目的:研究肢体远隔缺血后适应(limbremoteisehemiepostconditioning,RIP)对脑缺血再灌注损伤的影响。方法:建造大脑中动脉闭塞模型,予以双下肢远隔缺血后适应,采用Bederson评分法对雄性SD大鼠脑缺血后12、24、72h进行评分,运用磁共振T2加权像(T2-WeightedImaging,T2WI)计算梗死体积。结果:RIP组大鼠24h后Bederson评分较再灌注模型组评分减少,差异有统计学意义(P〈0.05),据T2WI算得RIP组脑梗死体积在12、24、72h均较再灌注模型组减少,差异有统计学意义(P〈0.05)。结论:RIP减少缺血后24h神经功能评分,减少梗死体积,具有减轻再灌注损伤作用。
Objective:To study the effects of limb remote ischemic postconditioning (RIP) on reducing brain damage in cerebral ischemia-reperfusion (I-R). Methods:Ischemia-reperfusion injury and remote ischemic postconditioning models were established in rats. The neurological deficit scores were assessed (Bederson score) at 12,24 and 72 h post-surgeries. T2-Weighted Imaging of magnetic resonance imaging (MRI) was used to determine the infarct volume at 12,24,72 h. Results:Compared with the model groups,the neurological deficit scores were decreased in 24 h groups (P〈0.05).The volume of infraction in RIP groups was significantly smaller than those in the model groups after ischemia at each time point. Conclusion:RIP reduces the neurological deficit scores at 24 h after ischemia, alleviates the volume of cerebral infraction from 12 h to 72 h after ischemia, suggesting that RIP can decrease cerebral ischemia reoerfusion injury.