgesia and birth process in labor rats
Objective To observe the effect of Asarum Decoction(AG)on the analgesia and birth process in labor rats,and to explore the possible mechanism.Methods Forty pregnant rats were randomly divided into normal group,AG group,phorbol ester group,AG combined with phorbol ester group,with 10 in each group.On the 18th day of conception,the AG combined with phorbol ester group was given gastric AG 12.0 g·kg-1,and 1 μg phorbol ester was injected subcutaneously.In the phorbol ester group,the same amount of distilled water was given by gavage,and 1 μg phorbol ester was injected subcutaneously.The AG group was given gastric AG 12.0 g·kg-1,and an equal volume of normal saline was injected subcutaneously.The normal group was given the same volume of distilled water by intragastric administration;the same volume of normal saline was subcutaneously injected.The interventions were once a day for 3 days.The labor time was recorded.Hot water flick method was used to detect the pain threshold.The levels of serum 5-hydroxytryptamine(5-HT),dynorphin(DYN)and glutathione(GSH)were tested.Western blotting was used to detect the protein expression of spinal cord tissue protein kinase Cε(PKCε)and transient receptor potential vanilloid receptor 1(TRPV1).Results Compared with in normal group,the labor start time,half-labor time and total labor time were shortened,the pain threshold,serum DYN and GSH levels were increased,and the serum 5-HT levels,spinal cord tissue PKCε and TRPV1 protein expression were decreased in AG group(P<0.05).The labor start time,half labor time and total labor time were prolonged,the pain threshold,serum DYN and GSH levels were decreased,the serum 5-HT levels,spinal cord tissue PKCε and TRPV1 protein expression were increased in phorbol ester group(P<0.05).Compared with the AG combined with phorbol ester group,the onset time of labor,the half-time of labor and the total labor time in the AG group were shortened,the pain threshold,serum DYN and GSH levels were increased,and the serum 5-HT level and the expressions of PKCε and TRPV1 protein in spinal cord tissue were decreased(P<0.05).The labor onset time,half-partum time and total labor time were prolonged,the pain threshold,serum DYN and GSH levels decreased,the serum 5-HT level,spinal cord tissue PKCε and TRPV1 protein expressions in the phorbol ester group were increased(P<0.05).Conclusion AG can shorten the labor process and exert analgesic effect,and its mechanism of action may be related to the inhibition of PKCε/TRPV1 pathway.

Asarumprotein kinase Cεtransient receptor potential vanilloid receptor 1laboranalgesiabirth process

李笑媛、张欣、苗艳

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沧州市人民医院产科,沧州 061001

细辛 蛋白激酶Cε 瞬时感受器电位香草素受体1 分娩 镇痛 产程

2021年度河北省医学科学研究课题计划项目

20210430

2024

西北药学杂志
西安交通大学,陕西省药学会

西北药学杂志

CSTPCD
影响因子:0.912
ISSN:1004-2407
年,卷(期):2024.39(4)