中文摘要：

目的：观察脐血单个核细胞（UCBMC）联合高压氧（HBO）治疗对缺氧缺血性脑损伤（HIBD）新生大鼠远期行为学及组织学的影响。方法7日龄 Sprague-Dawley 新生大鼠随机分为正常对照组、缺氧缺血性脑损伤（HIBD）组、UCBMC移植组及 UCBMC 联合HBO（UCBMC＋HBO）组。采用Rice法制成HIBD模型。HBO于造模3 h进行，造模后24 h 行 UCBMC 移植。采用Western blot法观察联合治疗对 HIBD 大鼠脑内IL-1β、TNF-α蛋白的影响，采用T迷宫、放射性迷宫试验及尼氏染色法，观察联合治疗对 HIBD 大鼠远期行为学及HIBD 大鼠脑海马 CA1区组织学的影响。结果移植后24 h，UCBMC＋HBO组大鼠脑内 IL-1β、TNF-α蛋白的表达水平均显著低于HIBD组与 UCBMC 组（P〈0.05）。HIBD组学习记忆及运动能力均减退，海马CA1区锥体细胞数减少，UCBMC＋HBO组大鼠学习记忆及运动能力均较UCBMC组及HIBD组有改善，海马CA1区锥体细胞数显著多于UCBMC组及HIBD组（P〈0.05）。结论 UCBMC联合HBO治疗可减轻HIBD新生大鼠IL-1β、TNF-α蛋白的表达，促进脑损伤的修复并改善远期行为学。

英文摘要：

ObjectiveTo study the effects of umbilical cord monoculcear cells （UCBMC） transplantation combined with hyperbaric oxygen （HBO） therapy on the long-term behaviors and histology in neonatal rats after hypoxic-ischemic brain damage （HIBD）.MethodsSeven-day-old Sprague-Dawley rats were randomly assigned to four groups： normal control （CON）, HIBD, UCBMC and UCBMC＋HBO. HIBD was induced according to the Rice-Vannucci method. The rats in the UCBMC＋HBO group were treated with HBO 3 hours after HIBD, followed by UCBMC transplantation 24 hours after HIBD. IL-1β and TNF-α protein levels were examined by Western blot analysis in the 4 groups. T-maze test and radial arm maze test were used to detect the long-term learning memory capability. Nissl staining was used to examine the histological changes of the hippocampal CA1 region.ResultsTwenty-four hours after transplantation, IL-1β and TNF-α protein levels in the UCBMC＋HBO group were signiifcantly reduced compared with the HIBD （P〈0.01） and UCBMC groups （P〈0.05）. The study and memory capabilities were impaired, and the number of the pyramidal cells in the hippocampal CA1 region was reduced in the HIBD group. The study and memory capabilities were greatly improved and the number of pyramidal cells increased signiifcantly in the UCBMC＋HBO group compared with the UCBMC and HIBD groups （P〈0.05）.ConclusionsUCBMC transplantation combined with HBO therapy could reduce the expression of IL-1β and TNF-α protein, improve long-term behaviors and alleviate brain damages in the hypoxic ischemic neonatal rats.