Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (37): 6594-6600.doi: 10.3969/j.issn.2095-4344.2013.37.009

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Biological effects of peripheral nerve block on the spinal cord

Li Xia, Zhang Yong, Zhang Jing   

  1. Department of Anesthesiology, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi  830011, Xinjiang Uygur Autonomous Region, China
  • Received:2013-03-04 Revised:2013-07-02 Online:2013-09-10 Published:2013-09-10
  • Contact: Zhang Yong, Chief physician, Department of Anesthesiology, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China zhangyong63@sohu.com
  • About author:Li Xia, Associate chief physician, Department of Anesthesiology, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China Lixia2868@126.com

Abstract:

BACKGROUND: How does the peripheral nerve block work to inhibit the functions? What effects does it do to the spinal cord and the cerebral center? How does it regulate the peripheral nerve and how does it change anatomy of brain center? All above are still unknown.
OBJECTIVE: To observe the effect of peripheral nerve block on the biology of spinal cord nerve cells.
METHODS: Sixty New Zealand rabbits were selected and randomly divided into three groups: ischiadic nerve block group, subarachnoid block group and extradural nerve block group. Each group had 20 rabbits which were sub-divided into experimental group and control group with 10 rabbits in each subgroup. The rabbits in the three experimental groups were injected with lidocaine, bupivacaine and lidocaine at the middle point between femoral head and ischiadic tuberosity in ischiadic nerve block group, subarachnoid block group and extradural nerve block group, respectively. The rabbits in each control group were injected with normal saline at the same position.
RESULTS AND CONCLUSION: After ischiadic nerve block, extradural nerve block or subarachnoid block for 30 minutes, the Nigeria’s bodies of the little round cells in the poliomyelia posterior horn laminae Ⅲ and Ⅳ and the polyhedral cells in the anterior horn laminae Ⅸ were less than those in the control groups. Nuclei leaned towards one side. c-Fos protein expression was decreased or showed no expression, suggesting that the cord nerve cell function of corresponding spinal segments was inhibited. The spinal pia mater of spinal cord had a hierarchical or fracture phenomenon after subarachnoid block.

Key words: peripheral nerves, anesthesia, neurons, biology

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