氯胺酮对兔缺血性脊髓损伤的保护作用。
Protective effect of ketamine on ischemic spinal cord injury in rabbits.
作者信息
Yu Qi Jing, Zhou Qing Shan, Huang Hai Bo, Wang Yan Lin, Tian Shu Fang, Duan Dai Ming
机构信息
Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
出版信息
Ann Vasc Surg. 2008 May-Jun;22(3):432-9. doi: 10.1016/j.avsg.2008.03.003.
We tested our hypothesis that a commonly used anesthetic, ketamine, may offer benefits to protect animals from spinal cord injury, using the ischemia/reperfusion (I/R) injury rabbit model in a randomized controlled study. We used 24 white adult Japanese rabbits from the animal facility at the Medical College of Wuhan University. The rabbits were randomly assigned to one of three groups, eight rabbits per group: group I, sham-operation group; group II, I/R group; group III, I/R with ketamine treatment group. Spinal cord ischemia was induced by infrarenal aortic cross-clamp for 45 min in group II and group III, and ketamine was intravenously infused at 10 mg/kg in 15 mL 0.9% sodium chloride at a speed of 1.5 mL/min to animals in group III, once at 10 min before aortic clamping and once at the onset of reperfusion. Postoperative neurological function, electromyography of rear limbs, histopathology, malondialdehyde (MDA) levels, and superoxide dismutase (SOD) activity in the spinal cord were assessed in all animals. Compared with the control group I, group II showed significant I/R injury-induced changes in neurological function scores, histopathology, and electromyography (p < 0.01). However, group III with ketamine treatment significantly reversed the changes in all these parameters (p < 0.01). At the same time, the I/R-induced increase in MDA content observed in group II was also significantly reduced in group III (p < 0.01), and the I/R-induced decreases in SOD activity were also significantly prevented in group III (p < 0.01). After ketamine treatment, all parameters examined in group III were not significantly different from those obtained in group I. Ketamine showed potent protective effects against spinal cord I/R injury in the rabbit model and protected loss of antioxidant activity in spinal cord tissues.
在一项随机对照研究中,我们使用缺血/再灌注(I/R)损伤兔模型,验证了我们的假设:一种常用麻醉剂氯胺酮可能对保护动物免受脊髓损伤有益。我们选用了武汉大学医学院动物实验中心的24只成年白色日本兔。将兔子随机分为三组,每组8只:第一组为假手术组;第二组为I/R组;第三组为氯胺酮治疗I/R组。在第二组和第三组中,通过肾下腹主动脉交叉夹闭45分钟诱导脊髓缺血,第三组动物在主动脉夹闭前10分钟及再灌注开始时,以1.5 mL/分钟的速度静脉输注10 mg/kg氯胺酮(溶于15 mL 0.9%氯化钠溶液中)。评估所有动物术后的神经功能、后肢肌电图、组织病理学、丙二醛(MDA)水平以及脊髓中超氧化物歧化酶(SOD)活性。与对照组第一组相比,第二组在神经功能评分、组织病理学和肌电图方面出现了I/R损伤诱导的显著变化(p < 0.01)。然而,氯胺酮治疗的第三组显著逆转了所有这些参数的变化(p < 0.01)。同时,第二组中观察到的I/R诱导的MDA含量增加在第三组中也显著降低(p < 0.01),并且第三组也显著预防了I/R诱导的SOD活性降低(p < 0.01)。氯胺酮治疗后,第三组中检测的所有参数与第一组获得的参数无显著差异。氯胺酮在兔模型中对脊髓I/R损伤显示出强大的保护作用,并保护了脊髓组织中抗氧化活性的丧失。