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血必净注射液防治家兔应激性脏器损伤的研究
引用本文:李志军,孙元莹,吴云良,李银平,张万祥,刘红栓,王今达. 血必净注射液防治家兔应激性脏器损伤的研究[J]. 中国危重病急救医学, 2006, 18(2): 105-108
作者姓名:李志军  孙元莹  吴云良  李银平  张万祥  刘红栓  王今达
作者单位:1. 300192,天津市第一中心医院急救医学研究所
2. 311500,浙江省桐芦市第一人民医院ICU
3. 300050,天津市天和医院
4. 300193,天津中医学院
基金项目:天津市卫生局中医、中西医结合科研基金资助项目(02003)
摘    要:
目的探讨血必净注射液对家兔应激性脏器损伤的保护作用及其机制。方法40只大耳白兔随机分为正常对照组、实验对照组、西药治疗组和血必净组。以浸水方法制成应激模型,制模后西药治疗组和血必净组分别注射冬眠合剂和血必净注射液,观察各组家兔给药后不同时间血清皮质醇(Cor)、血栓素A2(TXA2)、内皮素(ET)以及一氧化氮合酶(NOS)含量变化;并观察胃黏膜、肾上腺以及心肌细胞的病理变化。结果制模后家兔Cor含量显著升高(P〈0.01);西药治疗组和血必净组含量均有所降低,两组间比较差异无显著性(P〉0.05);西药治疗组和血必净组ET和TXA2含量均明显降低,NOS含量均明显升高,两组间比较差异具有显著性(P均〈0.05)。血必净组胃黏膜、肾上腺以及心肌的病理学变化改善明显优于西药治疗组。结论血必净注射液对于应激性脏器损伤具有良好的保护作用。

关 键 词:损伤 应激性 血必净注射液 皮质醇 细胞因子
收稿时间:2005-10-10
修稿时间:2006-01-10

Experimental study of protective effects of Xuebijing injection(血必净注射液)on stress-induced organ damage in rabbit
LI Zhi-jun,SUN Yuan-ying,WU Yun-liang,LI Yin-ping,ZHANG Wan-xiang,LIU Hong-shuan,WANG Chin-ta. Experimental study of protective effects of Xuebijing injection(血必净注射液)on stress-induced organ damage in rabbit[J]. Chinese critical care medicine, 2006, 18(2): 105-108
Authors:LI Zhi-jun  SUN Yuan-ying  WU Yun-liang  LI Yin-ping  ZHANG Wan-xiang  LIU Hong-shuan  WANG Chin-ta
Affiliation:Emergency Medicine Research Institute, Tianjin First Center Hospital, Tianjin 300192, China
Abstract:
OBJECTIVE: To investigate the protective effects of the integrated traditional Chinese and western medicine Xuebijing injection on stress-induced organ damage in rabbits. METHODS: Forty rabbits were randomly divided into four groups: the control group, the model group, the western medicine group, and the Xuebijing group. The stress-induced organ damage model was replicated by soak the rabbits in water, the animals in the western medicine group and Xuebijing group received injection of lytic cocktail and Xuebijing, respectively. The changes in cortisol (Cor), thromboxane A(2) (TXA(2)), endothelin (ET), nitric oxide synthase (NOS) were determined at different time points in all the groups. The pathologic changes of the gastric mucosa, the adrenal gland and the cardiac muscle cell were observed. RESULTS: The content of Cor increased significantly in model group (P<0.01). The content of Cor decreased in the western medicine group and Xuebijing group, the changes showed no significant difference between two groups (P>0.05). The contents of ET, TXA(2) decreased and NOS increased in Xuebijing group compared with the western medicine group, the differences were significant (all P<0.05). The pathological changes of the gastric mucosa, the adrenal gland and the cardiac myocyte were less marked in Xuebijing group, compared with the western medicine group, the difference was significant (P<0.05). CONCLUSION: Xuebijing has better protective effects on stress-induced organ damage.
Keywords:stress -induced damage   Xuebijing injection   cortisol   cytokine
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