首页|异氟醚与七氟醚预处理诱导大鼠快速脑缺血耐受效应的对比

异氟醚与七氟醚预处理诱导大鼠快速脑缺血耐受效应的对比

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目的:探讨1倍最低肺泡有效浓度(1 MAC)的异氟醚和七氟醚预处理是否能够诱导大鼠快速脑缺血耐受,并比较两者预处理的保护效应有无差异.方法:42只雄性SD大鼠随机分为3组(每组14只):对照组,异氟醚组,七氟醚组.分别接受970 mL/L O2,1 MAC的异氟醚(15 mL/L异氟醚+970 mL/L O2),1 MAC的七氟醚(24 mL/L七氟醚+970 mL/L O2)预处理1 h.从各组中随机抽取4只大鼠在预处理前后监测平均动脉压(MAP)和血气.其余大鼠在预处理1 h后行局灶性脑缺血,2 h后恢复灌注至72 h.分别在再灌注24,48,72 h进行神经功能评分(NBS),72 h评分后取脑染色计算脑梗死容积百分比.结果:异氟醚组和七氟醚组的NBS在3个时间点都明显优于对照组(P<0.05),异氟醚组和七氟醚组的脑梗死容积百分比分别为(31.9±3.7)%和(38.5±2.3)%,明显小于对照组[(48.6±2.2)%,P=0.001,P=0.032].比较异氟醚组和七氟醚组的NBS和梗死容积百分比均无统计学意义.结论:1 MAC的异氟醚和七氟醚预处理可以诱导大鼠快速脑缺血耐受,减轻局灶性脑缺血再灌注损伤,且两者的保护效应相似.
Comparison of isoflurane-induced and sevoflurane-induced preconditioning for rapid brain ischemic tolerance in rats
AIM:To investigate whether preconditioning with isoilurane (Iso) and sevoflurane (Sevo) could induce rapid tolerance to focal cerebral ischemia in rats and to compare their neuro-protective effects against cerebral ischemic injury. METHODS: Forty-two male SD rats weighing 280 - 320 g were randomly assigned into 3 groups ( n = 14,each group). Animals in Control,Iso and Sevo groups received preconditioning with 970 mL/L O2,1 minimum alveolar concentration ( MAC,15 mL/L) isoflurane in 970 mL/L O2 and 1 MAC (24 mL/L) sevoflurane in 970 mL/L O2 for 1 h respectively. Four rats of each group were randomly assigned to mean artery pressure ( MAP) monitoring and artery blood gas analysis at the onset and the end of preconditioning. At 1h after preconditioning,the other rats were subjected to the right middle cerebral artery occlusion ( MCAO) for 2 h,followed by reperfusion for 72 h. The neurological behavior scores (NBS) were assessed at 24,48,and 72 h after reperfusion. The percentage of infarct volume was determined at 72 h after reperfusion. RESULTS: The NBS of Iso group and Sevo group at 24,48 and 72 h after reperfusian were significantly higher than those of Control group (P < 0.05 ). The percentage of infarct volume in Iso group and Sevo group was (31. 9 ± 3. 7)% and (38. 5 ± 2.3) %,significantly lower than that in Control group [ (48. 6 ± 2.2) %,P = 0.001 and P = 0.032,respectively ]. No significant difference was found in NBS and infarct volume between Iso group and Sevo group. CONCLUSION: Preconditioning with 1 MAC isoilurane or 1 MAC sevoflurane induces rapid brain ischemic tolerance in rats subjected to focal cerebral ischemia,with similar neuroprotective effects.

anesthesia,inhalationischemic preconditioningreperfusion injurybrain

曾甜、王强、熊利泽

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第四军医大学西京医院麻醉科,陕西,西安,710033

麻醉,吸入 缺血预处理 再灌注损伤

国家自然科学基金

30571793

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(12)
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