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射频消融技术和周围神经阻滞对小鼠模型体温调节的短期影响。

The short term impact of radiofrequency ablative techniques and peripheral nerve block on thermoregulation in mouse models.

作者信息

Yuba Tomoo, Koyama Yoshihisa, Kinishi Yuki, Fujino Yuji, Shimada Shoichi

机构信息

Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Department of Neuroscience and Cell Biology, Osaka University Graduate School of Medicine, Osaka, 565-0871, Japan.

出版信息

Sci Rep. 2024 Dec 28;14(1):30956. doi: 10.1038/s41598-024-82049-8.

Abstract

This study investigated the impact of multiple nerve block methods (local anesthesia, conventional radiofrequency thermocoagulation [CRF], and pulsed radiofrequency [PRF]) on thermoregulation. Focusing on hypothalamic function, the effects of local anesthesia, CRF, and PRF on central and peripheral temperatures were analyzed and compared. Our findings revealed that all three nerve block groups cause a decrease in central temperature, with the CRF group exhibiting the most pronounced effect. Furthermore, immunostaining analysis showed decreased neural activity in the preoptic area, suggesting that nerve blocks may influence central thermoregulatory mechanisms. This study provides valuable insights into the effects of peripheral nerve blocks on thermoregulation and may contribute to the development of therapeutic strategies to managing perioperative hypothermia and enhancing pain management, especially in patients undergoing surgeries with high risks of thermoregulatory complications, such as on-pump surgery and laparoscopic surgery.

摘要

本研究调查了多种神经阻滞方法(局部麻醉、传统射频热凝术[CRF]和脉冲射频[PRF])对体温调节的影响。聚焦于下丘脑功能,分析并比较了局部麻醉、CRF和PRF对中心体温和外周体温的影响。我们的研究结果显示,所有三个神经阻滞组均导致中心体温下降,其中CRF组的影响最为显著。此外,免疫染色分析显示视前区神经活动减少,这表明神经阻滞可能影响中枢体温调节机制。本研究为外周神经阻滞对体温调节的影响提供了有价值的见解,并可能有助于制定治疗策略,以管理围手术期体温过低并加强疼痛管理,特别是在接受有体温调节并发症高风险手术的患者中,如体外循环手术和腹腔镜手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7dc/11681248/06f9b2da3425/41598_2024_82049_Fig1_HTML.jpg

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