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舒更葡糖钠对大鼠坐骨神经周围布比卡因阻滞时间的影响

The Effect of Sugammadex on Time of Sciatic Block by Perineural Bupivacaine in Rats.

作者信息

Geyik Fatih Dogu, Eker Dilek, Yuce Yucel, Erkal Kutlu Hakan, Yavuzer Dilek, Ozdemir Hanife Gulnihal, Cevik Banu, Saracoglu Kemal Tolga

机构信息

Kartal Dr. Lütfi Kırdar City Hospital Anesthesiology and Reanimation Clinic, Istanbul, Turkey.

Kartal Dr. Lütfi Kırdar City Hospital Pediatric Surgery Clinic, Istanbul, Turkey.

出版信息

J Invest Surg. 2022 May;35(5):955-961. doi: 10.1080/08941939.2021.1968982. Epub 2021 Sep 6.

Abstract

OBJECTIVES

We aimed to investigate the effect of sugammadex on the motor, sensory and deep sensory block in the sciatic nerve created by bupivacaine in rats.

MATERIALS AND METHODS

18 Sprague-Dawley adult male rats treated with unilateral sciatic nerve block by bupivacaine (0.2 ml) were randomly divided into three groups. Control group (Group C, n = 6, 1.5 mL saline) perineural sugammadex group (Group PNS, n = 6, 16 mg/kg) and intraperitoneal sugammadex group (Group IPS, n = 6, 16 mg/kg) Motor, sensory, and deep sensory functions were evaluated every 10 minutes by a blind researcher. 6 tissue samples each belonging to the sciatic nerve, 1.5 cm in length and 0.2 cm in diameter, were taken from paraffin blocks. Sections of 3-4 micrometers were stained with Hematoxylin + Eosin, Masson Trichrome dyes and examined under a light microscope.

RESULTS

There was no statistically significant difference between 3 groups in terms of the time to return to normal motor, sensory and deep sensory function. There was also no significant difference in edema, extracellular matrix, and myelin. Inflammatory cells were seen in all groups, mainly epineurium, epineurium, and perineurium.

CONCLUSION

There are findings of no histological effects or effects on local block of sugammadex in rats undergoing sciatic nerve block.

摘要

目的

我们旨在研究舒更葡糖钠对布比卡因所致大鼠坐骨神经运动、感觉和深部感觉阻滞的影响。

材料与方法

18只接受布比卡因(0.2 ml)单侧坐骨神经阻滞的成年雄性Sprague-Dawley大鼠被随机分为三组。对照组(C组,n = 6,1.5 ml生理盐水)、神经周围舒更葡糖钠组(PNS组,n = 6,16 mg/kg)和腹腔内舒更葡糖钠组(IPS组,n = 6,16 mg/kg)。一名盲法研究人员每隔10分钟评估运动、感觉和深部感觉功能。从石蜡块中取出6个组织样本,每个样本取自坐骨神经,长1.5 cm,直径0.2 cm。将3 - 4微米的切片用苏木精+伊红、Masson三色染料染色,并在光学显微镜下检查。

结果

三组在恢复正常运动、感觉和深部感觉功能的时间方面无统计学显著差异。在水肿、细胞外基质和髓鞘方面也无显著差异。所有组均可见炎性细胞,主要见于神经外膜、神经束膜和神经内膜。

结论

在接受坐骨神经阻滞的大鼠中,有研究结果表明舒更葡糖钠无组织学效应或对局部阻滞无影响。

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