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目的探讨一氧化氮(NO)与蛛网膜下腔出血(SAH)后缺血性脑损害的关系和银杏叶制剂(GBE)的保护作用。方法应用非开颅大鼠模型,对SAH组和GBE组测量基底动脉(BA)管径并观察24h内微区脑血流量(CBF)和颅内血清NO水平动态改变,3d后对海马CA1区行病理检查。结果SAH后CBF和血清NO降低,BA痉挛,海马CA1区神经元明显受损。GBE使上述改变减轻。结论SAH时血清NO减少是导致缺血性脑损害的重要因素,GBE通过影响NO病理性改变而减轻缺血性脑损害
Objective To investigate the relationship between nitric oxide (NO) and ischemic brain damage after subarachnoid hemorrhage (SAH) and the protective effect of Ginkgo biloba preparation (GBE). Methods Non-craniotomy rats were used to measure the diameter of basilar artery (BA) in SAH group and GBE group. The changes of micro-regional cerebral blood flow (CBF) and intracranial serum NO level in 24h were observed. Pathological examination. Results After SAH, CBF and serum NO decreased, BA spasm, hippocampal CA1 neurons were significantly impaired. The GBE mitigates these changes. Conclusions The decrease of serum NO in SAH is an important factor leading to ischemic brain damage. GBE can reduce ischemic brain damage by affecting the pathological changes of NO