Haaland K, Steen P A, Thoresen M
Institute for Surgical Research, University of Oslo, Rikshospitalet, Norway.
Reprod Fertil Dev. 1996;8(1):125-8. doi: 10.1071/rd9960125.
The temperature of the brain is crucial for the outcome of hypoxic/ischaemic brain damage. In clinical medicine and in animal experiments involving survival after hypoxia/ischaemia, non-invasive measurement of cerebral temperature is needed. We have therefore compared tympanic and colonic temperature with cerebral temperature in the newborn piglet during hypothermia. Ten piglets aged 12-60 h were cooled to 35 degrees C (mild hypothermia) for 150 min and rewarmed. Thereafter, four of the piglets were again cooled to approximately 29 degrees C for less than one hour (moderate hypothermia). During stable mild hypothermia and normothermia the cerebro-tympanic temperature difference in individual piglets was less than +/- 0.4 degrees C (95% confidence intervals < or = 0.18 degrees C) and the cerebro-colonic temperature difference was -0.7 to 0.4 (95% confidence interval < or = 0.28 degrees C). The differences were larger during moderate than during mild hypothermia and largest during rapid changes in body temperature. Then the tympanic temperature correlated with the cerebral temperature significantly better than did the colonic temperature (95% confidence interval -0.3 to 0.3 versus -0.6 to 1.4 for the ten minutes with the least good correlation).
大脑温度对于缺氧/缺血性脑损伤的预后至关重要。在临床医学以及涉及缺氧/缺血后存活的动物实验中,需要对脑温进行非侵入性测量。因此,我们比较了新生仔猪在低温期间鼓膜温度和结肠温度与脑温的差异。将10只年龄在12 - 60小时的仔猪冷却至35摄氏度(轻度低温)持续150分钟,然后复温。此后,其中4只仔猪再次冷却至约29摄氏度持续不到1小时(中度低温)。在稳定的轻度低温和正常体温期间,个体仔猪的脑 - 鼓膜温差小于±0.4摄氏度(95%置信区间≤0.18摄氏度),脑 - 结肠温差为 - 0.7至0.4(95%置信区间≤0.28摄氏度)。中度低温时的差异大于轻度低温时,且在体温快速变化时差异最大。此时,鼓膜温度与脑温的相关性明显优于结肠温度(相关性最差的十分钟内,95%置信区间为 - 0.3至0.3,而结肠温度为 - 0.6至1.4)。