中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2014年
2期
147-150
,共4页
杨美华%王苗苗%胡南%王超%李依泽%王海云%王国林
楊美華%王苗苗%鬍南%王超%李依澤%王海雲%王國林
양미화%왕묘묘%호남%왕초%리의택%왕해운%왕국림
麻醉药,吸入%小神经胶质细胞%星形细胞%老年人%海马
痳醉藥,吸入%小神經膠質細胞%星形細胞%老年人%海馬
마취약,흡입%소신경효질세포%성형세포%노년인%해마
Anesthetics,inhalation%Microglia%Astrocytes%Aged%Hippocampus
目的 探讨七氟醚麻醉对老龄大鼠海马胶质细胞活化的影响.方法 健康雄性Wistar大鼠104只,体重600 ~ 650 g,19 ~ 20月龄,采用随机数字表法分为2组(n=52):对照组(C组)和七氟醚组(S组).S组行胫骨骨折切开复位内固定手术,吸入3.6%七氟醚2h进行麻醉.于术后1、3和7d进行Y迷宫实验和恐惧条件化训练实验,并取海马组织,采用免疫荧光法检测小胶质细胞和星形胶质细胞的活化程度,采用Western blot法检测IL-6和TNF-α的表达水平.结果 与C组比较,S组各个臂内穿梭次数总和减少,N臂停留时间缩短,条件诱导僵直时间百分比和场景相关僵直时间百分比降低,海马小胶质细胞和星形胶质细胞活化水平升高,海马IL-6和TNF-α表达上调(P<0.05).结论 七氟醚麻醉诱发的老龄大鼠术后认知功能障碍可能与增强海马胶质细胞活化有关.
目的 探討七氟醚痳醉對老齡大鼠海馬膠質細胞活化的影響.方法 健康雄性Wistar大鼠104隻,體重600 ~ 650 g,19 ~ 20月齡,採用隨機數字錶法分為2組(n=52):對照組(C組)和七氟醚組(S組).S組行脛骨骨摺切開複位內固定手術,吸入3.6%七氟醚2h進行痳醉.于術後1、3和7d進行Y迷宮實驗和恐懼條件化訓練實驗,併取海馬組織,採用免疫熒光法檢測小膠質細胞和星形膠質細胞的活化程度,採用Western blot法檢測IL-6和TNF-α的錶達水平.結果 與C組比較,S組各箇臂內穿梭次數總和減少,N臂停留時間縮短,條件誘導僵直時間百分比和場景相關僵直時間百分比降低,海馬小膠質細胞和星形膠質細胞活化水平升高,海馬IL-6和TNF-α錶達上調(P<0.05).結論 七氟醚痳醉誘髮的老齡大鼠術後認知功能障礙可能與增彊海馬膠質細胞活化有關.
목적 탐토칠불미마취대노령대서해마효질세포활화적영향.방법 건강웅성Wistar대서104지,체중600 ~ 650 g,19 ~ 20월령,채용수궤수자표법분위2조(n=52):대조조(C조)화칠불미조(S조).S조행경골골절절개복위내고정수술,흡입3.6%칠불미2h진행마취.우술후1、3화7d진행Y미궁실험화공구조건화훈련실험,병취해마조직,채용면역형광법검측소효질세포화성형효질세포적활화정도,채용Western blot법검측IL-6화TNF-α적표체수평.결과 여C조비교,S조각개비내천사차수총화감소,N비정류시간축단,조건유도강직시간백분비화장경상관강직시간백분비강저,해마소효질세포화성형효질세포활화수평승고,해마IL-6화TNF-α표체상조(P<0.05).결론 칠불미마취유발적노령대서술후인지공능장애가능여증강해마효질세포활화유관.
Objective To evaluate the effect of sevoflurane anesthesia on activation of gliocytes in aged rat hippocampi.Methods One hundred and four male Wistar rats,weighing 600-650 g,were randomly divided into 2 groups (n =52 each) using a random number table:control group (group C) and sevoflurane group (group S).Group S inhaled 3.6% sevoflurane for 2 h,and open reduction and internal fixation was performed after tibial fracture was induced.Y-maze test and fear conditioning test were carried out on days 1,3 and 7 after surgery.Six rats of each group were chosen on days 1,3 and 7 after surgery and hippocampi were removed to detect the activation of microglias and astrocytes (by immunofluorescence) and expression of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) (by Western blot).Results Compared with group C,the number of entries into each arm was significantly reduced,the duration of N arm stay was shortened,the percentage of time spent freezing induced by condition and the percentage of time spent freezing induced by context were decreased,and the activation of microglias and astrocytes was increased,and the expression of IL-6 and TNF-α was up-regulated in S groups (P < 0.05).Conclusion Sevoflurane-induced postoperative cognitive dysfunction may be related to enhanced activation of gliocytes in aged rat hippocampi.