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肢体远隔缺血后适应对SD大鼠脑缺血再灌注损伤的影响
引用本文:蒲举,;姚声涛.肢体远隔缺血后适应对SD大鼠脑缺血再灌注损伤的影响[J].河北北方学院学报(医学版),2014(4):10-14.
作者姓名:蒲举  ;姚声涛
作者单位:[1]南充市中心医院,中国南充637100; [2]遵义医学院附属医院脑血管病科,中国遵义563000
基金项目:遵义市科技局与遵艾医院科技合作项目(No.2010017)
摘    要:目的:研究肢体远隔缺血后适应(limbremoteisehemiepostconditioning,RIP)对脑缺血再灌注损伤的影响。方法:建造大脑中动脉闭塞模型,予以双下肢远隔缺血后适应,采用Bederson评分法对雄性SD大鼠脑缺血后12、24、72h进行评分,运用磁共振T2加权像(T2-WeightedImaging,T2WI)计算梗死体积。结果:RIP组大鼠24h后Bederson评分较再灌注模型组评分减少,差异有统计学意义(P〈0.05),据T2WI算得RIP组脑梗死体积在12、24、72h均较再灌注模型组减少,差异有统计学意义(P〈0.05)。结论:RIP减少缺血后24h神经功能评分,减少梗死体积,具有减轻再灌注损伤作用。

关 键 词:远隔缺血后适应  再灌注损伤  神经功能评分

Effects of Limb Remote Ischemic Postconditioning on Cerebral Ischemia-Reperfusion Injury
Institution:PU Ju, YAO Sheng-tao( 1. Nanchong Central Hospital, Nanchong, 637100, China 2. Department of Cerebral Vascular Diseases, Affiliated Hospital of Zunyi Medical College, Zunyi, 563000, China)
Abstract:Objective:To study the effects of limb remote ischemic postconditioning (RIP) on reducing brain damage in cerebral ischemia-reperfusion (I-R). Methods:Ischemia-reperfusion injury and remote ischemic postconditioning models were established in rats. The neurological deficit scores were assessed (Bederson score) at 12,24 and 72 h post-surgeries. T2-Weighted Imaging of magnetic resonance imaging (MRI) was used to determine the infarct volume at 12,24,72 h. Results:Compared with the model groups,the neurological deficit scores were decreased in 24 h groups (P〈0.05).The volume of infraction in RIP groups was significantly smaller than those in the model groups after ischemia at each time point. Conclusion:RIP reduces the neurological deficit scores at 24 h after ischemia, alleviates the volume of cerebral infraction from 12 h to 72 h after ischemia, suggesting that RIP can decrease cerebral ischemia reoerfusion injury.
Keywords:remote ischemic postconditioning  ischemia-reperfusion  neurological deficitscores
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