浅低温对大鼠脑缺血再灌注损伤glt-1 及凋亡表达的影响-effects of mild hypothermia on glt - 1 and apoptosis in rats with cerebral ischemia-reperfusion injury.docxVIP

浅低温对大鼠脑缺血再灌注损伤glt-1 及凋亡表达的影响-effects of mild hypothermia on glt - 1 and apoptosis in rats with cerebral ischemia-reperfusion injury.docx

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浅低温对大鼠脑缺血再灌注损伤glt-1 及凋亡表达的影响-effects of mild hypothermia on glt - 1 and apoptosis in rats with cerebral ischemia-reperfusion injury

目录中文摘要·····························································································1英文摘要······························································································4英文缩写······························································································8研究论文浅低温对大鼠脑缺血再灌注损伤GLT-1及凋亡表达的影响前言·······························································································9材料与方法·················································································10结果··························································································22附图·····························································································25附表····························································································57讨论·····························································································58结论·····························································································62参考文献·····················································································63综述浅低温在缺血再灌注损伤中脑保护作用研究进展·······················66致谢···································································································79个人简历···························································································80浅低温对大鼠脑缺血再灌注损伤GLT-1及凋亡表达的影响摘要目的:研究大鼠全脑缺血再灌注即刻开始的头部浅低温对GLT-1及凋亡表达的影响,来进一步探讨浅低温的脑保护机制,为低温疗法在临床中应用提供参考。方法:健康雄性wistar大鼠258只,通过随机数字法随机分为6组,具体如下:1)对照组(cotrol组,n=6):不做任何手术操作,直接断头取材。2)假手术组(sham组,n=42):只做暴露双侧椎动脉和颈总动脉假手术操作。3)凝闭双侧椎动脉组(VOA组,n=42):凝闭大鼠双侧椎动脉48小时后,暴露两侧颈总动脉穿线,但不阻断血流。4)常温缺血再灌注组(NI/R组,n=42):凝闭大鼠双侧椎动脉48小时后,暴露并夹闭两侧颈总动脉8分钟,然后恢复血流再通,期间保持海马温度及肛温在37±0.5℃。5)低温组缺血再灌注组(HI/R组,n=42):凝闭大鼠双侧椎动脉48小时后,暴露两侧颈总动脉,并穿线备用。采用鼻咽腔降温法待海马温度降至33±0.5℃后夹闭两侧颈总动脉8分钟,然后恢复血流再通,维持头部浅低温(33±0.5℃),肛温维持在37±0.5℃,2小时后自然复温。6)生理盐水+低温缺血再灌注组(NS+HI/R组,n=42):凝闭大鼠双侧椎动脉48小时后,暴露双侧颈总动脉,并穿线备用,缺血前30min右侧脑室注射生理盐水20μL,采用鼻咽腔降温法待海马温度降至33±0.5℃夹闭双侧颈总动脉,8min后恢复血流再灌注,维持头部浅低温(33±0.5℃),肛温维持在37±0.5℃,2小时后自然复温。7)DHK+低温缺血再

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