医学研究与教育 ›› 2018, Vol. 35 ›› Issue (1): 13-18.DOI: 10.3969/j.issn.1674-490X.2018.01.003

• 基础医学 • 上一篇    下一篇

清热化痰解毒汤对缺血性脑卒中大鼠脑组织含水量、血-脑脊液屏障通透性及神经功能缺损评分的影响

王涛,刘宏祥,王颖,齐姣,陈小静,闫丽静,史小盼,罗金花   

  1. 河北大学附属医院中西医结合科, 河北 保定 071000
  • 收稿日期:2017-11-28 出版日期:2018-02-25 发布日期:2018-02-25
  • 作者简介:王涛(1978—),男,河北蠡县人,副主任医师,硕士,硕士生导师,主要从事中西医结合脑血管病研究。 E-mail: wangtlxl@126.com
  • 基金资助:
    河北省科学技术研究与发展计划项目(132777203)

  • Received:2017-11-28 Online:2018-02-25 Published:2018-02-25

摘要: 目的 探讨清热化痰解毒汤对实验性缺血性脑卒中大鼠脑组织含水量、血-脑脊液屏障通透性及神经功能缺损评分影响。方法 采取单侧颈动脉结扎制作SD大鼠模型,分为假手术组、缺血模型组、中药治疗组(即清热化痰解毒汤)、尼莫地平组,采用干湿法测脑组织含水量、Garcia神经功能评分及伊文思兰示踪剂测出其漏出量。结果 与假手术组(36.20±1.24)%比较,缺血模型组在缺血24 h脑组织的含水量开始有所缓慢增加,但与中药治疗组、尼莫地平组比较差异无统计学意义,而到缺血72 h时缺血模型组大鼠脑组织含水量(54.40±2.16)%则明显增加,与24 h时比较差异有统计学意义(P<0.05);中药治疗组在应用清热化痰解毒汤后其实验大鼠脑组织含水量明显减少,其中在缺血72 h时间点的脑组织含水量(42.30±1.12)%与缺血模型组比较差异有统计学意义(P<0.01);同时尼莫地平组在缺血72 h的时间点上实验大鼠脑组织的含水量(43.20±1.23)%亦较之缺血模型组明显减少,差异有统计学意义(P<0.01)。同时通过神经功能评分及伊文思兰示踪剂,发现72 h后中药治疗组及尼莫地平均与假手术组比较有统计学意义(P<0.01),神经功能缺损评分增加而血-脑脊液屏障通透性下降。结论 清热化痰解毒汤对急性缺血性脑卒中大鼠脑组织有保护作用。

关键词: 清热化痰解毒汤, 缺血性脑卒中大鼠脑组织含水量, 神经功能缺损评分, 血-脑脊液屏障通透性

Abstract: Objective To explore the effects of Qingrehuatanjiedu decoction on cerebral tissue water content, blood-brain barrier permeability and neurological defects in rats with ischemic stroke.Methods Unilateral carotid artery ligation was performed in male and female rats randomly assigned to 4 groups, including sham surgery,surgery, surgery+Qingrehuatanjiedu decoction, surgery+Nimodipine. Brain water content was determined by dry weight and wet weight measurement. Neurological defects were tested using Garcia Neurological Deficit Scores.Blood brain barrier permeability was assessed by Evans blue tracer.Results Compared with sham group(36.20±1.24)%, surgery induced modest increase in brain tissue water content 24 h post ligation, with significant increase occurred 72 h post ligation(54.40±2.16)%. Qingrehuatanjiedu decoction and Nimodipine did not affect brain water content 24 h post surgery, but significantly reduced brain water content 72 h post surgery [(42.30±1.12)% and(43.20±1.23)% for Chinese decoction and Nimodipine, respectively,P<0.01]. Data derived from Garcia Neurological Deficit Scores and Evans blue tracer suggested that both Qingrehuatanjiedu decoction and Nimodipine significantly could improve neurological defects and reduce blood brain barrier permeability at 72 h post surgery(P<0.01).Conclusion Qingrehuatanjiedu decoction exerts protective effects against acute ischemic stroke-induced brain injury in rats.

Key words: Qingrehuatanjiedu decoction, brain tissue water content in ischemic stroke, neurological functional defect score, blood brain barrier permeability

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