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预先静脉注射维生素C对兔脊髓缺血再灌注损伤的保护作用
引用本文:李贵振,杨勇,刘朝旭,吴华.预先静脉注射维生素C对兔脊髓缺血再灌注损伤的保护作用[J].国外医学:物理医学与康复学分册,2009,4(4):238-240.
作者姓名:李贵振  杨勇  刘朝旭  吴华
作者单位:华中科技大学同济医学院附属同济医院骨科,武汉,430030 
摘    要:目的:探讨预先静脉注射维生素C注射液对免脊髓缺血再灌注损伤的作用,并为其临床应用提供依据。方法:30只成年雄性家兔随机分成假手术组(A组)、缺血对照组(B组)、维生素c组(c组)各10只。A组仅松套腹主动脉;B组阻断左肾动脉下腹主动脉40min后再灌注4d,建立脊髓缺血再灌注损伤模型;C组于阻断腹主动脉前15min一次性静脉注射维生素c注射液0.5g/kg,其余操作同B组。于缺血即刻,再灌注即刻、2h、4h、8h、16h测定血清丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性;于再灌注24h、48h和96h采用Tarlov评分评定后肢神经功能;于再灌注96h观察脊髓组织病理学改变。结果:缺血再灌注各时点,家兔血清MDA含量:A组〈C组〈B组;SOD活性:A组〉c组〉B组;B组和c组间差异有统计学意义(P%0.05)。于各评定时间点,A组家兔无瘫痪,B组10只均完全性瘫痪,C组仅3只完全性瘫痪,B组和C组间差异有统计学意义(P〈0.05)。于再灌注96h与B组比较,C组家兔脊髓前角正常神经细胞数较多,凋亡神经元较少(P〈0.05)。结论:预先静脉注射维生素C对免脊髓缺血再灌注损伤有较好的保护作用。

关 键 词:脊髓  缺血  再灌注损伤  维生素c

The Protective Effect of Vitamin-C Intravenous Infusion on Rabbits Subjected to Ischemia-reperfusion after Spinal Cord Injury
LI Gui-zhen,YANG Yong,LIU Chao-xu,WU Hua.The Protective Effect of Vitamin-C Intravenous Infusion on Rabbits Subjected to Ischemia-reperfusion after Spinal Cord Injury[J].Neural Injury and Functional Reconstruction,2009,4(4):238-240.
Authors:LI Gui-zhen  YANG Yong  LIU Chao-xu  WU Hua
Institution:LI Gui-zhen,YANG Yong,LIU Chao-xu,WU Hua.Department of Orthopaedics,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective:To investigate the protective effect of vitamin-C Intravenous infusion on rabbits subjected to ischemia-reperfusion(I-R) injury after spinal cord ischemia.Methods:Thirty rabbits were randomly divided into three groups,A(sham operated,no I-R injury),B(control group,only with I-R injury),and C(I-R injury plus vitamin-C intravenous infusion).Spinal cord ischemia was induced by clamping the abdominal aorta below the left renal artery for 40 minutes.The animals in group C have been injected with vitami...
Keywords:spinal cord  ischemia  reperfusion injury  vitamin-C  
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