Liang You-ming, Liu Yun-sheng, Qu Hong-tao, Wang Guang-wei, Li Chuang-hua
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410078, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2004 Dec;29(6):678-81.
Objective To investigate the effect of focal hypothermia (LH) on traumatic brain edema and the content of lactic acid in rat brain tissue.
One hundred and sixty-eight adult SD rats were randomly divided into 6 groups: Group A, sham injury group; Group B, traumatic brain injury controlled group; Group C, treated by LH with water at 0 degree C; Group D, treated by LH with water at 10 degrees C; Group E, treated by LH with water at 20 degrees C; Group F, treated by LH with water at 25 degrees C. All rats except those in Group A were subjected to traumatic brain injury (TBI) with Feeney's method. LH began for animals in Group C - F 30 minutes after the TBI. Regional brain temperature reached the target temperature of 31 degrees C within 20-30 minutes and maintained for 3 hours. Each group was divided into 4 sub-groups by investigating the duration after the TBI: 1, 3, 5 or 7 day sub-group. At the end of investigation, the rats were killed and water content (WC) and concentration of lactic acid (LA) in the brain tissues were measured.
Compared with Group A, WC and LA of Group B increased significantly at each investigation duration (P < 0.05). Compared with Group B, WC and LA of Group C did not change (P > 0.05), but those of Group D, E, and F decreased significantly (P < 0.05). WC and LA of group C were the highest among Group C - F.
Focal hypothermia with water of 10 degrees C, 20 degrees C, and 25 degrees C but not 0 degrees C has some effect on traumatic brain edema and the temperature at 20 degrees C and 25 degrees C are the better. The mechanism of focal hypothermia may be associated with inhibiting acidosis of lactic acid.
目的 探讨局部低温(LH)对大鼠创伤性脑水肿及脑组织乳酸含量的影响。
168只成年SD大鼠随机分为6组:A组,假伤组;B组,创伤性脑损伤对照组;C组,用0℃水进行LH治疗;D组,用10℃水进行LH治疗;E组,用20℃水进行LH治疗;F组,用25℃水进行LH治疗。除A组外,所有大鼠均采用Feeney法造成创伤性脑损伤(TBI)。C - F组动物在TBI后30分钟开始进行LH治疗。局部脑温在20 - 30分钟内达到目标温度31℃并维持3小时。通过研究TBI后的持续时间,每组再分为4个亚组:1天、3天、5天或7天亚组。在研究结束时,处死大鼠并测量脑组织的含水量(WC)和乳酸浓度(LA)。
与A组相比,B组在各研究时间段的WC和LA均显著增加(P < 0.05)。与B组相比,C组的WC和LA无变化(P > 0.05),但D组、E组和F组的WC和LA显著降低(P < 0.05)。C组的WC和LA在C - F组中最高。
用10℃、20℃和25℃的水进行局部低温对创伤性脑水肿有一定作用,而0℃水无效,20℃和25℃的温度效果更佳。局部低温的机制可能与抑制乳酸酸中毒有关。