發(fā)布時(shí)間：2018-06-15 13:19

  本文選題：腦梗死 + 選擇性腦低溫��； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年07期

【摘要】：目的:探討頸內(nèi)動(dòng)脈灌注冷生理鹽水誘導(dǎo)的選擇性腦部低溫對大鼠的安全性以及對急性腦缺血-再灌注損傷的治療效果。方法:60只SD大鼠隨機(jī)分為假手術(shù)組、正常灌注組、梗死組、局部低溫組、局部常溫組、靜脈低溫組。灌注前后監(jiān)測腦溫、肛溫以及各生理指標(biāo)。再灌注24、48 h進(jìn)行神經(jīng)行為學(xué)評(píng)分;再灌注48 h后檢測腦梗死體積及腦含水量。結(jié)果:頸內(nèi)動(dòng)脈灌注15℃生理鹽水可使腦溫在10 min時(shí)到達(dá)33~34℃,停止灌注60 min后回升至灌注前水平。正常大鼠局部灌注冷生理鹽水后神經(jīng)行為學(xué)及組織學(xué)未見明顯異常,腦含水量與假手術(shù)組無顯著差異(P0.05)。灌注前后各個(gè)時(shí)間點(diǎn)生理指標(biāo)差異無顯著性(P0.05)。局部低溫組其梗死體積、腦含水量、神經(jīng)行為學(xué)評(píng)分均顯著低于梗死組(P0.05)。而局部常溫組及靜脈低溫組各指標(biāo)與梗死組比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:頸內(nèi)動(dòng)脈灌注冷生理鹽水是一種高效、安全的選擇性低溫方法,可以顯著減少急性腦梗死的梗死體積及腦含水量,促進(jìn)神經(jīng)功能恢復(fù)。
[Abstract]:Aim: to investigate the safety of selective cerebral hypothermia induced by cold saline infusion through internal carotid artery in rats and its therapeutic effect on acute cerebral ischemia-reperfusion injury. Methods Sixty Sprague-Dawley rats were randomly divided into sham operation group, normal perfusion group, infarction group, local hypothermia group, local normal temperature group and venous hypothermia group. Brain temperature, anal temperature and physiological indexes were monitored before and after perfusion. The neurobehavioral score was evaluated at 24 minutes after reperfusion and the volume of cerebral infarction and the water content of brain were measured after 48 hours of reperfusion. Results: internal carotid artery infusion of normal saline at 15 鈩，

本文編號(hào)：2022137