大鼠实验性脑梗死早期CT值和GFAP表达变化的研究  

A study on CT values and GFAP expression in the experimental cerebral infarction of rats

作　　者：王爱枫[1] 张玲莉[1] 柯技[1] 汪永平[2] 

机构地区：[1]华中科技大学同济医学院法医学系,湖北武汉430030 [2]华中科技大学同济医学院病理学系,湖北武汉430030

出　　处：《中国法医学杂志》2006年第4期214-217,F0002,共5页Chinese Journal of Forensic Medicine

摘　　要：目的探讨大鼠24h内实验性脑梗死CT值及脑内胶质纤维酸性蛋白(GFAP)的表达变化,以间接推测脑梗死的发生时间。方法参照Longa线栓法建立大鼠大脑中动脉栓塞脑梗死模型,在不同时相点进行头颅CT扫描,测量右侧脑梗死和左侧未梗死区脑组织的CT值并求出两侧的差值。同时用免疫组化检测脑内GFAP的表达变化。结果6h组大鼠CT平扫均有明确的脑梗死灶,梗死与非梗死两侧脑组织CT值的差值与梗死时间呈直线正相关,GFAP表达与梗死时间也有一定的相关性。结论血管栓塞引起的脑梗死最早于梗死发生后6h可以诊断,并可通过脑梗死与非梗死两侧CT值的差值计算及GFAP表达变化来推测脑梗死发生的时间。Objective The CT values and glial fibrillary acidic Drotein （GFAP） expression changes within 24 hours in the cerebral infarction of rats were observed in order to evaluate the time of infarction indirectly. Methods The animal models of cerebral infarction due to the embolism of middle cerebral arteries were replicated reference to Longa＇ s thread embolism method. The rats with cerebral infarction in right hemisphere and without cerebral infarction in left cerebral hemisphere were scanned with CT at different time after cerebral infarction, then the CT values were measured and their differences were calculated. At the same time, the GFAP expression changes were detected by immunohistochemical technique （SP method）. Resuits The infarction focuses were observed in all rats in 6 hours group. The differences of the CT values in the infarction hemisphere （fight side in brain） and non-infarction （left side in brain） hemisphere had in linear relationship, and the GFAP expression also related to the time of infarction to certain degree. Conclusion Cerebral infarction due to embolism of blood vessel could be diagnosed at least 6 hours after middle cerebral artery occlusion. The time of cerebral infarction could be inferred by the difference of CT values between the infarction and non-infarction hemispheres and the changes of GFAP expression.

关 键 词：法医临床学 实验性脑梗死 断层摄影术 胶质纤维酸性蛋白(GFAP) 

分 类 号：D919[医药卫生—法医学]