巴曲酶用药次数对脑缺血再灌注沙土鼠脑保护作用的影响

目的 研究巴曲酶用药次数对脑缺血再灌注(IR)沙土鼠脑保护作用的影响.方法 沙土鼠45只,随机分为IR模型组、正常组、巴曲酶3次用药组(3次组)、5次用药组(5次组)和7次用药组(7次组).采用双侧颈总动脉夹闭5 min后再通建立沙土鼠脑IR损伤模型.3次组、5次组、7次组均在造模成功后腹腔注射巴曲酶(8 BU/kg),隔日1次,分别给药3次、5次、7次;IR模型组和正常组腹腔注射等量的生理盐水,共7次.用流式细胞仪检测各组沙土鼠海马区凋亡细胞数,电镜观察海马CA1区细胞形态.结果 巴曲酶3次组、5次组和7次组海马区凋亡细胞数显著少于IR组(均P＜0.05);5次组海马区凋亡细胞数明显少于3次组(P＜0.05),而5次组与7次组之间差异无统计学意义(P＞0.05);正常组仅有极少凋亡细胞.5次组细胞超微结构改变要轻于3次组,与7次组相比无明显差异.结论 巴曲酶3次、5次和7次用药均可减少脑IR后神经元的凋亡;但5次和7次用药的脑保护作用明显好于3次用药.

Influence of applied times of Batroxobin on neuroprotective effects in cerebral ischemic-reperfusion injury gerbils

Objective To study the influence of applied times of Batroxobin on neuroprotective effects in cerebral ischemic-reperfusion(IR) injury gerbils.Methods 45 gerbils were randomly divided into five groups:normal group;cerebral IR injury model group(IR group);three times group;five times group;seven times group.The later three groups were administered Batroxobin 8 U/kg by abdominal injection q.o.d with certain times respectively.The normal group and IR group were not given drug but isometric physiological saline.Flow cytometer was used to measure apoptotic neurons of the hippocampal CA1,meanwhile electronic microscope was used to detect the ultrastrctural change of the hippocampal CA1 region.Result The quantity of apoptotic neurons in the every Batroxobin groups were significantly less than those in the IR groups(all P<0.05),but the quantity of apoptotic neurons in five times group was significant less than that in three times group(P<0.05).However,no significant difference was found between five times group and seven times group(P>0.05).The ultrastrctural changes in five times group were lighter than those in three times group,but no significant difference was found between five times group and seven times group.Conclusion Three times,five times and seven times of Batroxobin can reduce the number of apoptotic neurons after IR injury.However,applied five times and seven times of Batroxobin has stronger neuroprotective effect than three times.