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实验大鼠轻中型闭合性脑损伤昏迷指标与分级标准

Coma Criterion and classification Standard of Mild and Moderate Traumatic Brain Injury in Rats

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【作者】 于建云李俊祥郭泽云赵小林赵旭东

【Author】 YU Jian-yun1,3, LI Jun-xiang1, GUO Ze-yun2, ZHAO Xiao-lin1, ZHAO Xu-dong4 (1.Department of Forensic Medicine, Kunming Medical College, Kunming 650031,China;2.Department of histology and embryology, Kunming Medical College, Kunming 650031,China;3.Department of Trauma Brain Injury,Kunming Medical College, Kunming 650031,China;4. Department of psychiatry, Kunming Medical College, Kunming 650031,China)

【机构】 昆明医学院法医学院昆明医学院组胚教研室昆明医学院精神病学教研室 云南昆明650031 昆明医学院脑损伤研究室云南昆明650031

【摘要】 目的为使实验室间的研究数据可比,特建立大鼠轻型和中型闭合性脑损伤分级的昏迷量化标准。方法利用自制金属单摆装置复制大鼠脑损伤动物模型,按照大鼠脑损伤后昏迷反应程度进行呼吸暂停时间,角膜反射、外耳道刺激反应、翻正反射及针刺疼痛反应消失后恢复时间的实际测量与评分,结合肉眼颅脑解剖检查进行验证,对前述指标的实测值和评分赋值数据进行多元判别回归分析,建立判别方程。结果应用实测值和评分值进行轻型脑损伤判别的概率分别是88.9%和91.9%。结论该标准是一个较理想实用的大鼠轻、中型脑损伤分级标准。

【Abstract】 Objective To set up a classification standard of mild and moderate traumatic brain injury,for the purpose of reliable data comparison derived from different laboratories. Methods Traumatic brain injury (TBI) in rats was prepared by using a metallic pendulum-striker device. After injury, five variable parameters including the time of apnea and the areflexia, time of corneal reflex, external auditory canal stung reaction, body-righting reflex and needling reaction were determined and scored by using rat coma criterion. These data were judged and classified into mild and moderate head injury by brain patho-anatomy changes. Then the data were used to set up a multivariate discriminate equation.Results The distinguished probability of mild and moderate TBI according to actual direct measured value and the criterion were 88.9% and 91.9%, respectively. Conclusion This method is able to classify mild and moderate TBI in rats.

【基金】 国家自然科学基金资助项目(39160076,30160027);云南省自然科学基金资助项目(2001C0048M)
  • 【文献出处】 法医学杂志 ,Journal of Forensic Medicine , 编辑部邮箱 ,2008年01期
  • 【分类号】D919
  • 【被引频次】51
  • 【下载频次】364
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