摘要
目的:观察心肺复苏后大鼠心功能和心肌组织黏附因子CD11b、细胞间黏附分子-1(ICAM-1)水平及心肌细胞超微结构的变化,以及乌司他丁对其的影响。方法:利用窒息法制造心脏骤停大鼠模型,将Sprague Dawley大鼠随机分为对照组、复苏组及乌司他丁组,每组9只。于自主循环恢复(ROSC)2h,测定左室收缩压(LVSP)、左心室舒张末期压(LVEDP)、左心室压力上升、下降最大速率(dp/dt max),采用透射电镜(TEM)观察心肌细胞超微结构变化,ELISA法测定心肌组织CD11b、ICAM-1水平。结果:与复苏组比较,乌司他丁组心功能有所改善,心肌组织病变减轻,CD11b、ICAM-1水平显著下降。结论:乌司他丁可抑制黏附因子CD11b和ICAM-1表达,改善心肺复苏后大鼠心功能,减轻心肌细胞损伤。
Objective:To observe a few indicators of rats after cardiopulmonary resuscitation(CPR),including the changes in heart function,CD11b and intercellular adhesive molecule-1(ICAM-1)levels of myocardial tissue,ultra-structural changes of cells,as well as the impact of urlinastatin(UTI)on these indicators.Methods:Sprague Dawley rats were randomly divided into three groups:control group,resuscitation group and UTI group,with 9 rats in each group.Cardiac arrest was induced by performing asphyxiation to groups except A and CPR was performed then.Two hours after recovery,tested left ventricle systolic pressure(LVSP),left ventricle end-diastolic pressure(LVEDP),maximum rate of increase and decrease in left ventricular pressure(±dp/dt).The level of CD11b,ICAM-1 in myocardial tissue was determined by the ELISA method,The ultrastntctural damages were observed with transmission electron mictnscope(TEM).Results:Compared with resuscitation group,heart function in UTI group were improved.The damage of myocardial ultrastructure was ameliorated markedly.The levels of CD11b and ICAM-1 in the UTI group were significantly lower than those in the resuscitation group.Conclusion:UTI can improve myocardial function,inhibits the exhibition of CD11b and ICAM-1,and alleviate the myocardial injury.
出处
《海南医学院学报》
CAS
2010年第4期413-416,共4页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100100)~~