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Springer Science and Business Media LLC Scientific Reports 13(1)
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    초록·키워드

    We previously reported the neuroprotective potential of combined hydrogen (H<sub>2</sub>) gas ventilation therapy and therapeutic hypothermia (TH) by assessing the short-term neurological outcomes and histological findings of 5-day neonatal hypoxic-ischemic (HI) encephalopathy piglets. However, the effects of H<sub>2</sub> gas on cerebral circulation and oxygen metabolism and on prognosis were unknown. Here, we used near-infrared time-resolved spectroscopy to compare combined H<sub>2</sub> gas ventilation and TH with TH alone. Piglets were divided into three groups: HI insult with normothermia (NT, n = 10), HI insult with hypothermia (TH, 33.5 ± 0.5 °C, n = 8), and HI insult with hypothermia plus H<sub>2</sub> ventilation (TH + H<sub>2</sub>, 2.1-2.7%, n = 8). H<sub>2</sub> ventilation and TH were administered and the cerebral blood volume (CBV) and cerebral hemoglobin oxygen saturation (ScO<sub>2</sub>) were recorded for 24 h after the insult. CBV was significantly higher at 24 h after the insult in the TH + H<sub>2</sub> group than in the other groups. ScO<sub>2</sub> was significantly lower throughout the 24 h after the insult in the TH + H<sub>2</sub> group than in the NT group. In conclusion, combined H<sub>2</sub> gas ventilation and TH increased CBV and decreased ScO<sub>2</sub>, which may reflect elevated cerebral blood flow to meet greater oxygen demand for the surviving neurons, compared with TH alone.

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