目的:探讨益气活血法对缺血再灌注大鼠的神经保护作用。方法:动物随机分为假手术组、模型组、益气组、活血组、益气活血组,以线栓法阻塞大鼠左侧大脑中动脉复制局灶性脑缺血再灌注模型,缺血2 h再灌注3、7、14 d,用免疫组织化学染色SABC法分别检测MAP-2及NOGO-A蛋白的表达。结果:脑缺血再灌注损伤后,模型组MAP-2表达下降,与假手术相比有显著性差异(P〈0.05),而益气法、活血法和益气活血法三组治疗组均能显著促进MAP-2的表达(P〈0.01)。脑缺血再灌注损伤7 d时,模型组NOGO-A表达与假手术相比有显著性差异(P〈0.05)。而益气法、活血法和益气活血法三组治疗组NOGO-A的表达与模型组无显著性差异(P〉0.05)。结论:益气活血法能显著促进MAP-2表达,有利于脑缺血后突触重塑和神经细胞轴突的再生,促进脑卒中后神经功能恢复。
Objective : To investigate the neuroprotective effect on ischemia reperfusion rats by the method of supplementing qi and activating blood therapy. Methods : The rats were divided into sham- operated group, model group, Yiqi group, Huoxue group, and Yiqihuoxue group randomly. MCAO model rats were made . At 3 d, 7 d and 14 d of reperfusion after 2 h, MCAO, MAP-2 and NOGO-A protein expressions were detected with immunohistochemieal SABC method respectively. Results : After cerebral ischemia reperfusi0n dnjury, MAP=2 expression was decreased significantly in model group compared with that in sham-operated group (P〈0.05), while three treatment groups all can significantly improve MAP-2 expression ( P〈0.01 ). NOGO-A expression started to increase significantly in model group compared with that in sham-operated group at days (P〈0.05), but the expression had no significant difference between three treatment groups and model group at 7 days ( P〉0.05 ). Conclusion : The method of supplementing qi and activating blood therapy can significantly improve MAP-2 expression and be helpful for nerve regeneration after cerebral ischemia injury.