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异丙酚对肢体缺血再灌注损伤的影响
引用本文:张冰,谭冠先. 异丙酚对肢体缺血再灌注损伤的影响[J]. 温州医学院学报, 2003, 33(1): 28-29
作者姓名:张冰  谭冠先
作者单位:1. 温州医学院第二附属医院,麻醉科,浙江,温州,325027
2. 广西医科大学附属医院,麻醉科,广西,南宁,530021
摘    要:
目的 :探讨异丙酚对肢体缺血 /再灌注损害的影响。方法 :对 3 0例 (异丙酚组 15例 ,对照组 15例 )使用止血带患者测其血中丙二醛 (MDA)、谷胱甘肽 (GSH)含量变化。结果 :两组病人各时段血中MDA含量均显著升高 (P <0 .0 1) ,GSH含量均显著降低 (P <0 .0 1)。II组缺血 /再灌注后同一时段内MDA显著低于I组(P <0 .0 1)。II组缺血 /再灌注后 3 0min、60min与I组同一时间段相比GSH显著升高 (P <0 .0 1) ,90min时 ,GSH与I组同一时间段相比显著增高 (P <0 .0 5 )。结论 :在再灌注同时或再灌注之前 ,给予异丙酚 ,对肢体缺血再灌注损伤起到一定的保护作用

关 键 词:异丙酚 缺血再灌注 氧自由基
文章编号:1000-2138(2003)01-0028-02
修稿时间:2002-03-26

Effect of propofol on lesion after limb ischemia-reperfusion
Zhang bing ,Tan Guan xian. Effect of propofol on lesion after limb ischemia-reperfusion[J]. Journal of Wenzhou Medical College, 2003, 33(1): 28-29
Authors:Zhang bing   Tan Guan xian
Affiliation:Zhang bing *,Tan Guan xian. * Department of Anesthesiology,the Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325027
Abstract:
Objective:To investigate appropriate antioxidation anaesthetic propofol which can prevent organization from peroxidative injury.Methods:Serum MDA GSH in 30 cases including control group(n=15) and observed group(n=15) were measured. Results:A significant serum MDA increase and GSH decrease were seen at reperfusion 30,60,90 min compared with the pre ischemia value in the control group and the observed group(P<0.01). In the observed group the serum MDA value was significantly lower than that of the control group after 30,60,90 min reperfusion (P<0.01). GSH activity increased gradually in the observed group and evidently higher than the value of the control group after 30,60 min reperfusion (P<0.01) and a litter higher at reperfusion 90 min(P<0.05).Conclusion:Propofol can reduce peroxidative injuries in clinical relevant concentration.
Keywords:propofol  schemia/reperfusion  reactive oxygen species(ROS)
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