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类固醇与低温联合治疗实验性脊髓损伤

Combined steroid and hypothermia treatment of experimental spinal cord injury.

作者信息

Kuchner E F, Hansebout R R

出版信息

Surg Neurol. 1976 Dec;6(6):371-6.

PMID:1006512
Abstract

Canine spinal cords were compressed at T-13 by an epidural balloon maintained at 160 mm Hg for one hour. After seven weeks, mean motor ratings of dogs treated with either parenteral dexamenthasone or non-irrigative local hypothermia (on the dorsal dura mater at 6 degrees C for four hours) indicated ability to walk well, whereas untreated dogs could not walk. A third treatment group received both dexamethasone and delayed local hypothermia; this group performed poorly in early weeks, but eventually surpassed the other groups and became the only group to attain a final mean motor rating which was superior to that of controls at a significance level of p less than .01. Hypothermia was induced by means of a miniature epidural heat exchanger which eliminated tissue irrigation as a possible experimental variable. The possible mechanisms of action of hypothermia are reviewed.

摘要

犬类脊髓在T-13处被一个维持在160毫米汞柱的硬膜外球囊压迫一小时。七周后,接受肠胃外给予地塞米松或非灌注性局部低温治疗(在硬脊膜背侧6摄氏度持续四小时)的犬类的平均运动评分表明它们能够正常行走,而未治疗的犬类则无法行走。第三个治疗组同时接受了地塞米松和延迟局部低温治疗;该组在最初几周表现不佳,但最终超过了其他组,成为唯一一组最终平均运动评分在p小于0.01的显著水平上优于对照组的组。低温是通过一个微型硬膜外热交换器诱导产生的,该热交换器消除了组织灌注这一可能的实验变量。文中对低温可能的作用机制进行了综述。

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引用本文的文献

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Front Vet Sci. 2020 Oct 15;7:579933. doi: 10.3389/fvets.2020.579933. eCollection 2020.
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Intraoperative Targeted Temperature Management in Acute Brain and Spinal Cord Injury.急性脑和脊髓损伤的术中目标温度管理。
Curr Neurol Neurosci Rep. 2016 Feb;16(2):18. doi: 10.1007/s11910-015-0619-0.
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Protection and Repair After Spinal Cord Injury: Accomplishments and Future Directions.
脊髓损伤后的保护与修复:成就与未来方向。
Top Spinal Cord Inj Rehabil. 2015 Spring;21(2):174-87. doi: 10.1310/sci2102-174. Epub 2015 Apr 12.
4
Hypothermic treatment for acute spinal cord injury.低温治疗急性脊髓损伤。
Neurotherapeutics. 2011 Apr;8(2):229-39. doi: 10.1007/s13311-011-0035-3.
5
Protection in animal models of brain and spinal cord injury with mild to moderate hypothermia.轻度至中度低温对脑和脊髓损伤动物模型的保护作用。
J Neurotrauma. 2009 Mar;26(3):301-12. doi: 10.1089/neu.2008.0806.
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Correlation of alterations on Na(+)-K+/Mg+2 ATPase activity, lipid peroxidation and ultrastructural findings following experimental spinal cord injury with and without intravenous methylprednisolone treatment.
Neurosurg Rev. 1995;18(1):35-44. doi: 10.1007/BF00416476.
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Current concepts in the immediate management of acute spinal cord injuries.急性脊髓损伤即时处理的当前概念
Can Med Assoc J. 1979 Dec 8;121(11):1453-64.