Hakan Tayfun, Berkman M Zafer, Ersoy Turgay, Karataş Ismail, San Tangül, Arbak Serap
Department of Neurosurgery, Haydarpaşa Numune Teaching and Research Hospital, Istanbul, Turkey.
J Clin Neurosci. 2008 Jan;15(1):55-9. doi: 10.1016/j.jocn.2006.10.010. Epub 2007 Nov 26.
Cerebral vasospasm influences morbidity and mortality following subarachnoid haemorrhage (SAH). Inflammation is believed to play a role in post-haemorrhagic vasospasm. Meloxicam is a non-steroidal anti-inflammatory drug. We investigated the effect of meloxicam on a rat femoral artery vasospasm model using the radial wall thickness and cross-sectional lumen area as parameters under light, scanning and transmission electron microscopy examination. Rats were randomly separated into SAH, SAH+ meloxicam and control groups. Rats in the SAH+ meloxicam group were given meloxicam at 2 mg/kg daily for 7 days. Femoral arteries were examined by light microscopy and scanning and transmission electron microscopy, and for morphometric analysis. A statistically significant difference (p<0.001) was detected between the SAH and SAH+ meloxicam groups. Meloxicam treatment reduced ultrastructural and morphometric vasospastic changes. These findings support the hypothesis that inflammation may play a role in the pathophysiologyical pathways of post-haemorrhagic cerebral vasospasm.
脑血管痉挛会影响蛛网膜下腔出血(SAH)后的发病率和死亡率。炎症被认为在出血后血管痉挛中起作用。美洛昔康是一种非甾体抗炎药。我们以大鼠股动脉血管痉挛模型为研究对象,在光学、扫描和透射电子显微镜检查下,以径向壁厚度和横截面管腔面积为参数,研究了美洛昔康的作用。大鼠被随机分为SAH组、SAH+美洛昔康组和对照组。SAH+美洛昔康组的大鼠每天给予2mg/kg美洛昔康,持续7天。通过光学显微镜、扫描和透射电子显微镜对股动脉进行检查,并进行形态计量分析。SAH组和SAH+美洛昔康组之间检测到统计学上的显著差异(p<0.001)。美洛昔康治疗减少了超微结构和形态计量学上的血管痉挛变化。这些发现支持了炎症可能在出血后脑血管痉挛的病理生理途径中起作用这一假说。