Effect of propofol on postoperative cognitive dysfunction induced by preoperative sleep deprivation in rats / 中华麻醉学杂志

ABSTRACT

Objective To evaluate the effect of propofol on postoperative cognitive dysfunction induced by preoperative sleep deprivation in the rats.Methods A total of 126 healthy adult male SpragueDawley rats,weighing 200-250 g,were randomly divided into 3 groups (n =42 each) using a random number tablecontrol group (group C),sleep deprivation group (group SD),and sleep deprivation + propofol group (group SD+P).The rats were kept for 96 h on a treadmill that moved for 3 s on/12 s off in SD and SD+P groups.Intramedullary nailing for right femoral shaft fractures was performed in the 3 groups.Propofol 20 mg · kg-1 · h-1 was infused for 2 h via the contralateral femoral vein starting from the end of operation in group SD+P,while the equal volume of normal saline was infused for 2 h starting from the end of operation in C and SD groups.The animals underwent Morris water maze test at 1-5 days after operation to assess the cognitive function,and the escape latency and time of staying at the original platform position were recorded.At 1,3 and 7 days after operation,hippocampal tissues were obtained,nissl staining was performed to determine neuron count in hippocampal CA1 area,and Golgi staining was performed to measure the density of dendritic spine in hippocampal CA1 area.Results Compared with group C,the escape latency was significantly prolonged,the time of staying at the original platform position was significantly shortened,and the neuron count and density of dendritic spine in hippocampal CA1 area were significantly decreased at each time point after operation in group SD (P＜0.05),and no significant change was found in each index mentioned above in group SD+P (P＞0.05).Compared with group SD,the escape latency was significantly shortened,the time of staying at the original platform position was significantly prolonged,and the neuron count and density of dendritic spine in hippocampal CA1 area were significantly increased at each time point after operation in group SD+P (P＜0.05).Conclusion Propofol can ameliorate postoperative cognitive dysfunction induced by preoperative sleep deprivation in the rats.