首页|缺血时间对兔脊髓缺血损伤程度的影响

缺血时间对兔脊髓缺血损伤程度的影响

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目的:探讨腹主动脉阻断不同时间对兔脊髓缺血损伤程度的影响,为筛选神经保护药选择适宜的模型.方法:30只新西兰大白兔随机分为5组(n=6):脊髓缺血10 min(I10),20 rain(I20),30 min(I30),40 min(I40)及假手术(SHAM)组.再灌注后4,8,12,24,48 h行后肢运动功能评分.评分完毕后,取L5~L7脊髓组织行HE及TUNEL染色,光镜下观察HE染色结果并计数脊髓前角正常神经元与凋亡神经元.结果:①再灌注后个时间点140组兔表现为完全瘫痪;110组免除一只不能站立外,其余全部正常,120与130组后肢运动功能介于110组与140组之间;②再灌注48 h脊髓切片HE染色显示140组兔脊髓损伤严重,呈大量的空泡变性;110组兔脊髓损伤轻微;120和130组兔脊髓损伤程度介于110组和140组之间;③140组及SHAM组基本未见TUNEL阳性神经元;120组脊髓前角TUNEL阳性神经元计数明显多于140及SHAM组(P<O.05),与110及130组没有统计学差异.结论:120组脊髓损伤适度,是筛选神经保护药适宜的脊髓缺血模型.
Effect of different time of ischemia on the intensity of spinal cord injury in rabbits
AIM: To observe the intensity of spinal cord ische-mic injuries induced by different time of ischemia in rabbits and identify a more sensitive model for the evaluation of neuropretec-tive drugs. METHODS: Thirty New Zealand rabbits were divided into S groups; animals in the ischemia groups went through spinal cord ischemia for 10 min (I10) , 20 min (I20) , 30 min (DO) or 40 min (I40) , while animals in the sham group just had their aorta dissected without cross clamped ( SHAM ). Neurologic function evaluation was done at 4, 8, 12, 24 and 48 h after reper-fusion according to the modified Tarlov criteria. The lumbar spinal cords were collected after the evaluation and stained with HE and TUNEL to appraise morphological and apoptotic changes under microscope. RESULTS: ① All animals in I40 group showed absolute paraplegia in all time points after reperfusion ( Score 0). All animals but one in group I10 showed normal hind limb motor function. And the Tarlov score of animals in group I20 and group I30 were between that of group I10 and group I40. (② The HE staining showed that the spinal cord of rabbits in group I40 exhibited severe spinal cord injury with extensive vacuolation of gray matter while the rabbits in group I10 showed slight injury; the intensity of injury in I20 and I30 groups was between I10 and I40 groups. ③ The number of TUNEL positive neurons in the spinal cord of group I20 was significantly more than that of group I40 and the SHAM group. There were no differences with that of group I10 and group I30. CONCLUSION: Twenty min of spinal cord ischemia could produce moderate injury that might be the most sensitive and appropriate model for the evaluation of neuroprotec-tive drugs for spinal cord ischemic injury.

spinal cord ischemiatimedrug evaluationnecrosisapoptosis

邓姣、马丽、王枫、桑韩飞、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

脊髓缺血 时间 药物评价 坏死 凋亡

国家自然科学基金杰出青年科学基金

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(23)
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