期刊文献+

甲基强的松龙对兔实验性脑血管痉挛的作用 被引量:2

Effect of methylprednisolone on cerebral vasospasm after subarachnoid hemorrhage
下载PDF
导出
摘要 目的探讨大剂量甲基强的松龙对蛛网膜下腔出血(SAH)后脑血管痉挛(CVS)的作用。方法将24只雄性新西兰白兔随机分成2组:SAH对照组和SAH+大剂量甲基强的松龙(MP,18mg/kg)治疗组。通过枕大池二次注血法构建SAH模型,观察MP对脑基底动脉的影响。应用酶联免疫生化技术检测各组兔基底动脉血管平滑肌细胞膜蛋白激酶C(PKC)活性。结果经脑血管造影证实该剂量甲基强的松龙明显减轻实验性脑血管痉挛的严重程度,与对照组相比,PKC活性在大剂量甲基强的松龙治疗组没有明显提高。结论大剂量甲基强的松龙能够明显减轻脑血管痉挛程度,通过抑制血管平滑肌细胞来防治脑血管痉挛的发生发展。 Objective To explore the effect of methylprednisolone(MP) on delayed cerebral vasospasm(CVS) after subarachnoid hemorrhage(SAH). Methods Twenty-four male rabbits were randomly divided into two groups: non-treated group and high-dose MP treated group. We used methylprednisolone to treat the cerebral vasospasm after SAH, which was induced by single cistern injection of auto genous arterial blood in rabbits. Results The MP significantly reduced angiographic severity of vasospasm. In the treated group, PKC activity of the artery was not enhanced compared with non-treated group at any time. Conclusion The result suggests that MP could prevent vasospasm through inhibition of PKC activity.
出处 《中国实用神经疾病杂志》 2008年第2期44-46,共3页 Chinese Journal of Practical Nervous Diseases
关键词 甲基强的松龙 脑血管痉挛 蛛网膜下腔出血 蛋白激酶C Methlprednisolone Cerebral vasospasm Subarachnoid hemorrhage Protein kinase C
  • 相关文献

参考文献8

  • 1[1]Zubkov AY,Nanda A,Zhang JH.Signal transduction pathways in cerebral vasospasm[J].Pathophysiology,2003,9(2):47-61.
  • 2[2]Chyatte D,Fode NC,Nichols DA,et al.Preliminary report:effects of high-dose methlprednisolone on delayed cerebral ischemia in patients at high risk for vasospasm after aneurismal subarachnoid hemorrhage[J].Neurosurgery,1987,21(2):157-160.
  • 3[3]Nishizawa S,Chen Duo,Yokoyama T,et al.Endothelin-1 initiates the development of vasospasm after subarachnoid hemorrhage through protein kinase C activation,but does not contribute to prolonged vasospasm[J].Acta Neurochir(Wien),2000,142(6):1409-1415.
  • 4[4]Wang L,Shi JX,Yin HX,et al.The influence of subarachnoid hemorrhage on neurons:an animal model[J].Ann Clin Lab Sci,2005,35(1):79-85.
  • 5[5]Dumont AS,Dumont RJ,Chow MM,et al.Cerebral vasospasm after subarachnoid hemorrhage:putative role of inflammation[J].Neurosurgery,2003,53(1):123-133.
  • 6[6]Grasso G.An overview of new pharmacological treatments for cerebrovascular dysfunction after experimental subarachnoid hemorrhage[J].Brain Res Brain Res Rev,2004,44(1):49-63.
  • 7沈建康.脑血管痉挛的机制和防治[J].国际脑血管病杂志,2006,14(7):481-493. 被引量:48
  • 8[8]Reil TD,Sarkar R,Kashyap VS,et al.Dexamethasone suppresses vascular smooth muscle cell proliferation[J].J Surg RES,1999,85(1):109-114.

二级参考文献52

  • 1Charpentier C,Audibert G,Guillemin F,et al.Multivariate analysis of predictors of cerebral vasospasm occurrence after aneurysmal subarachnoid hemorrhage.Stroke,1999,30:1402-1408.
  • 2Rabinstein AA,Friedman JA,Weigand SD,et al.Predictors of cerebral infarction in aneurysmal subarachnoid hemorrhage.Stroke,2004,35:1862-1866.
  • 3Macdonald RL,Rosengart A,Huo D,et al.Factors associated with the development of vasospasm after planned surgical treatment of aneurysmal subarachnoid hemorrhage.J Neurosurg,2003,99:644 -652.
  • 4Park KW,Metais C,Dai HB,et al.Microvascular endothelial dysfunction and its mechanism a rat model of subarachnoid hemorrhage.Anesth Aalg,2001,92:990 -996.
  • 5Onoue H,Tsutsui M,Smith L,et al.Expression and function of recombinant endothelial nitric oxide synthase gene in canine basilar artery after experimental subarachnoid hemorrhage.Stroke,1998,29:1959 -1965.
  • 6Zimmermann M.Endothelin in cerebral vasospasm.Clinical and experimental results.J Neurosurg,1997,41:139-151.
  • 7Mascia L,Fedorko L,Stewart DJ,et al.Temporal relationship between endothelin-1 concentrations and cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage.Stroke,2001,32:1185-1190.
  • 8Wickman G,Lan C,Vollrath B.Functional roles of the rho/rho kinase pathway and protein kinase C in the regulation of cerebrovascular constriction mediated by hemoglobin:relevance to subarachnoid hemorrhage and vasospasm.Circ Res,2003,92:809-816.
  • 9Satoh M,Parent AD,Zhang J H.Inhibitory effect with antisense mitogen-activated protein kinase oligodeoxynucleotide against cerebral vasospam in rats.Stroke,2002,33:775 -781.
  • 10Sampson LJ,Hinton JM,Garland CJ.Evidence for expression and function of phosphodiesterase type 5 (PDE-V) in rat resistance arteries.BrJ Pharmacol,2001,132:13 -17.

共引文献47

同被引文献22

  • 1王硕.脑血管痉挛防治神经外科专家共识[J].中国卒中杂志,2008,3(5):356-362. 被引量:79
  • 2Mikeladze KG, Eliava ShSh, Shekhtman OD, et al. Intra- arterial injection of verapamil in treatment of cerebral vaso- spasm in a patient with acute subarachnoid hemorrhage from an aneurysm: case report [J]. Zh Vopr Neirokhir Im N N Burdenko, 2013, 77(4):57-60.
  • 3Liu J, Yao GE, Zhou HD, et al. Clinical investigation of fasudil for the prevention of cerebral vasospasm in extra- cranial carotid artery stenting [J]. Cell Biochem Biophys, 2014, 68(1): 185-188.
  • 4Haley EC, Kassell NF, Apperson-Hansen C, et al. A rando- mized, double-blind, vehicle-controlled trial of tirilazad mesylate in patients with aneurysmal subarachnoid hemorr- hage: a cooperative study in North America [J]. J Neurosurg, 1997, 86(3): 467-474.
  • 5Munakata A, Ohkuma H, Nakano T, et al. Effect of a free radical scavenger, edaravone, in the treatment of patients with aneurismal subarachnoid hemorrhage [J]. Neurosur- gery, 2009, 64(3): 423-429.
  • 6Lynch JR, Wang H, McGirt MJ, et al. Simvastatin reduces vasospasm after aneurysmal subarachnoid hemorrhage: results of a pilot randomized clinical trial [J]. Stroke, 2005, 36(9): 2024-2026.
  • 7Vajkoczy P, Meyer B, Weidauer S, et al. Clazosentan (AXV- 034343), a selective endothelin A receptor antagonist, in the prevention of cerebral vasospasm following severe aneury- smal subarachnoid hemorrhage: results of a randomized, double-blind, placebo-controlled, muhicenter phase Ⅱ a study [J]. J Neurosurg, 2005, 103(1): 9-17.
  • 8Sun BL, Zhang SM, Xia ZL, et al. L-arginine improves cerebral blood perfusion and vasomotion of microvessels following subarachnoid hemorrhage in rats [J]. Clin Hemor- heol Microcire, 2003, 29(3-4): 391-400.
  • 9Handa Y, Hayashi M, Takeuchi H, et al. Effect of cyclospo- rine on the development of cerebral vasospasm in a primate model [J]. Neurosurgery, 1991, 28(3): 380-385.
  • 10Suzuki Y, Shibuya M, Satoh S, et al. Safety and efficacy of fasudil monotherapy and fasudil-ozagrel combination therapy in patients with subarachnoid hemorrhage: sub- analysis of the post-marketing surveillance study [J]. Neurol Med Chir (Tokyo), 2008, 48(6): 241-247.

引证文献2

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部