Awerbuck D, Luong V, Plyley M J, McKee N H
Department of Surgery, University of Toronto, Ontario, Canada.
J Surg Res. 1994 Oct;57(4):480-6. doi: 10.1006/jsre.1994.1173.
The purpose of this study was to examine the use of hypothermia to protect skeletal muscle from the effects of 4 hr of tourniquet ischemia. Muscle recovery was investigated at 6 weeks. Four hours of tourniquet ischemia was induced in two groups (n = 8 per group) of male, Wistar rats (344 +/- 15 g). In the ischemia-only group (IO), the ischemic leg was exposed to room temperature. In the ischemic-hypothermic group (IH), the ischemic leg was cooled to 5-8 degrees C throughout the ischemic period. The contralateral leg served as control. After 6 weeks, the isometric contractile function of the gastrocnemii of both the ischemic and nonischemic legs was determined. Following the functional assessment, the soleus and plantaris muscles were removed and weighed, and biopsies were taken for muscle fiber composition, mean fiber area, and myosin heavy chains (MHC) analysis. Differences between groups (P < 0.05) were determined using ANOVA. Muscle wet weight, tetanic forces, fiber area, fiber type, and MHC composition of IH group were the same as the control group. Yet, twitch tension and relaxation time were lower and longer in the IH group than control group. The tetanic force at 100 Hz of the IH group (12.62 +/- 0.73 N/g) was significantly greater than that of the IO group (2.12 +/- 0.84 N/g). The type 1 muscle fiber areas of plantaris in the IH (1.84 +/- 0.04 x 1000 microns 2) were significantly greater than those of the IO group (1.56 +/- 0.42 x 1000 microns 2).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是检验低温对骨骼肌的保护作用,使其免受4小时止血带缺血的影响。在6周时对肌肉恢复情况进行研究。将两组雄性Wistar大鼠(每组n = 8,体重344±15 g)进行4小时的止血带缺血诱导。在单纯缺血组(IO)中,缺血的腿部暴露于室温下。在缺血低温组(IH)中,缺血的腿部在整个缺血期被冷却至5 - 8摄氏度。对侧腿部作为对照。6周后,测定缺血和非缺血腿部腓肠肌的等长收缩功能。在功能评估之后,切除比目鱼肌和跖肌并称重,取肌肉活检样本进行肌纤维组成、平均纤维面积和肌球蛋白重链(MHC)分析。使用方差分析确定组间差异(P < 0.05)。IH组的肌肉湿重、强直收缩力、纤维面积、纤维类型和MHC组成与对照组相同。然而,IH组的单收缩张力较低,舒张时间较长。IH组在100 Hz时的强直收缩力(12.62±0.73 N/g)显著大于IO组(2.12±0.84 N/g)。IH组跖肌的1型肌纤维面积(1.84±0.04×1000微米2)显著大于IO组(1.56±0.42×1000微米2)。(摘要截选至250字)