国际麻醉学与复苏杂志   2016, Issue (8): 11-11
    
茯苓多糖对肝叶部分切除老年大鼠术后认知功能 障碍的影响
任冬青1()
1.甘肃省人民医院
Effects of pachyman on postoperative cognitive dysfunction in mice with hepatolobectomy
 全文:
摘要:

目的 探讨茯苓多糖对肝叶部分切除老年大鼠术后认知功能障碍(postoperative cognitive dysfunction, POCD)的影响。 方法 将30只老年SD大鼠按照随机数字表法分成假手术组、模型对照组和茯苓多糖组,每组10只。建立肝叶部分切除老年大鼠POCD模型,采用Morris水迷宫实验评价肝叶部分切除老年大鼠的学习记忆能力,ELISA检测大鼠血清中TNF?蛳α和IL?蛳6水平。 结果 与模型对照组比较,术后第1、3、7天茯苓多糖组逃避潜伏期相对缩短、穿越平台次数相对增多;与模型对照组比较,术后第1、3、7天茯苓多糖组血清中TNF?蛳α和IL?蛳6水平分别为(18.9±3.9) ng/L和(14.7±3.8) ng/L,(8.9±2.2) ng/L和(9.9±2.6) ng/L,(6.6±1.8) ng/L和(9.6±2.7) ng/L,差异有统计学意义(P<0.05);与模型对照组比较,茯苓多糖组脾脏系数和胸腺系数分别为(2.59±0.92) mg/g和(1.60±0.40) mg/g,差异有统计学意义(P<0.05)。 结论 茯苓多糖能够改善肝叶部分切除老年大鼠POCD的症状,其机制可能是抑制炎症反应和提高机体免疫力等综合方面。

关键词: 茯苓多糖; 术后认知功能障碍; Morris水迷宫; 肝叶部分切除术
Abstract:

Objective To explore the effects of pachyman on postoperative cognitive dysfunction(POCD) in mice with hepatolobectomy. Methods Tirty SD aged mices were randomly divided into sham-operated group, model control group and pachyman group by random number table(n=10), to establish hepatolobectomy triggering postoperative cognitive dysfunction model in mices. Postoperative cognitive dysfunction was evaluated by Morris water maze, and enzyme-linked immunosorbent method was used to measure the content of TNF-α and IL-6 in serum. Results At the 1, 3, 7 day after surgery, compared with model control group, the time spent in target quadrant with the previously located hidden platform was relatively deacrease and the number of platform-site crossovers was relatively increased. The serum levels of TNF-α and IL-6 in three groups were (18.9±3.9) ng/L and (14.7±3.8) ng/L, (8.9±2.2) ng/L and (9.9±2.6) ng/L, (6.6±1.8) ng/L and (9.6±2.7) ng/L respectively (P<0.05). The spleen coefficient and thymus coefficient in pachyman group were (2.59±0.92) mg/g and (1.60±0.40) mg/g(P<0.05). Conclusions Pachyman can improve the symptoms of POCD in mice with hepatolobectomy, and the mechanisms may be inhibit inflammatory reaction and improve immunity.

Key words: Pachyman; Ostoperative cognitive dysfunction; Morris water maze; Hepatolobectomy