中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2009年
17期
25-26,37
,共3页
周晓峰%王晶%赵妍%邢绣荣%秦俭
週曉峰%王晶%趙妍%邢繡榮%秦儉
주효봉%왕정%조연%형수영%진검
心肺复苏%缺血再灌注损伤%脑水肿%CD11b%乌司他丁
心肺複囌%缺血再灌註損傷%腦水腫%CD11b%烏司他丁
심폐복소%결혈재관주손상%뇌수종%CD11b%오사타정
Cardiopulmonary resuscitation%Isehemical reperfusion injury%Brain edema%CD11b%Uiinastatin(UTI)
目的 探讨乌司他丁对心肺复苏早期大鼠脑组织含水量及脑组织CD11b水平的影响.方法 将30只SD大鼠随机分为假手术对照组、心肺复苏(CPR)组、乌司他丁组,每组各10只大鼠.于自主呼吸循环恢复后2h,采用干湿法检测各组大鼠脑组织含水量,采用ELISE法检测大鼠脑组织CD11b水平.结果 ①脑组织含水量:CPR组为(80.4±2.0)%,较对照组(76.7±1.3)%显著增加(P<0.01);乌司他丁组(77.6±1.5)%,较CPR组显著减少(P<0.01).②脑组织CD11b含量:CPR组为(620.488±38.723)ng/mg,较对照组(453.189±121.403)ng/mag明显增高(P<0.01);乌司他丁组(476.875±114.686)ng/mg,较CPR组显著减少(P<0.05).结论 CPR早期即可发生脑水肿,脑组织CD11b水平显著增加;应用乌司他丁能有效降低脑组织含水量和脑组织CD11b水平.
目的 探討烏司他丁對心肺複囌早期大鼠腦組織含水量及腦組織CD11b水平的影響.方法 將30隻SD大鼠隨機分為假手術對照組、心肺複囌(CPR)組、烏司他丁組,每組各10隻大鼠.于自主呼吸循環恢複後2h,採用榦濕法檢測各組大鼠腦組織含水量,採用ELISE法檢測大鼠腦組織CD11b水平.結果 ①腦組織含水量:CPR組為(80.4±2.0)%,較對照組(76.7±1.3)%顯著增加(P<0.01);烏司他丁組(77.6±1.5)%,較CPR組顯著減少(P<0.01).②腦組織CD11b含量:CPR組為(620.488±38.723)ng/mg,較對照組(453.189±121.403)ng/mag明顯增高(P<0.01);烏司他丁組(476.875±114.686)ng/mg,較CPR組顯著減少(P<0.05).結論 CPR早期即可髮生腦水腫,腦組織CD11b水平顯著增加;應用烏司他丁能有效降低腦組織含水量和腦組織CD11b水平.
목적 탐토오사타정대심폐복소조기대서뇌조직함수량급뇌조직CD11b수평적영향.방법 장30지SD대서수궤분위가수술대조조、심폐복소(CPR)조、오사타정조,매조각10지대서.우자주호흡순배회복후2h,채용간습법검측각조대서뇌조직함수량,채용ELISE법검측대서뇌조직CD11b수평.결과 ①뇌조직함수량:CPR조위(80.4±2.0)%,교대조조(76.7±1.3)%현저증가(P<0.01);오사타정조(77.6±1.5)%,교CPR조현저감소(P<0.01).②뇌조직CD11b함량:CPR조위(620.488±38.723)ng/mg,교대조조(453.189±121.403)ng/mag명현증고(P<0.01);오사타정조(476.875±114.686)ng/mg,교CPR조현저감소(P<0.05).결론 CPR조기즉가발생뇌수종,뇌조직CD11b수평현저증가;응용오사타정능유효강저뇌조직함수량화뇌조직CD11b수평.
Objective To observe the effects of UTI on the moisture capacity and CD11b of brains in CPR rats. Methods 30 grown male Sprague Dawley(SD) rats were divided randomly into three groups :control group,resuscitation group and UTI group. Each group had 10 rats. The last two groups were used to make CPR models induced by asphyxia and were observed lasting 2 hours after ROSC. Then all rats were caused dead and brain tissues were took out. Brain tissues were weighed (humid weight),then they were dried in a baker and scaled dry weight. Moisture capacities were calculated by Elliott method. The lever of CD11b in brain tissue was determined by ELISA method. Results ①The brain water content in the resuscitation group was significantly higher than that in the control group[(80.4 ± 2.0)% vs (76.7 ± 1.3)%, P < 0.01];The brain water content in UTI group was decreased significantly than that in the resuscitation group[(77.6 ± 1.5)% vs (80.4 ± 2.0)%, P<0.01]. ②The levels of CD11b of brain tissues in the resuscitation group increased significantly than those in the control group [(620.488 ± 38.723) ng/mg vs (453.189 ± 121.403) ng/mg, P < 0.01]; The levels of CD 11 b of brain tissues in UTI group decreased significantly than those in the resuscitation group[(476.875 ± 114.686)ng/mg vs (620.488 ± 38.723)ng/mg, P < 0.05]. Conclusion Brain edema occurs during the early stage of CPR,and the levers of CD11b in brain tissues increase significantly. The use of UTI may effectively reduce the brain water content,the levels of CD11b in brain tissues.