Ono Katsuhiko, Iwatsuki Naofumi, Tajima Tsukasa, Takahashi Masahiko, Akama Mitsuhiko, Hashimoto Yasuhiko
Department of Anesthesiology, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980, Sendai, Miyagi, Japan.
J Anesth. 1994 Jun;8(2):194-198. doi: 10.1007/BF02514712.
The cerebral protective effects of MgSO after complete global brain ischemia were evaluated with EEG, evoked potentials (EP) and the neurological recovery score (NRS) in the dog. Complete global brain ischemia for 15 min was achieved by occluding the ascending aorta and the caval veins. The MgSO group (N=7) were injected with a 10% MgSO solution and the control group (N=7) were administered a normal saline intravenously from the beginning of the resuscitation to 48 h after ischemia. The EEG grades (1=normal, 5=flat) in the control group and the MgSO group were 3.9±0.1 (mean ±SEM) and 3.7±0.3, and the EEG-EP scores (6=normal, 0=serious deterioration) were 2.6±0.4 and 2.7±0.4 4h after ischemia, respectively. The 7-day survival rates for ischemia were equal in both groups (5/7:71%). The NRSs (0=death, 100=normal) in the control group and the MgSO group were 50±3 (n=7) and 43±9 (n=7) on the 3rd day after ischemia, and were 56±5 (n=5) and 42±12 (n=5) on the 7th day. The differences between the two groups were not significant. We conclude that MgSO administered after ischemia has no beneficial effects on the recovery of EEG, EP and the NRS after 15 min of complete global brain ischemia in the dog.
通过脑电图(EEG)、诱发电位(EP)和神经功能恢复评分(NRS)评估硫酸镁(MgSO)在犬全脑缺血后对脑的保护作用。通过阻断升主动脉和腔静脉实现15分钟的全脑缺血。硫酸镁组(N = 7)从复苏开始至缺血后48小时静脉注射10%硫酸镁溶液,对照组(N = 7)静脉注射生理盐水。缺血4小时后,对照组和硫酸镁组的EEG分级(1 = 正常,5 = 平坦)分别为3.9±0.1(均值±标准误)和3.7±0.3,EEG-EP评分(6 = 正常,0 = 严重恶化)分别为2.6±0.4和2.7±0.4。两组缺血7天的生存率相同(5/7:71%)。缺血后第3天,对照组和硫酸镁组的NRS(0 = 死亡,100 = 正常)分别为50±3(n = 7)和43±9(n = 7),第7天分别为56±5(n = 5)和42±12(n = 5)。两组之间的差异不显著。我们得出结论,在犬全脑缺血15分钟后,缺血后给予硫酸镁对EEG、EP和NRS的恢复没有有益作用。