右美托咪定直肠在小鼠中的应用:镇静作用及对粘膜的评价

Volkan Hanci , Kanat Gülle , Kemal Karakaya , Serhan Yurtlu , Meryem Akpolat , Mehmet Fatih Yüce , Fatma Zehra Yüce , Işıl Özkoçak Turan
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摘要

背景与目的本研究探讨右美托咪定直肠给药对大鼠的麻醉和粘膜作用。方法体重250 ~ 300 g的Wistar白化病大鼠分为4组:S组(n = 8)为假手术组,以正常基础值为基准;C组(n = 8):仅直肠应用生理盐水的大鼠;IPDex组(n = 8):右美托咪定腹腔注射组(100 μg/kg−1);RecDex组(n = 8)为直肠应用右美托咪定(100 μg/kg−1)的大鼠。在直肠给药方面,我们采用22g静脉插管,取下导管。我们将给药套管插入直肠1cm,所有大鼠直肠给药量均为1ml。测量潜伏期和麻醉时间(min)。直肠给药2小时后,所有组均给予75 mg/kg−1氯胺酮进行腹腔麻醉,然后通过腹外手术切除大鼠直肠至远端3cm。我们对直肠进行组织病理学检查并评分。结果右美托咪定组大鼠在给予右美托咪定后全部恢复知觉。与IPDEx组相比,RecDex组麻醉开始时间明显晚于IPDEx组(P <. 05)。在RecDex组中,右美托咪定在直肠接种2小时后引起结肠和直肠粘膜结构轻度-中度损失。结论虽然100 μg/kg−1右美托咪定直肠给药比直肠生理盐水给药的麻醉持续时间明显更长,但我们的组织病理学评估显示,100 μg/kg−1右美托咪定直肠给药导致直肠粘膜结构轻度至中度损伤。
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La dexmedetomidina rectal en ratones: evaluación de los efectos sedativos y sobre la mucosa

Background and objectives

In this study, we investigated the anesthetic and mucosal effects of the rectal application of dexmedetomidine to rats.

Methods

Male Wistar albino rats weighing 250–300 g were divided into four groups: group S (n = 8) was a sham group that served as a baseline for the normal basal values; Group C (n = 8) consisted of rats that received the rectal application of saline alone; group IPDex (n = 8) included rats that received the intraperitoneal application of dexmedetomidine (100 μg/kg−1); and group RecDex (n = 8) included rats that received the rectal application of dexmedetomidine (100 μg/kg−1). For the rectal drug administration, we used 22 G intravenous cannulas with the stylets removed. We administered the drugs by advancing the cannula 1 cm into the rectum, and the rectal administration volume was 1 mL for all the rats. The latency and anesthesia time (min) were measured. Two hours after rectal administration, 75 mg/kg−1 ketamine was administered for intraperitoneal anesthesia in all the groups, followed by the removal of the rats’ rectums to a distal distance of 3 cm via an abdominoperineal surgical procedure. We histopathologically examined and scored the rectums.

Results

Anesthesia was achieved in all the rats in the group RecDex following the administration of dexmedetomidine. The onset of anesthesia in the group RecDex was significantly later and of a shorter duration than in the group IPDEx (P < .05). In the Group RecDex, the administration of dexmedetomidine induced mild–moderate losses of mucosal architecture in the colon and rectum, 2 h after rectal inoculation.

Conclusion

Although 100 μg/kg−1 dexmedetomidine administered rectally to rats achieved a significantly longer duration of anesthesia compared with the rectal administration of saline, our histopathological evaluations showed that the rectal administration of 100 μg/kg−1 dexmedetomidine led to mild–moderate damage to the mucosal structure of the rectum.

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