中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
8期
36-38
,共3页
谢玉慧%张元洲%何英%张际春
謝玉慧%張元洲%何英%張際春
사옥혜%장원주%하영%장제춘
失血性休克%异丙酚%ATP酶%SDH
失血性休剋%異丙酚%ATP酶%SDH
실혈성휴극%이병분%ATP매%SDH
Hemorrhagic shock%Pmpofol%ATPase%SDH
目的 观察新西兰大耳白兔失血性休克后,肾组织中ATP酶和琥珀酸脱氢酶(SDH)活性变化,同时了解异丙酚预处理后,对以上各指标的影响,探讨异丙酚对失血性休克肾功能代谢的保护作用及其作用的可能机制.方法 建立失血性休克动物模型,选健康新西兰大耳白兔32只,雌雄不拘,随机分为对照组、休克组、灌注组、异丙酚预处理组,每组8只.检测肾组织ATP酶和琥珀酸脱氢酶(SDH)活性变化.结果 肾组织SDH和ATP酶活性,休克组和灌注组降低,分别与对照组相比差异有统计学意义(P<0.01).异丙酚预处理组增高,与休克组相比差异也有统计学意义(P<0.01).结论 失血性休克可引起肾组织明显功能代谢障碍,异丙酚预处理后各项测定指标的活性均发生了变化,提示异丙酚对失血性休克肾代谢具有一定的保护作用,其保护作用是通过抗脂质过氧化、稳定细胞膜、提高生物氧化酶活性而起作用的.为临床应用提供了依据.
目的 觀察新西蘭大耳白兔失血性休剋後,腎組織中ATP酶和琥珀痠脫氫酶(SDH)活性變化,同時瞭解異丙酚預處理後,對以上各指標的影響,探討異丙酚對失血性休剋腎功能代謝的保護作用及其作用的可能機製.方法 建立失血性休剋動物模型,選健康新西蘭大耳白兔32隻,雌雄不拘,隨機分為對照組、休剋組、灌註組、異丙酚預處理組,每組8隻.檢測腎組織ATP酶和琥珀痠脫氫酶(SDH)活性變化.結果 腎組織SDH和ATP酶活性,休剋組和灌註組降低,分彆與對照組相比差異有統計學意義(P<0.01).異丙酚預處理組增高,與休剋組相比差異也有統計學意義(P<0.01).結論 失血性休剋可引起腎組織明顯功能代謝障礙,異丙酚預處理後各項測定指標的活性均髮生瞭變化,提示異丙酚對失血性休剋腎代謝具有一定的保護作用,其保護作用是通過抗脂質過氧化、穩定細胞膜、提高生物氧化酶活性而起作用的.為臨床應用提供瞭依據.
목적 관찰신서란대이백토실혈성휴극후,신조직중ATP매화호박산탈경매(SDH)활성변화,동시료해이병분예처리후,대이상각지표적영향,탐토이병분대실혈성휴극신공능대사적보호작용급기작용적가능궤제.방법 건립실혈성휴극동물모형,선건강신서란대이백토32지,자웅불구,수궤분위대조조、휴극조、관주조、이병분예처리조,매조8지.검측신조직ATP매화호박산탈경매(SDH)활성변화.결과 신조직SDH화ATP매활성,휴극조화관주조강저,분별여대조조상비차이유통계학의의(P<0.01).이병분예처리조증고,여휴극조상비차이야유통계학의의(P<0.01).결론 실혈성휴극가인기신조직명현공능대사장애,이병분예처리후각항측정지표적활성균발생료변화,제시이병분대실혈성휴극신대사구유일정적보호작용,기보호작용시통과항지질과양화、은정세포막、제고생물양화매활성이기작용적.위림상응용제공료의거.
Objective The change of kidney' sATPage and suecinate dehydrogqenage (SDH) in the New Zealan Rabbits after hemorrhagic shock;To observe the propofol pre-treatment effects;Discuss the protection of propofol to hemorrhagic shock's nephridium and the mechanism.Methods A model of hemorrhagic shock New Zealan Rabbit wag established by imitation.32 healthy New Zealan Rabbits were randomly divided into 4 groups ag following (n=8):the control group(CTG),shock group(Ⅰ group),perfusion group(Ⅱ group) and propofol pre-treatment group(Ⅲ group).Examine ATPase and succinate dehydrogqenage(SDH) in the kidney.Results SDH and ATPage in the kidney were decreased significantly in Ⅰ and Ⅱ group compared with CTG (P<0.05~0.01),compared with Ⅰ group it increased significantly in Ⅲ group(P<0.05~0.01).Conclusion Hemorrhagic shock can bring on a significant disfunction of metabolism.From the change of observed target after propofol pre-treatment we can conclude that propofol can take gome act of protection metabolism of kidhey by anti-lipoxidized、stabilized membrane of cell and elevated the activated of oxidage.