Comparing Effects of Intraventricular Hypertonic Saline and Magnesium Sulfate Application on Diffuse Brain Injury in Rats

Nurcan Kızılcık, Erhan Çelikoğlu, T. Keleştemur, O. Koner, M. İş, S. Bilgen, Ayçiçek Ceçen, B. Yılmaz
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Abstract

E-mail : nurcankizilcik@yahoo.com Phone : +90 532 776 54 44 ABSTRACT Objective: Diffuse brain injury is one of the most common issues encountered in, patients with trauma and it leads to morbidity and mortality via increased intracranial pressure. The aim of the study was to compare the effects of magnesium sulfate and hypertonic saline on diffuse brain injury in rats. Materials and Methods: In this study 18 male Sprague-Dawley rats weighing 250-300 g were used. The rats were randomly divided into trauma (control), trauma+magnesium, and trauma+hypertonic saline groups. Traumatic brain injury was induced by modified Feeney head trauma model. A single dose of 10 μL isotonic saline, magnesium sulphate and hypertonic saline were applied intraventricularly to the control, magnesium, and hypertonic saline groups, respectively. Rats were decapitated 24 hours after the head trauma. Their brains were dissected immediately and stored with dry ice at -80 °C for histopathological experiments. Results: The number of damaged neurons were significantly higher in both control and hypertonic saline groups (p=0.001, p=0.008). However, the number of damaged neurons did not show significant difference between hypertonic saline and control groups, it was significantly lower in magnesium group (p<0.05). Conclusion: In this study, intraventricular magnesium application is found effective in reducing the number of the damaged neurons in rat traumatic brain injury model. These results suggest that magnesium usage may be evaluated for the treatment of patients with traumatic brain injury in further prospective studies.
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脑室内高渗盐水与硫酸镁对大鼠弥漫性脑损伤的作用比较
摘要目的:弥漫性脑损伤是创伤患者中最常见的问题之一,它通过颅内压升高导致发病率和死亡率。本研究旨在比较硫酸镁和高渗盐水对大鼠弥漫性脑损伤的影响。材料与方法:选取雄性Sprague-Dawley大鼠18只,体重250 ~ 300 g。将大鼠随机分为创伤组(对照组)、创伤+镁组和创伤+高渗盐水组。采用改进的Feeney颅脑损伤模型进行颅脑损伤治疗。对照组、镁组和高渗盐水组分别给予单剂量10 μL等渗盐水、硫酸镁和高渗盐水。大鼠在头部外伤后24小时被斩首。立即解剖脑组织,用干冰保存于-80°C,用于组织病理学实验。结果:对照组和高渗盐水组损伤神经元数量均显著高于对照组(p=0.001, p=0.008)。高渗盐水组损伤神经元数量与对照组无显著差异,镁组损伤神经元数量显著低于对照组(p<0.05)。结论:本研究发现,在大鼠创伤性脑损伤模型中,脑室内应用镁能有效减少损伤神经元的数量。这些结果表明,在进一步的前瞻性研究中,可以评估镁的使用对创伤性脑损伤患者的治疗作用。
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