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一氧化氮在脊髓损伤中改善血供与加重损伤的双重相关性研究 被引量:8

The effect of nitric oxide and its inhibitor on secondary spinal cord injury
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摘要 目的探讨一氧化氮(NO)在继发性脊髓损伤中的作用。方法通过伤前30min大鼠蛛网膜下腔注射NO合成酶底物左旋精氨酸(L-Arg)及其抑制剂(L-NAME),采用激光多普勒血流仪观测NO对伤段脊髓血流(SCBF)的影响,并评估NO对继发性脊髓损伤的作用。结果L-Arg改善了伤段SCBF,但加重了脊髓损伤。适当剂量的L-NAME降低了早期的SCBF,却改善了神经功能。然而大剂量的L-NAME由于长时间的抑制了NO的产生,导致了脊髓长时间的缺血,不利于神经功能的恢复。结论NO的过度释放加重了继发性脊髓损伤,而过度抑制也同样不利于神经功能的恢复。 Objective To explore the effect of NO on secondary spinal cord injury.Method L-arginine{L-Arg} and N-nitric-L-arginine methylester{L-NAME}were infused into subarachnoid space of rats 30 min before spinal cord injury(SCI).Spinal cord blood flow(SCBF) at trauma sites was monitored.After SCI by a Laser-Doppler flowmetry and neurological function was evaluated.Result The result showed that L-arg increased SCBF at trauma sites,but exaggerated the SCI.The proper dose of L-NAME decreased early SCBF at trauma sites,but ameliorated neural function.Large dose of L-NAME restricted NO production for a long time and resulted in spinal cord ischemia,thus exacerbating SCI.Conclusion That over-production or over-restriction of NO worsen SCI.
机构地区 上海市周浦医院
出处 《中国组织工程研究》 CAS CSCD 2001年第7期40-41,共2页 Chinese Journal of Tissue Engineering Research
关键词 一氧化氮 脊髓损伤 脊髓血流 nitric oxide spinal cord injury spinal cord blood flow
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