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研究生: 李柏萱
Lee, Po-Hsuan
論文名稱: 壓迫時間和變形夾合力損失對大鼠夾子造成脊髓損傷的影響
Characterizing the Impact of Compression Duration and Deformation-Related Loss of Closure Force on Clip-Induced Spinal Cord Injury in Rats
指導教授: 林宙晴
Lin, Chou-Ching
蔡坤哲
Tsai, Kuen-Jer
學位類別: 碩士
Master
系所名稱: 醫學院 - 臨床醫學研究所碩士在職專班
Institute of Clinical Medicine(on the job class)
論文出版年: 2024
畢業學年度: 112
語文別: 英文
論文頁數: 32
中文關鍵詞: 脊髓損傷動脈瘤夾體感覺誘發電位BBB評分動物模型
外文關鍵詞: Spinal cord injury, Aneurysm clip, Somatosensory evoked potential, Basso-Beattie Bresnahan (BBB) scale, Animal model
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  • 在脊髓損傷的壓迫研究中,夾鉗壓迫因其易於建立而被廣泛使用。然而,先前的研究已經確定壓迫持續時間是影響脊髓損傷結果的關鍵因素,但尚未有統一的標準。儘管使用了統一製造的動脈瘤夾,但對其產生的閉合力或使用次數並沒有標準。在本研究中,我們描述了壓迫持續時間對夾鉗壓迫引起的SCI大鼠的嚴重程度的影響。我們從功能、組織學和電生理學角度評估了脊髓損傷的嚴重程度。此外我們還檢查了動脈瘤夾在反覆開合循環後的閉合力下降情況。我們通過在大鼠模型中應用80克動脈瘤夾在胸椎第10節處產生壓迫脊髓損傷,並測試了不同的壓迫持續時間(1、5、10、20和30秒),比較了它們的嚴重程度。對於最嚴重的脊髓損傷組,進行了胸椎第10節脊髓完全截斷。我們的研究通過功能、組織學和電生理學缺陷評估揭示了脊髓損傷嚴重程度與夾鉗壓迫持續時間之間的強正相關性。基於BBB評分,使用80克動脈瘤夾傷害的大鼠被歸類為重度脊髓損傷。即使是沒有持續壓迫,80克動脈瘤夾的快速夾擊也能導致中度至重度的脊髓損傷。體感誘發電位(SSEP)被證明是評估脊髓損傷嚴重程度的有效工具,也有利於幫助研究人員建立自身的脊髓損傷動物模型。我們發現動脈瘤夾的閉合力在五次開合循環後顯著下降,這表明應避免進一步重複使用。我們的研究結果為研究人員開發夾鉗壓迫誘導的脊髓損傷。

    In the research of compression spinal cord injury (SCI), clip compression is widely used due to its ease of establishment. However, previous studies have identified compression duration as a critical factor affecting SCI outcomes, but no unified standard exists. Although manufactured aneurysm clips are used, there is no standard for closure force or the number of times they can be used. In this study, we evaluated the severity of spinal cord injury (SCI) in rats subjected to various clip compression durations. The severity of SCI was assessed from functional, histological, and electrophysiological perspectives. Additionally, we investigated the decline in closure force after the repetitive use of aneurysm clips. We induced T10 compression SCI by applying an 80-g aneurysm clip in our animal model, testing various compression durations (1, 5, 10, 20, and 30 seconds) and comparing their severity. For the most severe SCI group, a total transection over T10 was performed. Our study revealed a strong positive correlation between the severity of SCI—assessed through functional, histological, and electrophysiological deficits—and the duration of clip compression. Rats with SCI induced by an 80-g aneurysm clip were categorized as having severe SCI based on the BBB scale. Even a sudden impact without sustained compression resulted in moderate to severe SCI outcomes. The somatosensory evoked potential (SSEP) proved to be an effective tool for assessing the severity of SCI and for researchers establishing their own SCI animal models. We found that the closure force of aneurysm clips significantly decreased after five open-close cycles, indicating that further repetitive use should be avoided. Our results provide valuable reference points for researchers developing clip compression-induced SCI models in rats.

    摘要 1 Abstract 2 Acknowledgement 3 Abbreviations 4 Table of Contents 5 Chapter 1 Background 7 1.1 Animal models for spinal cord injury 7 1.2 Compression duration 8 1.3 Closure force decline of aneurysm clips 8 1.4 Outcome evaluation 8 Chapter 2 Objectives and Specific Aims 10 Chapter 3 Materials and Methods 11 3.1 Animals and grouping 11 3.2 Induction of SCI 11 3.3 BBB scoring 12 3.4 SSEP recording 13 3.5 Luxol Fast Blue staining 13 3.6 Measurement of the closure force of the aneurysm clips 13 3.7 Statistical analysis 14 Chapter 4 Results 15 4.1 Longer clip compression duration induces more severe locomotor function impairments in SCI rats 15 4.2 Longer clip compression duration induces more severe electrophysiological impairments in SCI rats 16 4.3 Longer clip compression duration induces more severe histological impairments in SCI rats 16 4.4 Clip closure force declines with repetitive use 17 Chapter 5 Discussion 18 5.1 Outcomes of our SCI model 18 5.2 An indicator for SCI model severity 19 5.3 Animal choice in SCI model 21 5.4 Injury level for SCI model 21 5.5 Decline of aneurysm clip closure force 22 Figures 24 Figure 1. Correlation between compression duration on locomotor function and electrophysiological deficits in a clip induced SCI rat model. 24 Figure 2. Correlation between compression duration on histological damage in a clip induced SCI rat model. 26 Figure 3. Closure force change under repetitive use. 27 References 28

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