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口服谷氨酰胺对烫伤大鼠小肠功能和结构的影响 被引量:6

THE EFFECT OF ORAL GLUTAMINE ON GUT MUCOSA FUNCTION AND STRUCTURE IN SCALDED RAT
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摘要 测定烫伤大鼠早期口服谷氨酰胺(Gln)后血和组织中的游离氨基酸(FAA)、二胺氧化酶(DAO)、谷胱甘肽(GHS)、肿瘤坏死因子(TNF)和血浆内毒素(LPS)的含量。结果表明,烫伤后10h、2d、5d、和8d小肠DAO水平降低,血浆DAO升高;标准饲料(C)组血浆Gln在伤后2d和5d降低;Gln饲料(G)组各时点均增加,10h和8d增加显著;Gln+精氨酸(G+A)组在2d降低。C组血浆丙氨酸、精氨酸和血氨较其它2组低。LPS水平增高,但C与G组比较无统计学差异。病理检查见C组在伤后10h、5d和8d小肠绒毛萎缩变短,固有层慢性炎性细胞增多,肠壁变薄,C组和G+A组小肠粘膜厚度接近正常。提示口服Gln可能对烫伤大鼠小肠粘膜结构和功能有保护作用。 Changes in free amino acid(FFA),diamine oxidase(DAO),glutathione(GHS),tumor necrosis factor(TNF) and endotoxin(LtPS) level were determined in plasma and intestinaI tissue in scalded rats. Wistar rats were divided randomly into four groups:normal control(N).Early feeding with standard feed after scalding(C), early feeding with standard feed plus glutamine after scalding(G),and early feeding with standard feed plus glu- tamine and arginine after scalding(G+A).All animals(except guoup N)sustained a 30%TBSA full-thickness scald on the back and flands.Compared with normal control,the activity of intestinal DAO decreased and plasma DAO increased at l0 h,2d,5d and 8d after scald injury.In group C DAO activity was higher in plasma than that in G and G+A after scald injury.Plasma glutamine decreased at 2d and 5 d in group C,increased at l0 h in group C and decreased at 2d in group G+A. The plasma level of alanine,arginine and ammonia in group C was slightly lower than that in group G and G+A, Plasma TNF rose in C,G and G+A group animals. Plasma endotoxin in- creased,but there was no significant difference between C and G. Pathological examination of the intestinal wall revealed atrophy and shortening of intestinal villi,inflammatory cell infitration in the lamina propria,and mild edema in group C. The intestinal mucosa structure in guoup G and G+A was similar to that in normal control. The results indicate that oral glutaine may maintain intestinal mucosa function and structure after scald injury.
机构地区 解放军第
出处 《解放军医学杂志》 CAS CSCD 北大核心 1996年第2期91-93,共3页 Medical Journal of Chinese People's Liberation Army
基金 全军医药卫生"八五"重点攻关课题
关键词 谷氨酰胺 烫伤 小肠功能 药物疗法 glutaine gut mucosa scald
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  • 1尤忠义,色谱,1989年,7卷,95页
  • 2杨恒文,中华神经外科杂志,1981年,7卷,87页

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