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Changes in neurological and pathological outcomes in a modified rat spinal cord injury model with closed canal 被引量:1
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作者 Xin Sun Xing-Zhen Liu +4 位作者 Jia Wang Hai-Rong Tao Tong Zhu Wen-Jie Jin Kang-Ping Shen 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第4期697-704,共8页
Most animal spinal cord injury models involve a laminectomy,such as the weight drop model or the transection model.However,in clinical practice,many patients undergo spinal cord injury while maintaining a relatively c... Most animal spinal cord injury models involve a laminectomy,such as the weight drop model or the transection model.However,in clinical practice,many patients undergo spinal cord injury while maintaining a relatively complete spinal canal.Thus,open spinal cord injury models often do not simulate real injuries,and few previous studies have investigated whether having a closed spinal canal after a primary spinal cord injury may influence secondary processes.Therefore,we aimed to assess the differences in neurological dysfunction and pathological changes between rat spinal cord injury models with closed and open spinal canals.Sprague-Dawley rats were randomly divided into three groups.In the sham group,the tunnel was expanded only,without inserting a screw into the spinal canal.In the spinal cord injury with open canal group,a screw was inserted into the spinal canal to cause spinal cord injury for 5 minutes,and then the screw was pulled out,leaving a hole in the vertebral plate.In the spinal cord injury with closed canal group,after inserting a screw into the spinal canal for 5 minutes,the screw was pulled out by approximately 1.5 mm and the flat end of the screw remained in the hole in the vertebral plate so that the spinal canal remained closed;this group was the modified model,which used a screw both to compress the spinal cord and to seal the spinal canal.At 7 days post-operation,the Basso-Beattie-Bresnahan scale was used to measure changes in neurological outcomes.Hematoxylin-eosin staining was used to assess histopathology.To evaluate the degree of local secondary hypoxia,immunohistochemical staining and western blot assays were applied to detect the expression of hypoxia-inducible factor 1α(HIF-1α)and vascular endothelial growth factor(VEGF).Compared with the spinal cord injury with open canal group,in the closed canal group the Basso-Beattie-Bresnahan scores were lower,cell morphology was more irregular,the percentage of morphologically normal neurons was lower,the percentages of HIF-1α-and VEGF-immunoreactive cells were higher,and HIF-1αand VEGF protein expression was also higher.In conclusion,we successfully established a rat spinal cord injury model with closed canal.This model could result in more serious neurological dysfunction and histopathological changes than in open canal models.All experimental procedures were approved by the Institutional Animal Care Committee of Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,China(approval No.HKDL201810)on January 30,2018. 展开更多
关键词 Basso-Beattie-Bresnahan scores closed spinal CANAL HIF-1α hypoxia MODEL nerve regeneration open spinal CANAL rat secondary injury spinal cord injury VEGF
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重复经颅磁刺激外周-中枢闭环治疗模式治疗脊髓损伤后神经源性膀胱的研究
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作者 李文 梁寿一 +1 位作者 周嘉铭 陈锦媚 《中国医学创新》 CAS 2024年第12期140-144,共5页
目的:研究重复经颅磁刺激外周-中枢闭环治疗模式对脊髓损伤后神经源性膀胱治疗的影响。方法:选取2020年5月—2022年2月茂名市人民医院收治的脊髓损伤后神经源性膀胱患者80例作为研究对象,采用随机数字表法将患者分为A组、B组,各40例,均... 目的:研究重复经颅磁刺激外周-中枢闭环治疗模式对脊髓损伤后神经源性膀胱治疗的影响。方法:选取2020年5月—2022年2月茂名市人民医院收治的脊髓损伤后神经源性膀胱患者80例作为研究对象,采用随机数字表法将患者分为A组、B组,各40例,均进行常规康复治疗,A组加用低频电刺激治疗,B组加用重复经颅磁刺激外周-中枢闭环治疗模式。对比两组治疗前后尿流动力学、膀胱容量与压力、生活质量。结果:治疗4周后,两组残余尿量较治疗前均降低,最大尿流率、最大膀胱容量均较治疗前升高,膀胱内压力较治疗前均降低,且B组均优于A组(P<0.05);两组每天单次排尿量较治疗前均提高,排尿次数均较治疗前降低,且B组均优于A组(P<0.05);两组泌尿症状困扰评分量表(USDS)、国际下尿路症状(LUTS)评分均较治疗前降低,且B组均较A组低(P<0.05)。治疗4周后,两组世界卫生组织生存质量测定简表(WHOQOL-BREF)中生理、心理、社会关系、生活环境评分均较治疗前提高,且B组均较A组高,差异均有统计学意义(P<0.05)。结论:重复经颅磁刺激外周-中枢闭环治疗模式对脊髓损伤后神经源性膀胱治疗后的尿流动力学具有改善作用,且可以增加膀胱容量,改善排尿尿量及次数,改善生活质量。 展开更多
关键词 脊髓损伤 神经源性膀胱 重复经颅磁刺激 外周-中枢闭环治疗模式 尿流动力学
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颈椎闭合复位对椎间盘和脊髓损伤的影响 被引量:3
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作者 苏琦 任先军 +2 位作者 张峡 王卫东 蒋涛 《颈腰痛杂志》 2005年第2期89-92,共4页
目的探讨下颈椎小关节脱位闭合复位的临床疗效。方法46例颈椎小关节脱位患者, 24例单侧小关节脱位,22例双侧小关节脱位,在透视下行颅骨牵引闭合复位,并于复位前后进行神 经功能和颈椎MRI检查,借以比较复位前后椎间盘损伤和脊髓实质性损... 目的探讨下颈椎小关节脱位闭合复位的临床疗效。方法46例颈椎小关节脱位患者, 24例单侧小关节脱位,22例双侧小关节脱位,在透视下行颅骨牵引闭合复位,并于复位前后进行神 经功能和颈椎MRI检查,借以比较复位前后椎间盘损伤和脊髓实质性损伤的变化情况。结果46例 中39例在透视下行颅骨牵引闭合复位,其中34例复位成功,5例未成功,成功率87%。34例中复位 前MRI显示存在明显椎间盘突出者7例,椎间盘撕裂4例,复位后有6例椎间盘脱出仍存在,大小 无明显变化;1例原脱出椎间盘明显缩小,无新椎间盘脱出发生。33例在复位前后脊髓信号无明显改 变,1例复位前脊髓无明显改变者,复位后出现T2加权高信号。结论1、透视下颅骨牵引闭合复位是 一种安全有效的治疗方法,通常情况下不会诱发或加重椎间盘脱出,进而造成继发性脊髓功能损伤。 2、MRI对颈椎小关节脱位合并椎间盘和脊髓损伤的诊断、预后的参考价值高,但不应因行MRI检查 而耽误闭合复位。 展开更多
关键词 颈椎 小关节脱位 闭合复位 脊髓损伤
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穴位按摩治疗脊髓损伤性癃闭48例
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作者 沈艳 《河南中医》 2015年第6期1432-1433,共2页
目的:观察穴位按摩治疗脊髓损伤性癃闭的临床疗效。方法:将96例患者随机分为治疗组和对照组,每组各48例。对照组给予一般健康教育、功能锻炼、心理干预等综合性护理干预,治疗组在对照组的基础上给予穴位按摩治疗。结果:治疗组治疗疗效... 目的:观察穴位按摩治疗脊髓损伤性癃闭的临床疗效。方法:将96例患者随机分为治疗组和对照组,每组各48例。对照组给予一般健康教育、功能锻炼、心理干预等综合性护理干预,治疗组在对照组的基础上给予穴位按摩治疗。结果:治疗组治疗疗效优于对照组,生活质量明显提高,与对照组比较有显著性差异(P<0.05)。结论:穴位按摩能够有效改善脊髓损伤患者膀胱功能状况,可提高患者生活质量。 展开更多
关键词 脊髓损伤性癃闭 综合护理 穴位按摩
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