首都医科大学学报 ›› 2010, Vol. 31 ›› Issue (3): 310-314.

• 消化疾病发病机制和治疗的进展 • 上一篇    下一篇

缺血性脑卒中大鼠肠黏膜的损害及小肠运动功能障碍

啜佳然1, 朱玉群1, 徐立新2, 袁芳2, 徐有青1, 王晨1*
  

  1. 1. 首都医科大学附属北京天坛医院消化内科;2. 北京市神经外科研究所病理生理室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-06-21 发布日期:2010-06-21
  • 通讯作者: 王晨

Change of Intestinal Motility and Intestinal Mucosal Impairment in Rats with Cerebral Arterial Thrombosis

CHUO Jia-ran1, ZHU Yu-qun1, XU Li-xin2, YUAN Fang2, XU You-qing1, WANG Chen1*   

  1. 1. Department of Gastroenterology, Beijing Tiantan Hospital, Capital Medical University;2. Department of Pathological Physiology, Beijing Neurosurgical Institute
  • Received:1900-01-01 Revised:1900-01-01 Online:2010-06-21 Published:2010-06-21
  • Contact: WANG Chen

摘要: 目的 观察缺血性脑卒中大鼠肠黏膜形态学改变及小肠动力变化,探讨二者之间的关系。方法 48只雄性健康Wistar大鼠分为2组,假手术对照组和缺血性脑卒中模型组,模型组又根据实验终止时间分为5个亚组,每组动物8只。采用改良的Longa线栓法建立大鼠大脑中动脉闭塞(middle cerebral artery occlusion,MCAO )模型。分别于缺血后3 h、6 h、12 h、24 h、48 h进行光镜及电镜下小肠黏膜病理变化的研究以及利用亚甲蓝染色法检测小肠推进比。结果 MCAO组的小肠推进比与对照组相比显著减低,差异有统计学意义(P<0.05),3 h组与6 h组比较差异有统计学意义(P<0.01),6 h组与12 h组、12 h组与24 h组、24 h组与48 h组之间比较差异无统计学意义。光镜下MCAO组术后6 h即可见肠绒毛肿胀、增粗、缩短,24 h见绒毛顶端破损、剥脱,固有层裸露,对照组肠黏膜结构基本完整。电镜下MCAO组小肠绒毛上皮细胞内可见线粒体肿胀、嵴断裂,细胞器空泡变性,细胞间紧密连接增宽,可见凋亡细胞。结论 缺血性脑卒中后可出现肠黏膜损伤和小肠动力障碍,二者的发生发展可能互为因果。

关键词: 大脑中动脉闭塞模型, 肠动力, 肠黏膜

Abstract: Objective To determine the change of intestinal mucosa, intestinal motility and their relationship. Methods Forty-eight Wistar rats were randomly divided into control group(n=8) and middle cerebral artery occlusion(MCAO) group(n=40). MCAO group was further divided into 3 h, 6 h, 12 h, 24 h, 48 h after the cerebral arterial thrombosis, each subgroup had 8 rats. Along with the application of transluminal techniques of Longa to create the focal cerebral ischemia model in rats. The damages of intestinal mucosa were observed under light and electron microscopy and determine the intestinal motility at each special time point using the methylene blue staining method. Results There was significant difference in the intestinal motility between control and MCAO groups(P<0.05). There was statistical significance of difference between 3 h group and 6 h group(P<0.01), and there was no statistical significance of difference between 6 h group and 12 h group, 12 h group and 24 h group, 24 h group and 48 h group(P>0.05). Damage of intestinal mucosa could be demonstrated via pathological analysis, such as, engorgement, thickening, decurtation, denudation and so on. Conclusion After cerebral arterial thrombosis, damages of intestinal mucosa and intestinal dyskinesis may occur, the above two may be cause and effect for each other.

Key words: middle cerebral artery occlusion(MCAO), intestinal motility, intestinal mucosa

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