Hou Xin-lin, Zhou Yan-xia, Zhou Cong-le, Ding Hai-yan, Ding Hai-shu
Department of Pediatric, Peking University First Hospital, Beijing 100034, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2009 Dec 18;41(6):702-6.
To compare the newborn piglet models of hypoxic ischemic brain damage in hypoxia and hypoxia combined with occlusion of both carotid arteries.
Twenty four 7-day-old piglets were divided into two groups. Group H: mechanical ventilation with low concentration of oxygen, Group HI: mechanical ventilation with low concentration of oxygen combined with occlusion of both carotid arteries. The piglets were inhaled with 10%, 8%, and 6% low-concentration oxygen for 30 min, and grouped into mild, moderate, and severe hypoxia ones. The changes of physiological parameter, cerebral blood flow and cerebral oxygen perfusion were detected.
There were no significant differences in blood gas analysis of oxygen saturation, blood lactic acid and pH between the two groups(P>0.05).The mean arterial pressure of severe hypoxia in HI was significantly lower than in H (P<0.05). The cerebral blood flow in H and HI was relatively stable after different degrees of hypoxia. As compared with the cerebral blood flow perfusion in group H and HI, there were no significant differences between them(P>0.05). The cerebral oxygen perfusion in H and HI was significantly descent after different degrees of hypoxia(P<0.05). As compared with the cerebral oxygen perfusion in groups H and HI, there were no significant differences between them.
H and HI have the same effect on physiological parameter, cerebral volume and cerebral oxygen perfusion of newborn piglets. The mechanical ventilation with low concentration of oxygen to newborn piglets can develop the HIBD model, it is not necessary to occlude carotid arteries.
比较单纯缺氧及缺氧合并双侧颈动脉闭塞的新生仔猪缺氧缺血性脑损伤模型。
将24只7日龄仔猪分为两组。H组:低浓度氧机械通气;HI组:低浓度氧机械通气合并双侧颈动脉闭塞。仔猪吸入10%、8%和6%低浓度氧各30分钟,分为轻度、中度和重度缺氧组。检测生理参数、脑血流量和脑氧灌注的变化。
两组血氧饱和度、血乳酸和pH值的血气分析差异无统计学意义(P>0.05)。HI组重度缺氧时平均动脉压显著低于H组(P<0.05)。不同程度缺氧后H组和HI组脑血流量相对稳定。H组和HI组脑血流量灌注比较,差异无统计学意义(P>0.05)。不同程度缺氧后H组和HI组脑氧灌注均显著下降(P<0.05)。H组和HI组脑氧灌注比较,差异无统计学意义。
H组和HI组对新生仔猪生理参数、脑容积和脑氧灌注的影响相同。对新生仔猪采用低浓度氧机械通气即可建立缺氧缺血性脑损伤模型,无需闭塞颈动脉。