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作 者:刘尊涛[1] 陈锁成[1] 韩家付[1] 陈明治[1]
出 处:《江苏大学学报(医学版)》2008年第5期396-399,I0002,共5页Journal of Jiangsu University:Medicine Edition
摘 要:目的:探讨神经元型一氧化氮合酶(nNOS)在深低温停循环(deep hypothermic circulatory arrest,DHCA)大鼠中的脑损伤作用。方法:154只健康SD大鼠随机分为4组:假手术组、DHCA组、7-硝基吲唑(7-NI)组和花生油组,后3组再分为DHCA术后2,6,12和24 h 4个亚组。假手术组与24 h亚组各16只大鼠,其余亚组各10只大鼠,冰块包埋体温降至21℃时阻断双侧颈总动脉建立DHCA模型。观察特异性nNOS抑制剂7-NI对脑水肿,脑组织光镜、电镜结构和脑组织丙二醛含量的影响。结果:与DHCA组相比,7-NI能减轻脑水肿(P<0.05),改善脑细胞形态,并能降低丙二醛含量(P<0.05)。结论:nNOS在DHCA脑损伤中起细胞毒性作用,7-NI有希望延长DHCA安全时限。Objective: To investigate the function of neuronal nitric oxide synthase (nNOS) in deep hypothermic circulatory arrest. Methods: One hundred and fifty-four SD rats were randomly divided into 4 groups : fake operation group ( n = 16 ), DHCA group ( n = 46 ), 7-nitroindinazole (7-NI) group ( n = 46 ), arachisoil group ( n = 46 ). The last 3 groups were each divided into 4 subgroups according to the time phase after DHCA, which was 2 h(n =10), 6 h(n =10), 12 h(n =10), 24 h(n =16). Imbedding rats by ice cubes to reduce the temperature and occlusion both common carotid arteries while the temperature reach 21℃. The effect of nNOS inhibitor 7-NI on ischemia edema, structure and contents of MDA in cerebral were studied. Results: 7-NI significantly lessened ischemic edema(P 〈0.05 ), improved neuronal cell degeneration, decreased MDA content of the brain. (P 〈 0.05 ). Conclusion: nNOS may act as a neurotoxic mediator in DHCA, and 7-NI may be used to prolong time limited of DHCA.
关 键 词:深低温停循环 一氧化氮 一氧化氮合酶 7-硝基吲唑
分 类 号:R33[医药卫生—人体生理学] R364[医药卫生—基础医学]
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