中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2010年
10期
1224-1226
,共3页
宛春甫%刘小立%李志华%苑进革%常淑平
宛春甫%劉小立%李誌華%苑進革%常淑平
완춘보%류소립%리지화%원진혁%상숙평
去神经支配%坐骨神经%神经传导%运动神经元
去神經支配%坐骨神經%神經傳導%運動神經元
거신경지배%좌골신경%신경전도%운동신경원
Denervation%Sciatic nerve%Neural conduction%Motor neurons
目的 评价不同神经毁损药物对大鼠坐骨神经运动神经功能的影响.方法 SD大鼠35只,随机分为7组(n=5):正常对照组(C组)、阿霉素组(Ad组)、无水乙醇组(Aa组)、8%酚甘油组(Pg1组)、10%酚甘油组(Pg2组)、12%酚甘油组(Pg3组)和庆大霉素组(Ci组).于臀肌间隙显露左侧坐骨神经,在坐骨神经穿入半膜肌和内收肌处注射相应药液各0.2 ml,C组:0.9%生理盐水,Ad组:5 mg/ml阿霉素,Aa组:无水乙醇,Pg1组:8%酚甘油,Pg2组:10%酚甘油,Pg3组:12%酚甘油,Ci组:4000 U/ml庆大霉素.于注药后21 d记录复合肌肉诱发电位波幅,并计算运动神经传导速度.结果 各组感觉神经传导速度均为0.与C组比较,其余各组运动神经传导速度和复合肌肉诱发电位波幅均明显降低(P<0.05);Ad组运动神经传导速度和复合肌肉诱发电位波幅明显高于其它药物组(P<0.05);Aa组及Pg3组运动神经传导速度和复合肌肉诱发电位波幅明显低于其余各组(P<0.05).结论与无水乙醇、酚甘油及庆大霉素相比,5%阿霉素对大鼠运动神经功能的影响较小,提示其更适合作为神经毁损药物.
目的 評價不同神經燬損藥物對大鼠坐骨神經運動神經功能的影響.方法 SD大鼠35隻,隨機分為7組(n=5):正常對照組(C組)、阿黴素組(Ad組)、無水乙醇組(Aa組)、8%酚甘油組(Pg1組)、10%酚甘油組(Pg2組)、12%酚甘油組(Pg3組)和慶大黴素組(Ci組).于臀肌間隙顯露左側坐骨神經,在坐骨神經穿入半膜肌和內收肌處註射相應藥液各0.2 ml,C組:0.9%生理鹽水,Ad組:5 mg/ml阿黴素,Aa組:無水乙醇,Pg1組:8%酚甘油,Pg2組:10%酚甘油,Pg3組:12%酚甘油,Ci組:4000 U/ml慶大黴素.于註藥後21 d記錄複閤肌肉誘髮電位波幅,併計算運動神經傳導速度.結果 各組感覺神經傳導速度均為0.與C組比較,其餘各組運動神經傳導速度和複閤肌肉誘髮電位波幅均明顯降低(P<0.05);Ad組運動神經傳導速度和複閤肌肉誘髮電位波幅明顯高于其它藥物組(P<0.05);Aa組及Pg3組運動神經傳導速度和複閤肌肉誘髮電位波幅明顯低于其餘各組(P<0.05).結論與無水乙醇、酚甘油及慶大黴素相比,5%阿黴素對大鼠運動神經功能的影響較小,提示其更適閤作為神經燬損藥物.
목적 평개불동신경훼손약물대대서좌골신경운동신경공능적영향.방법 SD대서35지,수궤분위7조(n=5):정상대조조(C조)、아매소조(Ad조)、무수을순조(Aa조)、8%분감유조(Pg1조)、10%분감유조(Pg2조)、12%분감유조(Pg3조)화경대매소조(Ci조).우둔기간극현로좌측좌골신경,재좌골신경천입반막기화내수기처주사상응약액각0.2 ml,C조:0.9%생리염수,Ad조:5 mg/ml아매소,Aa조:무수을순,Pg1조:8%분감유,Pg2조:10%분감유,Pg3조:12%분감유,Ci조:4000 U/ml경대매소.우주약후21 d기록복합기육유발전위파폭,병계산운동신경전도속도.결과 각조감각신경전도속도균위0.여C조비교,기여각조운동신경전도속도화복합기육유발전위파폭균명현강저(P<0.05);Ad조운동신경전도속도화복합기육유발전위파폭명현고우기타약물조(P<0.05);Aa조급Pg3조운동신경전도속도화복합기육유발전위파폭명현저우기여각조(P<0.05).결론여무수을순、분감유급경대매소상비,5%아매소대대서운동신경공능적영향교소,제시기경괄합작위신경훼손약물.
Objective To investigate the change in the function of the motor nerve fibers of the sciatic nerve of rat following injection of different neurolytic drugs. Methods Thirty-five SD rats weighing 350-380 g were randomly divided into 7 groups ( n = 5 each): group C received normal saline; group Ad adriamycin 5 mg/ml;group Aa anhydrous alcohol; group Pg1 8% phenol-glycerol; group Pg2 10% phenol-glycerol; group Pg3 12% phenol-glycerol and group Ci cidomycin 4000 U/ml. 0.2 ml of the different neurolytic drugs was injected at the points where the branches of the sciatic nerve entering semi-membranous and adductor magnus muscles. The action potential and conduction velocity of motor and sensory nerve fibers were measured at 21 d after injection. Results The conduction velocity of sensory nerve fibers was 0 in each group. The conduction velocity and action potential of the motor nerve fibers were significantly decreased in group Ad, Aa, Pg1, Pg2, Pg3 and Ci as compared with group C (the control group). The action potential and the conduction velocity were significantly higher in group Ad than in other neurolytic drug groups. The potential and the conduction velocity were the lowest in group Aa and Pg3.The conduction velocity in group Pg1, Pg2, Ci was comparable. Conclusion 5% adriamycin seems to be a better neurolytic drug with less interference with function of motor never fibers.