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机构地区:[1]徐州医学院江苏省麻醉学重点实验室,221002 [2]徐州医学院附属医院麻醉科
出 处:《中华麻醉学杂志》2009年第4期372-375,共4页Chinese Journal of Anesthesiology
基 金:基金项目:江苏省卫生厅资助项目(H200723);江苏省教育厅重大课题(08KJA320001)
摘 要:目的探讨浅低温联合七氟烷对大鼠海马脑片氧糖缺失损伤的影响。方法雄性SD大鼠,体重80~100g,断头处死,剥离海马,制备脑片。取符合标准的海马脑片32片,随机分为4组(n=8):氧糖缺失组(OGD组)、七氟烷组(Sev组)、浅低温组(MH组)和浅低温+七氟烷组(MH+Sev组)。OGD组和MH组分别于37℃或32℃下用经95%N2-5%CO2混合气体饱和的无糖(氧糖缺失)人工脑脊液(ACSF)灌流脑片14min;Sev组和MH+Sev组分别于37℃或32℃下用预先经4%七氟烷平衡的有氧有糖ACSF灌流脑片14min,再用预先经4%七氟烷平衡的氧糖缺失ACSF灌流脑片14min。记录海马CA1区缺氧到复氧1h期间的顺向群峰电位(OPS)。采用比色法测定乳酸脱氢酶(LDH)释放率。结果与OGD组比较,Sev组和MH组OPS消失时间延长,OPS恢复程度升高,MH组LDH释放率降低(P〈0.05或0.01);与MH组比较,MH+Sev组OPS消失时间延长,OPS恢复程度和恢复率升高,LDH释放率降低(P〈0.05或0.01);与Sev组比较,MH+Sev组OPS消失时间延长,OPS恢复程度和恢复率升高,LDH释放率降低(P〈0.05或0.01)。结论浅低温(32℃)联合4%七氟烷可减轻大鼠海马脑片氧糖缺失损伤。Objective To investigate the effects of mild hypothermia combined with sevoflurane on oxygen-glucose deprivation injury in rat hippocampal slices. Methods Male SD rats weighing 80-100 g were anesthetized with ether and decapitated. The hippocampus were removed and sagittally sliced (400 μm thick) and placed in artificial cerebrospinal fluid (ACSF) aerated with 95 % O2-5 % CO2 . Thirty-two hippoeampal slices were randomly divided into 4 groups ( n = 8 each) : group Ⅰ OGD ; group Ⅱ sevoflurane ( Sev ) ; group m mild hypothermia(MH) and group Ⅳ MH + Sev. In group Ⅰ and Ⅲ, the hippoeampal slices were perfused with glucose-free ACSF and aerated with 95 % N2-5 % CO2 for 14 min at 370C and 32℃ respectively. In group Ⅱ and Ⅳ, the hippocampal slices were perfused with oxygenated, glucose-containing ACSF saturated with 4% sevoflurane for 14 min, then perfused with oxygen/glucose-deficient ACSF saturated with 4% sevoflurane at 37℃ and 32℃ respectively. Electrophysiologieal technique was used to record the amplitude of orthodromic population spike (OPS) in the stratum pyramidale of CA1 region during OGD and 1 h reoxygenation. The release rate of LDH was determined using chromatometry. Results Compared with group Ⅰ , the disappearance time of OPS was significantly prolonged, the recovery amplitude of OPS was significantly increased in group Ⅱ and Ⅲ and the release rate of LDH was significantly decreased in group Ⅲ ( P 〈 0.05 or 0.01). Compared with group Ⅲ , the disappearance time of OPS was significantly prolonged, the recovery amplitude and rate of OPS were significantly increased and the release rate of LDH was significantly decreased in group Ⅳ ( P 〈 0.05 or 0.01 ). Compared with group Ⅱ , the disappearance time of OPS was significantly prolonged, the recovery amplitude and rate of OPS were significantly increased and the release rate of LDH was significantly decreased in group Ⅳ ( P 〈 0.05 or 0.01 ). Conclusion Combination of mild hypothe
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