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异丙酚对大鼠肺缺血/再灌注损伤的保护作用
引用本文:李锁北,阮溦,徐军美,李艳,吕志平. 异丙酚对大鼠肺缺血/再灌注损伤的保护作用[J]. 中国医师杂志, 2009, 11(9): 1186-1188
作者姓名:李锁北  阮溦  徐军美  李艳  吕志平
作者单位:1. 中南大学湘雅二医院麻醉科,湖南,长沙,410011
2. 海南省人民医院麻醉科
摘    要:目的研究异丙酚对肺缺血/再灌注损伤的保护作用。方法复制肺缺血再灌注损伤大鼠模型。将成年Wistar大鼠随机分为3组,A组为假手术组;B组为肺缺血一再灌注组,C组为畀丙酚组,每组15只。用酶联免疫吸附(ELISA)法检测支气管肺泡灌洗液(BALF)中TNF-α、IL-6的含量。同时对各纽动物血气和肺湿/干重比(W/D)进行检测。结果异丙酚能明显改善缺血再灌注动物的血氧分压,减少肺W/D值,降低BALF中TNF-α、IL-6含量。结论异丙酚抑制肺缺血再灌注时炎性细胞因子的表达,从而减轻细胞因子介导的炎性损伤,具有肺保护作用。

关 键 词:二异丙酚/药理学  肺/血液供给/病理生理学/药物作用  缺血/预防和控制  再灌注损伤/预防和控制

The protective effect of propofol on pulmonary ischemia/reperfusion injury
LI Suo-bei,RUAN Wei,XU Jun-mei,LI Yan,LV Zhi-ping. The protective effect of propofol on pulmonary ischemia/reperfusion injury[J]. Journal of Chinese Physician, 2009, 11(9): 1186-1188
Authors:LI Suo-bei  RUAN Wei  XU Jun-mei  LI Yan  LV Zhi-ping
Affiliation:LI Suo-bei,RUAN Wei, XU Jun-mei,LI Yah, LV Zhi-ping(Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha 410011, China)
Abstract:Objective To study the protective effects of propofol against ischemia/reperfusion injury in rat lung. Methods Rat model of pulmonary ischemia/reperfusion injury was used in this study. Rats were randomly divided into three groups, including sham opera-tion group (group A), iachemia/reperfusion group (group B) and propofol group (group C), 15 rats in each group. The concentration of tumor necrosis factor -α and interleukin-6 in bronchoalveolar lavage fluid (BALF) were measured by enzyme linked immunosorbent assay (ELISA). Then blood gas analysis, lung wet/dry (W/D) weight ratio were detected in each group. Results Propofol could significantly improve PaO2, reduce the W/D value and the contents of TNF-α and IL-6 in BALF. Conclusion Propofol effectively suppressed the pro-duction and release of inflammatory cytokine, therefore it can protect the lung from isehemia/reperfusion injury.
Keywords:PropofoL/PD  Lung/BS/PP/DE  Ischemia/PC  Reperfusion injury/PC
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