目的建立一种新的深低温停循环(DHCA)大鼠脑保护模型。方法雄性SD大鼠30只,随机分为3组,即颈动脉阻断DHCA组(A组)、颈内动脉引流DHCA组(B组)和假手术组(C组)。于深低温停循环后60min时监测脑电图变化,停循环60min后恢复循环并升温。所有大鼠于术后24h处死,并取脑组织测脑含水量。结果B组大鼠仅波相对功率值明显低于A组(P〈0.01),而且两组大鼠仅波相对功率值均明显低于C组(P〈0.01);B组大鼠θ波相对功率值明显低于A组和C组(P〈0.01),而后两组大鼠θ波相对功率差异无统计学意义。脑含水率结果显示B组大鼠脑含水量高于A组(P〈0.05)。结论颈内动脉引流DHCA模型较颈动脉阻断DHCA模型脑缺血更完全,是一种较为理想的DHCA大鼠脑保护模型。
Objective To establish the brain protection model of deep hypothermic circulatory arrest (DHCA) in rats. Methods Thirty SD rats were divided randomly into three groups : Carotid occlusion DHCA group (group A) ; inner carotid shunt DHCA group (group B) and sham-operation group (group C ). The changes in electroencephalograph (EEG) were observed 24 h after DHCA. All rats were killed 24 h after DHCA. The brain water content was measured. Results The α and β wave relative powers of EEG in group A were lower and higher than those in group B respectively ( P 〈 0.05 ). The brain water content was higher in group B than in group A ( P 〈 0.05 ). Conclusion Inner carotid shunt DHCA model is a more perfect brain protection one of DHCA.