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静脉注射甘油对自发性高血压大鼠急性脑缺血时脑血流量和组织代谢的影响。

Effects of intravenous glycerol on cerebral blood flow and tissue metabolism in acute cerebral ischemia in spontaneously hypertensive rats.

作者信息

Fujishima M, Ishitsuka T, Yoshida F, Ibayashi S, Shiokawa O, Sadoshima S

出版信息

Angiology. 1986 Feb;37(2):92-8. doi: 10.1177/000331978603700204.

Abstract

The effects of antiedematous agent with intravenous 10% glycerol on cerebral blood flow (CBF) and metabolism were studied in acute cerebral ischemia experimentally induced by bilateral carotid artery occlusion in spontaneously hypertensive rats (SHR). CBF was measured by the hydrogen clearance technique and brain tissue metabolites such as lactate, pyruvate and ATP in the ischemic brain frozen in situ were determined by the enzymatic method. In comparison with saline-infused SHR, the reduction of CBF in the thalamus following carotid occlusion was significantly small in the glycerol treated SHR. Supratentorial ATP concentration in the 3 hr-ischemic brain was reduced in both groups of rats, but its reduction was significantly smaller in the glycerol-infused group than the other. Lactate and lactate/pyruvate ratio tended to be less increased in the glycerol rats, indicating that ischemic metabolism was restrained by the treatment. The present results strongly suggest that intravenous glycerol is effective against acute cerebral ischemia from the view point of cerebral hemodynamic and metabolism.

摘要

在自发性高血压大鼠(SHR)中,通过双侧颈动脉闭塞实验性诱导急性脑缺血,研究静脉注射10%甘油的消肿剂对脑血流量(CBF)和代谢的影响。采用氢清除技术测量CBF,并用酶法测定原位冷冻缺血脑中的脑组织代谢物,如乳酸、丙酮酸和ATP。与输注生理盐水的SHR相比,甘油处理的SHR在颈动脉闭塞后丘脑的CBF降低明显较小。两组大鼠在缺血3小时的脑幕上ATP浓度均降低,但甘油输注组的降低明显小于另一组。甘油处理的大鼠中乳酸和乳酸/丙酮酸比值的升高趋势较小,表明该治疗抑制了缺血代谢。目前的结果强烈表明,从脑血流动力学和代谢的角度来看,静脉注射甘油对急性脑缺血有效。

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