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生长激素治疗可增强坐骨神经横断修复后的功能恢复。

Growth hormone treatment enhances the functional recovery of sciatic nerves after transection and repair.

机构信息

Department of Physiology, School of Medicine, University of Santiago de Compostela, San Francisco 1, 15782 Santiago de Compostela, Spain.

出版信息

Muscle Nerve. 2012 Mar;45(3):385-92. doi: 10.1002/mus.22303.

Abstract

INTRODUCTION

Although nerves can spontaneously regenerate in the peripheral nervous system without treatment, functional recovery is generally poor, and thus there is a need for strategies to improve nerve regeneration.

METHODS

The left sciatic nerve of adult rats was transected and immediately repaired by epineurial sutures. Rats were then assigned to one of two experimental groups treated with either growth hormone (GH) or saline for 8 weeks. Sciatic nerve regeneration was estimated by histological evaluation, nerve conduction tests, and rotarod and treadmill performance.

RESULTS

GH-treated rats showed increased cellularity at the lesion site together with more abundant immunoreactive axons and Schwann cells. Compound muscle action potential (CMAP) amplitude was also higher in these animals, and CMAP latency was significantly lower. Treadmill performance increased in rats receiving GH.

CONCLUSION

GH enhanced the functional recovery of the damaged nerves, thus supporting the use of GH treatment, alone or combined with other therapeutic approaches, in promoting nerve repair.

摘要

简介

尽管神经在周围神经系统中可以不经治疗而自发再生,但功能恢复通常较差,因此需要采取策略来改善神经再生。

方法

成年大鼠的左侧坐骨神经被切断,并立即通过神经外膜缝合修复。然后,将大鼠分为两组,分别用生长激素(GH)或生理盐水治疗 8 周。通过组织学评估、神经传导测试以及旋转棒和跑步机测试来评估坐骨神经再生。

结果

GH 治疗组在损伤部位的细胞数量增加,免疫反应性轴突和施万细胞也更丰富。这些动物的复合肌肉动作电位(CMAP)幅度也更高,CMAP 潜伏期显著降低。接受 GH 治疗的大鼠在跑步机上的表现有所提高。

结论

GH 增强了受损神经的功能恢复,因此支持单独使用 GH 治疗或与其他治疗方法联合使用,以促进神经修复。

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