Objective: To investigate the effects of Propofol combined with remifentanil on serum levels of MBP, NSE and S100B protein, D-D and inflammatory factors in patients with acute craniocerebral trauma. Methods: A total o...Objective: To investigate the effects of Propofol combined with remifentanil on serum levels of MBP, NSE and S100B protein, D-D and inflammatory factors in patients with acute craniocerebral trauma. Methods: A total of 100 patients were selected with traumatic brain injury who underwent emergency surgery from August 2014 to May 2017 in our hospital, then randomly divided them into the control group and the experimental group, 50 cases each. The control group received isoflurane combined with remifentanil to maintain anesthesia, and the experimental group received propofol and remifentanil to maintain anesthesia. The inflammatory factors and the levels of MBP, NSE, S100B and D-D in the two groups before and after anesthesia (T0), 1H (T1) and postoperative 1H (T2) were detected and compared. Results: There was no significant difference between the two groups in the levels of TNF-α. The serum level of hs-CRP in two groups of T1, T2 increased significantly, the difference was statistically significant compared with T0, in the experimental group, serum level of hs-CRP at T1 and T2 was significantly higher than the control group, the difference was statistically significant. Conclusion: Propofol combined with remifentanil anesthesia for acute craniocerebral trauma can maintain the balance of inflammatory cytokine levels during the perioperative period, inhibit the elevation of serum MBP, NSE, S100B protein and D-D levels, reduce brain cell damage. It has a good protective effect on brain cells and is worthy of clinical application.展开更多
目的:观察促红细胞生成素(EPO)对新生大鼠缺氧缺血性脑损伤后神经元特异性烯醇化酶表达的影响。方法:7日龄SD大鼠随机分成假手术对照组、EPO治疗组、缺氧缺血(HIBD)组。造模后在不同时间点检测脑质量损伤百分比、皮层脑组织HE染色、免...目的:观察促红细胞生成素(EPO)对新生大鼠缺氧缺血性脑损伤后神经元特异性烯醇化酶表达的影响。方法:7日龄SD大鼠随机分成假手术对照组、EPO治疗组、缺氧缺血(HIBD)组。造模后在不同时间点检测脑质量损伤百分比、皮层脑组织HE染色、免疫组化观察皮层神经元特异性烯醇化酶(NSE)的表达。结果:与假手术对照组相比较,HIBD组大鼠脑组织病理变化明显,EPO治疗组能明显改善大鼠脑组织形态变化和脑质量损伤百分比(P<0.05);HIBD组大鼠造模48 h后可见部分NSE阳性表达出现在神经元外,造模后第4天NSE的阳性表达达到高峰;在相同时间点EPO治疗组可明显减少NSE阳性表达颗粒在神经元间隙的出现;HIBD组大鼠在造模后48h和8 d NSE阳性细胞数目均少于同日龄对照组和EPO组(P<0.05)。结论:EPO在HIBD发生早期起到神经保护的作用,减少神经元的坏死,减轻缺氧缺血导致的脑功能损伤。展开更多
基金The Natural Science Foundation of Shaanxi Province(2016JQ2341).
文摘Objective: To investigate the effects of Propofol combined with remifentanil on serum levels of MBP, NSE and S100B protein, D-D and inflammatory factors in patients with acute craniocerebral trauma. Methods: A total of 100 patients were selected with traumatic brain injury who underwent emergency surgery from August 2014 to May 2017 in our hospital, then randomly divided them into the control group and the experimental group, 50 cases each. The control group received isoflurane combined with remifentanil to maintain anesthesia, and the experimental group received propofol and remifentanil to maintain anesthesia. The inflammatory factors and the levels of MBP, NSE, S100B and D-D in the two groups before and after anesthesia (T0), 1H (T1) and postoperative 1H (T2) were detected and compared. Results: There was no significant difference between the two groups in the levels of TNF-α. The serum level of hs-CRP in two groups of T1, T2 increased significantly, the difference was statistically significant compared with T0, in the experimental group, serum level of hs-CRP at T1 and T2 was significantly higher than the control group, the difference was statistically significant. Conclusion: Propofol combined with remifentanil anesthesia for acute craniocerebral trauma can maintain the balance of inflammatory cytokine levels during the perioperative period, inhibit the elevation of serum MBP, NSE, S100B protein and D-D levels, reduce brain cell damage. It has a good protective effect on brain cells and is worthy of clinical application.
文摘目的:观察促红细胞生成素(EPO)对新生大鼠缺氧缺血性脑损伤后神经元特异性烯醇化酶表达的影响。方法:7日龄SD大鼠随机分成假手术对照组、EPO治疗组、缺氧缺血(HIBD)组。造模后在不同时间点检测脑质量损伤百分比、皮层脑组织HE染色、免疫组化观察皮层神经元特异性烯醇化酶(NSE)的表达。结果:与假手术对照组相比较,HIBD组大鼠脑组织病理变化明显,EPO治疗组能明显改善大鼠脑组织形态变化和脑质量损伤百分比(P<0.05);HIBD组大鼠造模48 h后可见部分NSE阳性表达出现在神经元外,造模后第4天NSE的阳性表达达到高峰;在相同时间点EPO治疗组可明显减少NSE阳性表达颗粒在神经元间隙的出现;HIBD组大鼠在造模后48h和8 d NSE阳性细胞数目均少于同日龄对照组和EPO组(P<0.05)。结论:EPO在HIBD发生早期起到神经保护的作用,减少神经元的坏死,减轻缺氧缺血导致的脑功能损伤。
