Department of Radiology, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China.
Department of Medical Imaging Diagnostics, College of Medical Imaging, Bengbu Medical College, Bengbu 233000, China.
J Healthc Eng. 2022 Apr 11;2022:4592986. doi: 10.1155/2022/4592986. eCollection 2022.
Subarachnoid hemorrhage (SAH), especially aneurysmal subarachnoid hemorrhage, is a serious cerebrovascular disease with high mortality and morbidity. However, there is no effective treatment in clinics. In recent years, more and more studies have shown that early brain injury (EBI) may be an important reason for poor prognosis of SAH. Explore the mechanism of early brain injury after subarachnoid hemorrhage (SAH). In this study, 20 male New Zealand white rabbits were selected and divided into the experimental group and sham operation group, with 10 rabbits in each group. The neurobehavioral scores, food intake, and cerebral perfusion parameters, cerebral blood volume (CBV), cerebral blood flow velocity (CBF), ET-1, IL-1, and IL-6, in rabbit plasma were compared. The food intake scores and neurological dysfunction scores of the experimental group at 1 h, 6 h, 24 h, and 72 h after modeling were higher than those of the sham operation group, which had a statistical significance ( < 0.05). The dysfunction scores all showed a gradual decrease; the CBV and CBF values of the experimental group at 1 h, 6 h, 24 h, and 72 h after modeling were all lower than those of the sham operation group, which had a statistical significance ( < 0.05), and the MTT values were all higher than that of the sham operation group, which had a statistical significance ( < 0.05). The TTP values of rats in the experimental group were higher than those in the sham operation group at 6 h, 24 h, and 72 h after modeling ( < 0.05), the experimental group was in the modeling. The levels of serum ET-1, IL-1, and IL-6 at 1 h, 6 h, 24 h, and 72 h were higher than those in the sham operation group, which had a statistical significance ( < 0.05). New Zealand white rabbits can have brain perfusion volume disorder, inflammatory reaction, and cerebral vasospasm in the early stage after SAH, and brain injury can appear in the early stage.
蛛网膜下腔出血(SAH),尤其是动脉瘤性蛛网膜下腔出血,是一种死亡率和发病率都很高的严重脑血管病。但临床上尚无有效的治疗方法。近年来,越来越多的研究表明,早期脑损伤(EBI)可能是蛛网膜下腔出血(SAH)预后不良的重要原因。探讨蛛网膜下腔出血(SAH)后早期脑损伤的机制。本研究选择 20 只雄性新西兰白兔,随机分为实验组和假手术组,每组 10 只。比较两组兔神经行为学评分、进食量及脑灌注参数、脑血容量(CBV)、脑血流速度(CBF)、内皮素-1(ET-1)、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)在兔血浆中的变化。实验组造模后 1 h、6 h、24 h、72 h 的进食量评分和神经功能障碍评分均高于假手术组,差异有统计学意义(<0.05)。各评分均呈逐渐下降趋势;实验组造模后 1 h、6 h、24 h、72 h 的 CBV、CBF 值均低于假手术组,差异有统计学意义(<0.05),MTT 值均高于假手术组,差异有统计学意义(<0.05)。实验组造模后 6 h、24 h、72 h 的 TTP 值均高于假手术组,差异有统计学意义(<0.05),实验组在建模后 1 h、6 h、24 h、72 h 的血清 ET-1、IL-1、IL-6 水平均高于假手术组,差异有统计学意义(<0.05)。新西兰白兔在蛛网膜下腔出血后早期可出现脑灌注量紊乱、炎症反应和脑血管痉挛,早期可出现脑损伤。