国际麻醉学与复苏杂志   2013, Issue (9): 7-7
    
高压氧后处理对大鼠神经病理性痛及脊髓小胶质细胞活化的影响
赵柏松, 孟凌新1()
1.中国医科大学附属盛京医院
Effects of hyperbaric oxygen postconditioning of microglia on activation in rats model of neuropathic pain
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摘要:

【摘要】 目的 探讨高压氧(HBO) 后处理对大鼠神经病理性痛镇痛效果及脊髓小胶质细胞活化的影响。 方法 雄性SD大鼠24只,采用随机数字表法将大鼠分成4组(n=6):假手术组(S组)、坐骨神经慢性压迫组(C组)、高压氧2.0ATA组(H2.0组)与高压氧2.5ATA组(H2.5组)。采用坐骨神经慢性压迫损伤法建立神经病理性痛模型,H2.0和H2.5组于术后1d开始给予相应压力的高压氧后处理,1次/d连续7次,每天出高压氧舱后1小时测定各组大鼠机械缩足反射阈值(MWT)和热缩足反射潜伏期(TWL),术后7d测定MWT和TWL后处死,用免疫组化法测定大鼠脊髓小胶质细胞的活化情况。 结果 与S组比较,C组MWT降低及TWL缩短,脊髓内小胶质细胞数量与活化率上升(P<0.05);与C组比较,H2.0组和H2.5组MWT升高及TWL延长,小胶质细胞数量与活化率下降(P<0.05);H2.0组与H2.5组小胶质细胞数量与活化率差异无统计学意义(P>0.05)。 结论 高压氧后处理可减轻大鼠神经病理性痛,其机制与抑制脊髓内小胶质细胞活化有关。

关键词: 高压氧;神经病理性疼痛;小胶质细胞;镇痛
Abstract:

[Abstract] Objective To investigate the antinociceptive effect of hyperbaric oxygen (HBO) on activation of microglia in rats with neuropathic pain produced by chronic constriction injury of the sciatic nerve (CCI). Method Twenty-four healthy male Sprague-Dawley rats were randomly divided into four groups(n=6): Sham group (group S), CCI group (group C),2.0ATA HBO post-conditioning group (group H2.0) and 2.5ATA HBO post-conditioning group (group H2.5).Group CCI, group H2.0 and group H2.5 were received the surgery of the chronic constriction injury. One day after surgery HBO of 2.0 ATA and 2.5 ATA was given respectively by hyperbaric oxygen cabin once a day for seven days in group H2.0 and group H2.5. The mechanical withdrawal threshold (MWT) and thermal withdrawal latency (TWL) of rats in each group were measured respectively on day 1 pre-surgery (baseline) and every day during 7 days post-surgery. The rats were killed at the time when MWT and TWL had were measured at 7d after surgery. The lumbar segment L4-5 of the spinal cord was removed.Immunohistochemical technique was used to detect the activation of microglias in the spinal cord. Result Compared with group S, MWT and TWL were significantly decreased and the activation of microglias in the spinal cord was significantly enhanced after surgery in group C(P<0.05). Compared with group C, MWT and TWL were significantly increased and the activation of microglias in the spinal cord was significantly inhibited after surgery in group H2.0 and H2.5 (P<0.05). There was no significant difference in the activation of spinal microglias between group H2.0 and H2.5 Conclusion HBO post-conditioning produce the antinociceptive effect by inhibiting activation of spinal microglias in rats model of neuropathic pain.

Key words: Hyperbaric oxygen; Neuropathic pain; Microglia; Antinociception