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经皮局部低温治疗兔脊髓损伤后病理与运动诱发电位的研究

The Study About Changes of Spinal Cord Histopathology,Motor Evoked Potentials After Rabbits Spinal Cord Injury with Transcutaneous Local Hypothermia Therapy

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【作者】 俞永林马天文丁光宏汪寅李信安黄煌渊

【Author】 YU Yong-Lin, MA Tian-Wen,DING Guang-Hong ,WANG Yin ,LI Xin-An ,HUANG Huang-Yuan Department of Orthopaedics, Department of Neuropathology, Huashan Hospital,Fudan University, Shanghai 200040; Department of Mechanics and Engineering Science, Fudan University, Shanghai 200433,China

【机构】 复旦大学附属华山医院骨科复复旦大学力学与工程科学系复旦大学附属华山医院神经病理室复旦大学力学与工程科学系复旦大学附属华山医院骨科 200040200040200433200040

【摘要】 目的 :探讨经皮局部低温对兔脊髓损伤的治疗作用。方法 :18只健康家兔随机均分为常温未伤组 ,常温致伤组 ,低温致伤组。保留椎板显露脊髓 ,以Allen法制作脊髓损伤模型。术毕 ,低温致伤组立即予经皮局部低温治疗 ,其他组不予治疗。各组动物分别于术前 ,术后 6、2 4h ,3d ,1、2、4周 7个时间点行Tarlov评分和MEP检查 ,并取材行病理分级。结果 :低温致伤组动物在各个时间点较常温致伤组Tarlov评分分值提高 ,MEP的N1波潜伏期缩短 ,病理损害轻。结论 :经皮局部低温对兔脊髓损伤有治疗作用

【Abstract】 Aim:To study the therapeutical effect of transcutaneous local hypothermia on rabbits spinal cord injury. Methods:18 rabbits were randomly and equally divided into the normothermia-uninjury group,normothermia-injury group and hypothermia- injury group.Exposure spinal cord without destroying lamina of vertebra and make spinal cord injury model with Allen method.After operation,treat hypothermia-injury group with ranscutaneous local hypothermia immediately, and other groups without therapy.All groups were evaluated by tTarlov score,motorevoked potentials(MEP), and pathologic study at preoperation and 6 h,24 h, 3 d,1 weeks,2 weeks,4 weeks after operation.Results:The values of Tarlov score in hypothermia-injury group are higher than normothermia-injury group and the latencies of peak N 1 wave in MEP are shorter than normothermia-injury group. In the mormothermia-injury group,the pathologic lesion is severer than in the hypothermia-injury group. Conclusion:Transcutaneous local hypothermia is medicative to rabbits spinal cord injury.

【基金】 上海市卫生局资助项目 (项目编号 0 1 4 54)
  • 【文献出处】 中国临床神经科学 ,Chinese Journal of Clinical Neurosciences , 编辑部邮箱 ,2004年01期
  • 【分类号】R651.2
  • 【被引频次】6
  • 【下载频次】77
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