Moral Ali Reşat, Çankayalı İlkin, Sergin Demet, Boyacılar Özden
Department of Anaesthesiology and Reanimation, Division of Intensive Care, Ege University Faculty of Medicine, İzmir, Turkey.
Turk J Anaesthesiol Reanim. 2015 Oct;43(5):337-43. doi: 10.5152/TJAR.2015.13471. Epub 2015 Aug 21.
The incidence of accidental or suicidal ingestion of methyl alcohol is high and methyl alcohol intoxication has high mortality. Methyl alcohol intoxication causes severe neurological sequelae and appears to be a significant problem. Methyl alcohol causes acute metabolic acidosis, optic neuropathy leading to permanent blindness, respiratory failure, circulatory failure and death. It is metabolised in the liver, and its metabolite formic acid has direct toxic effects, causing oxidative stress, mitochondrial damage and increased lipid peroxidation associated with the mechanism of neurotoxicity. Methanol is known to cause acute toxicity of the central nervous system; however, the effects on peripheral neuromuscular transmission are unknown. In our study, we aimed to investigate the electrophysiological effects of experimentally induced acute methanol intoxication on neuromuscular transmission in the early period (first 24 h).
After approval by the Animal Experiment Ethics Committee of Ege University, the study was carried out on 10 Wistar rats, each weighing about 200 g. During electrophysiological recordings and orogastric tube insertion, the rats were anaesthetised using intra-peritoneal (IP) injection of ketamine 100 mg kg(-1) and IP injection of xylazine 10 mg kg(-1). The rats were given 3 g kg(-1) methyl alcohol by the orogastric tube. Electrophysiological measurements from the gastrocnemius muscle were compared with baseline.
Latency measurements before and 24 h after methanol injection were 0.81±0.11 ms and 0.76±0.12 ms, respectively. CMAP amplitude measurements before and 24 h after methanol injection were 9.85±0.98 mV and 9.99±0.40 mV, respectively. CMAP duration measurements before and 24 h after methanol injection were 9.86±0.03 ms and 9.86±0.045 ms, respectively.
It was concluded that experimental methanol intoxication in the acute phase (first 24 h) did not affect neuromuscular function.
甲醇意外或自杀性摄入的发生率较高,甲醇中毒死亡率也很高。甲醇中毒会导致严重的神经后遗症,似乎是一个重大问题。甲醇会引发急性代谢性酸中毒、导致永久性失明的视神经病变、呼吸衰竭、循环衰竭及死亡。它在肝脏中代谢,其代谢产物甲酸具有直接毒性作用,会引起氧化应激、线粒体损伤以及与神经毒性机制相关的脂质过氧化增加。已知甲醇会导致中枢神经系统急性中毒;然而,其对外周神经肌肉传递的影响尚不清楚。在我们的研究中,我们旨在调查实验诱导的急性甲醇中毒在早期(最初24小时)对神经肌肉传递的电生理影响。
经伊兹密尔大学动物实验伦理委员会批准后,对10只体重约200克的Wistar大鼠进行了研究。在进行电生理记录和插入胃管期间,通过腹腔注射100毫克/千克氯胺酮和腹腔注射10毫克/千克甲苯噻嗪对大鼠进行麻醉。通过胃管给大鼠喂食3克/千克甲醇。将腓肠肌的电生理测量结果与基线进行比较。
甲醇注射前和注射后24小时的潜伏期测量值分别为0.81±0.11毫秒和0.76±0.12毫秒。甲醇注射前和注射后24小时的复合肌肉动作电位(CMAP)幅度测量值分别为9.85±0.98毫伏和9.99±0.40毫伏。甲醇注射前和注射后24小时的CMAP持续时间测量值分别为9.86±0.03毫秒和9.86±0.045毫秒。
得出的结论是,急性期(最初24小时)的实验性甲醇中毒不会影响神经肌肉功能。