藏红花素对失血性休克所致器官损伤保护作用
投稿时间:2018-01-17  修订日期:2018-01-22  点此下载全文
引用本文:金福强,张炜,杨龙,董秀娟,崔杰,申玉超,于洪基,刘洋,张伟.藏红花素对失血性休克所致器官损伤保护作用[J].医学研究杂志,2018,47(12):186-191
DOI: 10.11969/j.issn.1673-548X.2018.12.043
摘要点击次数: 739
全文下载次数: 571
作者单位E-mail
金福强 061001 沧州市中心医院 zhangshiqin2015@163.com 
张炜 061001 沧州市中心医院  
杨龙 061001 沧州市中心医院  
董秀娟 061001 沧州市中心医院  
崔杰 061001 沧州市中心医院  
申玉超 061001 沧州市中心医院  
于洪基 061001 沧州市中心医院  
刘洋 061001 沧州市中心医院  
张伟 河北省沧南监狱  
中文摘要:目的 研究天然抗氧化剂藏红花素(crocin)对失血性休克(hemorrhagic shock,HS)大鼠氧化应激损伤和器官组织损伤的保护作用。方法 80只实验用Wistar大鼠采用数字表法随机分为假手术组(空白组)、失血性休克组(模型组)、失血性休克+生理盐水(对照组)、失血性休克+藏红花素(实验组),每组20只,采用颈动脉放血的方法制备失血性休克大鼠模型;开始复苏时静脉注射给药。记录给药前和给药24h后平均动脉压(MAP)、心率(HR)并测定血液pH值、pO2和pCO2;记录给药24h后的存活率;称量并计算肺组织湿/干比重(W/D),HE染色后测定肺组织定量评估指数(IQA);测定血清中血尿素氮(BUN)、肌酐(creatinine)、丙氨酸氨基转移酶(ALT)、门冬氨酸氨基转移酶氨酶(AST)、丙二醛(MDA)、谷胱甘肽(GSH)含量,测定肺组织中丙二醛(MDA)、谷胱甘肽(GSH)含量,测定肝脏、肾脏、肺组织中髓过氧化物酶(MPO)活性。结果 给药24h后,实验组HR、pH值、pO2显著升高而pCO2显著降低(P<0.05),MAP比较差异无统计学意义(P>0.05);存活率显著升高(P<0.01);肺组织W/D显著降低(P<0.05)、IQA显著降低(P<0.01);血清中BUN、Creatinine、ALT、AST、MDA含量显著降低且GSH含量显著升高(P<0.05);肺组织MDA含量显著降低且GSH含量显著升高(P<0.05);肝脏、肾脏、肺组织中MPO活性均显著降低(P<0.05)。结论 藏红花素能够抑制HS引起的肝脏、肾脏、肺组织损伤,其作用机制可能与藏红花素能够减轻氧化应激损伤有关。
中文关键词:藏红花素  失血性休克  复苏  氧化应激  器官
 
Protective Effects of Crocin on Organ Damage in Hemorrhagic Shock Rats
Abstract:Objective To study the protective effects of natural antioxidants crocin on oxidative stress and organ damage in hemorrhagic shock (HS) rats. Methods Eighty rats were randomly devided into four groups:sham (blank group), HS (model group), HS+NS (control group), HS+Crocin group (test group), n=20 HS rat models were prepared by carotid artery bleeding, and the drugs were given intravenously at the beginning of resuscitation. The MAP, HR were recorded before and 24h after resuscitation. The pH, pO2, pCO2of blood were determined also. The W/D ratio of lung tissue was calculated and the IQA was calculated after HE staining. The content of BUN, ALT, AST, MDA, GSH in serum and the content of MDA, GSH were determined by ELISA. The activity of MPO in lung, renal and hepatic tissue were determined. Results Compared with control group, before the drugs were given, the difference of measured indexes in test group had no statistical significance (P>0.05). 24h after the drugs were given, the HR,pH,pO2 in test group were significantly increased and the pO2 was significantly decreased (P<0.05), and the difference of MAP between two group had no statistical significance (P>0.05); the survival rate increased significantly (P<0.01). The W/D ratio and IQA of lung tissue were significantly decreased (P<0.05 or P<0.01). The content of BUN, Creatinine, ALT, AST, MDA in serum were significantly decreased and GSH was significantly increased (P<0.05 or P<0.01). The content of MDA in lung tissue was significantly decreased and GSH was significantly increased (P<0.05). The activity of MPO in lung, renal and hepatic tissue were significantly decreased (P<0.05 or P<0.01). Conclusion Crocetin can reduce HS-induced liver, kidney and lung injury,which perhaps related to its effects of inhibiting oxidative stress injury.
keywords:Crocin  Hemorrhagic shock  Resuscitation  Oxidative stress  Organ
查看全文  查看/发表评论  下载PDF阅读器

京公网安备 11010502037822号