束缚和异氟烷麻醉对大鼠心率变异性及HPA 轴影响的比较
作者:
作者单位:

(1. 中国中医科学院针灸研究所, 北京 100700; 2. 厦门大学医学院中医学系,厦门 361102)

中图分类号:

R-33


Comparison of heart rate variability and HPA axis activation effect in rats with bundling or isoflurane anesthesia
Author:
Affiliation:

(1. Institute of Acupuncture and Moxibustion CACMS, Beijing 100700, China; 2. Medical college of Xiamen university, Department of traditional Chinese medicine, Xiamen 361102)

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    摘要:

    目的 为了观察束缚固定和异氟烷(流量:0. 8 L,浓度:1. 5%)麻醉状态中大鼠的心率变异性的变化;并通过比较9 天每天30 min 束缚干预和异氟烷麻醉对大鼠的体重?痛阈以及与HPA 轴相关激素的影响,来评估长期使用异氟烷麻醉和束缚固定对大鼠应激程度的影响,选择更适宜的大鼠固定方法,为基础医学的实验方法提供重要的参考?方法 SD 大鼠随机分为3 组:空白组,束缚组,异氟烷麻醉组?急性实验通过记录大鼠心电图15 min,观察束缚固定和异氟烷麻醉情况下大鼠心率,心率变异性的变化?慢性实验中比较连续干预9 天(30 min/ d)前后3 组大鼠体重?痛阈变化以及与应激状态相关激素含量的变化?结果 1)急性试验:与空白组大鼠相比,束缚干预和异氟烷麻醉均造成大鼠心率显著增加,具有统计学意义( P < 0. 01)?与异氟烷麻醉组相比,束缚组大鼠心率增加更显著( P < 0. 05)?与空白组和束缚组大鼠相比,异氟烷麻醉大鼠心率变异性的时域指标SDRR 值和频域指标HF 值均降低( P < 0. 01; P < 0. 05),心率变异性频域指标LF 值和LF/ HF 值均升高( P < 0. 05, P < 0. 01)?2)慢性实验:与空白组大鼠相比,长期的束缚和异氟烷麻醉干预造成大鼠体重增幅均减少( P < 0. 05)?与异氟烷麻醉组相比,束缚组大鼠体重增幅减少更加明显( P < 0. 05)?与空白组大鼠和异氟烷麻醉组大鼠相比,束缚组大鼠痛阈降低( P < 0. 05);空白组大鼠和异氟烷麻醉组大鼠痛阈差异无统计学意义?与空白组大鼠和异氟烷麻醉组大鼠相比,束缚组大鼠下丘脑中促肾上腺皮质激素释放激素(Corticotropin Releasing Hormone,CRH)和肾上腺中皮质酮(Corticosterone, CORT)含量降低( P < 0. 05),而血清CRH 含量和CORT 无明显变化( P > 0. 05)?结论 以上结果提示:低浓度的异氟烷造成麻醉中大鼠心率增加,心率变异性下降,产生以交感兴奋为主的自主神经功能状态改变?多次束缚固定易造成大鼠HPA 轴激活,产生慢性应激的效应?在长期需要固定动物的实验中,与束缚固定相比异氟烷麻醉是更好的固定方法?

    Abstract:

    Objective To observe the change of heart rate variability (HRV) in rats with bundling or isoflurane anesthesia and determine the differences of weight, pain threshold, and hormone levels of the HPA axis between rats with bundling and isoflurane anesthesia for 9 days (30 min/ day). Methods Male SD rats were randomly divided into three groups: a control group, bundling group, and isoflurane anesthesia group. By recording an electrocardiogram (ECG) for 15min, heart rate and HRV were analyzed in the three groups in an acute experiment. Body weight, pain threshold, and levels of CRH and ACTH (in serum, hypothalamus, and adrenal glands) were investigated after the 9?day intervention (30min/ day). Results 1) Compared with the control group, the heart rates of the bundling and isoflurane anesthesia groups increased significantly (both P < 0. 01). The heart rate of the bundling group also increased compared with that of the isoflurane anesthesia group ( P < 0. 05). Moreover, compared with the control and bundling groups, SDRR and HF values of the isoflurane anesthesia group were significantly decreased ( P < 0. 01, P < 0. 05) and LF and LF/ HF values were significantly increased ( P < 0. 05, P < 0. 01). 2) After the 9?day intervention, compared with that in the control group, the weight gains of the bundling and isoflurane anesthesia groups were decreased ( P < 0. 05). The weight gain of the bundling group was also decreased compared with that of the isoflurane anesthesia group ( P < 0. 05). 3) Compared with those in the control and isoflurane anesthesia groups, the pain threshold in the bundling group was decreased ( P < 0. 05), while there was no significant difference between the control group and the isoflurane anesthesia group. 4) Compared with the levels in the control and isoflurane anesthesia groups, the levels of corticotropin releasing hormone (CRH) in the hypothalamus and corticosterone (CORT) in the adrenal gland were decreased ( P < 0. 05). There was no significant change in the levels of CRH and CORT in serum ( P > 0. 05). Conclusions The low concentration of isoflurane caused an increase of heart rate and a decrease of heart rate variability in rats. It result ed in change in the functional status of the autonomic nervous system, which mainly involved sympathetic excitement. Compared with the control group, the 9?day bundling intervention caused chronic stress in rats. Isoflurane anesthesia is a method of reducing stress in rats during long?term interventions.

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王晓宇,何伟,马富强,张晓宁,宿杨帅,胡玲,景向红.束缚和异氟烷麻醉对大鼠心率变异性及HPA 轴影响的比较[J].中国比较医学杂志,2018,28(10):28~35.

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  • 收稿日期:2018-01-26
  • 在线发布日期: 2018-11-15
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