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利多卡因减轻家兔心肌缺血-再灌注炎性损伤的研究
引用本文:王友,王保生,林丽文,林娜,赵明耀.利多卡因减轻家兔心肌缺血-再灌注炎性损伤的研究[J].济宁医学院学报,2012,35(2):100-102.
作者姓名:王友  王保生  林丽文  林娜  赵明耀
作者单位:1. 郑州大学基础医学院,河南郑州450052;济宁医学院基础医学与法医学院,山东济宁272067
2. 济宁医学院基础医学与法医学院,山东济宁,272067
3. 郑州大学基础医学院,河南郑州,450052
基金项目:济宁医学院2008年青年基金项目
摘    要:目的研究利多卡因的抗炎作用对心肌缺血-再灌注损伤的保护作用。方法 18只家兔随机分为3组(每组6只),假手术组、缺血-再灌注组和利多卡因组。监测家兔左室内压峰值(LVSP)、±dp/dtmax,测定血浆IL-6的水平,光镜观察心肌损伤及中性粒细胞的浸润程度。结果与缺血-再灌注组比较,利多卡因组LVSP及±dp/dtmax再灌注后的恢复率均高于缺血-再灌注组(P<0.01),血浆IL-6浓度明显低于缺血-再灌注组(P<0.01),心肌损伤及中性粒细胞浸润程度较轻。结论利多卡因可以提高心功能,抑制炎症反应,减轻家兔心肌缺血-再灌注损伤。

关 键 词:利多卡因  心肌缺血  再灌注损伤  白介素-6

The study of lidocaine on reducing inflammatory injury during myocardial ischemia/reperfusion injury in rats
Institution:WANG You,WANG Bao-sheng,LIN Li-wen,et al(Basic School of Basic Medical Science,Zhengzhou University,Zhengzhou 450052,China)
Abstract:Objective To investigate the protective effects of lidocaine on myocardial ischemia/reperfusion injury.Methods Eighteen rabbits were randomly divided into 3 groups(n= 6 each): sham-operated group,ischemia/reperfusion group and lidocaine group.Left ventricular systolic pressure(LVSP) and ±dp/dtmax of the heart were determined,and the level of plasma IL-6 was also measured.The degree of myocardial injury and neutrophils infiltration were observed with microscope.Results Compared with those of ischemia/reperfusion group,LVSP and ±dp/dtmax of the heart were better recovered during reperfusion in lidocaine groups(P<0.01).IL-6 concentration in plasma in lidocaine group were significantly lower than those in the ischemia/reperfusion group(P<0.01) and the degree of myocardial injury and neutrophils infiltration were alleviated.Conclusion The results demonstrate that lidocaine could improve cardiac function,inhibit inflammatory response and attenuate reperfusion injury in ischemic heart.
Keywords:Lidocaine  Myocardial ischemia  Reperfusion injury  IL-6
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