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硫酸镁对N-甲基-D-天冬氨酸诱导的癫痫发作的中枢抗惊厥作用。

Central anticonvulsant effects of magnesium sulfate on N-methyl-D-aspartate-induced seizures.

作者信息

Cotton D B, Hallak M, Janusz C, Irtenkauf S M, Berman R F

机构信息

Department of Obstetrics and Gynecology, Wayne State University/Hutzel Hospital, Detroit, MI 48201.

出版信息

Am J Obstet Gynecol. 1993 Mar;168(3 Pt 1):974-8. doi: 10.1016/s0002-9378(12)90855-8.

Abstract

OBJECTIVE

The objective of this study was to determine if magnesium sulfate's central anticonvulsant activity is effective against N-methyl-D-aspartate-induced seizures.

STUDY DESIGN

In two separate experiments we investigated magnesium sulfate's ability to inhibit N-methyl-D-aspartate-induced hippocampal seizures in rats. In the first experiment magnesium sulfate was administered peripherally before an intracranial injection of 20 micrograms of N-methyl-D-aspartate. In the second experiment magnesium sulfate was injected intracranially concurrently with N-methyl-D-aspartate. The ability of magnesium sulfate to suppress N-methyl-D-aspartate-induced seizure activity under both conditions was assessed.

RESULTS

Peripherally administered magnesium sulfate significantly increased the latency from the time of an N-methyl-D-aspartate injection to the first seizure both by acute injection and after 2 hours of sustained elevation of serum magnesium levels when compared with saline solution-injected controls (p < 0.01). The duration of the first seizure was also significantly reduced. Intracranially administered magnesium sulfate significantly (p < 0.01) increased the seizure latency period by 120%. Overall, central magnesium sulfate prevented seizure activity in 40% of the animals (p < 0.01).

CONCLUSION

Magnesium sulfate has a central anticonvulsant action on N-methyl-D-aspartate-induced seizures in this rat model of hippocampal seizures.

摘要

目的

本研究的目的是确定硫酸镁的中枢抗惊厥活性对N-甲基-D-天冬氨酸诱导的癫痫发作是否有效。

研究设计

在两项独立实验中,我们研究了硫酸镁抑制大鼠N-甲基-D-天冬氨酸诱导的海马癫痫发作的能力。在第一个实验中,在颅内注射20微克N-甲基-D-天冬氨酸之前经外周给予硫酸镁。在第二个实验中,将硫酸镁与N-甲基-D-天冬氨酸同时进行颅内注射。评估了在两种情况下硫酸镁抑制N-甲基-D-天冬氨酸诱导的癫痫发作活性的能力。

结果

与注射生理盐水的对照组相比,经外周给予硫酸镁,无论是急性注射还是在血清镁水平持续升高2小时后,均显著延长了从注射N-甲基-D-天冬氨酸到首次癫痫发作的潜伏期(p<0.01)。首次癫痫发作的持续时间也显著缩短。经颅内给予硫酸镁显著(p<0.01)使癫痫发作潜伏期延长了120%。总体而言,中枢给予硫酸镁可预防40%的动物出现癫痫发作活动(p<0.01)。

结论

在这个海马癫痫发作的大鼠模型中,硫酸镁对N-甲基-D-天冬氨酸诱导的癫痫发作具有中枢抗惊厥作用。

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