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乌司他丁对失血性休克大鼠的保护作用及其机制的研究 被引量:12

Protective effect and mechanism of ulinastatin on rats with hemorrhagic shock
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摘要 目的:探讨乌司他丁对失血性休克大鼠的保护作用及其机制。方法:采用前瞻对照研究,用Chaudry方法(略作改动)复制大鼠失血性休克模型,60min后回输血液和生理盐水进行复苏,部分加用乌司他丁治疗。检测不同时相的血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、丙二醛(MDA)及超氧化物歧化酶(SOD)的表达水平。结果:大鼠失血性休克与复苏后血清TNF-α、IL-6及MDA含量均明显升高,SOD含量减少。用乌司他丁治疗后大鼠的血压、心率明显改善;血清TNF-α、IL-6及MDA含量均明显下降,SOD含量无明显变化。结论:乌司他丁通过抑制细胞因子的生成、减少氧化损伤而对失血性休克大鼠起保护作用。 AIM: To investigate the protective effect of ulinastatin on rats with hemorrhagic shock. METHODS: A prospective, controlled animal study was designed. The model of hemorrhagic shock in rats was produced by Chaudry method. After 60 min, rats were resuscitated by transfusion of shed blood and normal saline, but a half of them were treated with ulinastatin. At different time points after reperfusion, the levels of tumor necrosis factor - alpha (TNF - α), interleukin - 6 ( IL - 6), malondialdehyde (MDA) and superoxide dismutase (SOD) in serum were detected. RESULTS: The levels of TNF- α, IL- 6 and MDA significantly increased and the activity of SOD decreased. In the ulinastatin - treated groups, the blood pressure and heart rate were obviously improved ; the levels of TNF - α, IL - 6 and MDA significantly decreased and the activity of SOD had little change after hemorrhagic shock and reperfusion, CONCLUSION: Ulinastatin has a protection effect on rats with hemorrhagic shock by suppressing the production of inflammatory factors and reducing oxidative damage.
出处 《中国病理生理杂志》 CAS CSCD 北大核心 2005年第9期1701-1704,共4页 Chinese Journal of Pathophysiology
基金 广东省科技计划项目(No.2004B30601001)
关键词 乌司他丁 失血性休克 肿瘤坏死因子-α 白介素-6 丙二醛 超氧化物歧化酶 Ulinastatin Hemorrhagic shock TNF-α IL-6 MDA SOD
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参考文献5

  • 1Chaudry IH. Rat and mouse models of hypovolemic-traumatic shock[A]. In: Schlag G, Redl H. eds. Pathophysiology of shock, sepsis and organ failure[M]. Berlin: Springer- Verlag, 1993. 371-379.
  • 2曾文红,白国强.乌司他丁研究进展[J].中华肝胆外科杂志,2001,7(1):52-54. 被引量:143
  • 3Nakajima K, Goto Y. Differentiation of the anti- shock effect of ulinastatin from steroid hormone,by the continuous observation of microcirculation dynamics[J]. Circ Shock, 1992, 36(4): 284-289.
  • 4Takada K, Komori M, Notoya A, et al. Effect of ulinastatin on microcirculation during excessive hemorrhage using fluid therapy[J]. In Vivo, 2003, 17(2): 129-135.
  • 5Tamion F, Richard V, Bonmarchand G, et al. Reduced synthesis of inflammatory cytokines by a free radical scavenger after hemorrhagic shock in rats[J]. Crit Care Med, 2000, 28(7): 2522-2527.

二级参考文献3

  • 1Kobayashi H,Shinohara H,Gotoh J,et al.Anti-metastasis therapy by urinary tyrpsin inhibitor in combination with an anti-cancer agent[].British Journal of Cancer.1995
  • 2Hiyama A,Takeda J,Kotake Y,et al.A human urinary protease inhibitor (ulinastatin) inhibits neurrophil extracellular release of elastase during cardiopulmonary bypasss[].Journal of Cardiothoracic and Vascular Anesthesia.1997
  • 3Kobayashi H,Shinohara H,Fujie M,et al.Inbibition of metastasis of lewis lung carcinoma by urinary trapsin inhibitor in experimental and spontaneous metastasis models[].International Journal of Cancer.1995

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