δ阿片受体激动剂对脓毒症大鼠血液动力学和氧代谢的影响

Effects of 6-opioid receptor agonist on hemodynamics and oxygen metabolism in rats with sepsis

目的探讨δ阿片受体激动剂（DADLE）对脓毒症大鼠血液动力学和氧代谢的影响。方法清洁级健康雄性SD大鼠80只，采用随机数字表法，将大鼠随机分为4组（n=20）：假手术组（S组）仅穿线，不结扎穿孔；脓毒症组（SEP组）采用盲肠结扎穿孔法制备脓毒症模型；DADLE1组和DAD-LE2组分别于制模前0．5h和制模后即刻经腹腔注射DADLE10mg／kg，浓度为0．5mg／ml。于制模后即刻、2、4、6h（T1-4）时记录心排血量（CO）、MAP、左心室收缩压（LVSP）和心室压力最大变化速率（±dp／dtmax），计算心指数（CI）。于T4时从左颈总动脉及右颈外静脉取血样，计算氧供给（DO2）、氧消耗（VO2）、氧摄取率（ER02）。结果与S组比较，SEP组MAP、LVSPT2时升高，T3-4时降低，±dp/dtmax升高，DADLE1组和DADLE2组MAPT2时升高，T3-4时降低，LVSPT2-3时升高，T4时降低，±dp/dtmax升高，SEP组、DADLE1组和DADLE2组CI、DO2和VO2降低，ERO2升高。与SEP组比较，DADLE．组和DADLE2组MAP、LVSP、±ap／drmax T3-4时升高，CI、DO2和VO2升高，ER02降低（P〈0．05）。DADLE1组和DADLE2组间上述各指标差异无统计学意义（P〉O．05）。结论DADLE能改善脓毒症大鼠血液动力学和氧代谢。

Objective To investigate the effects of δ-opioid receptor agonist DADLE （D-Ala2-D-Leu5-enkephalin） on the hemodynamics and oxygen metabolism in rats with sepsis. Methods Eighty healthy male SD rats were randomly divided into 4 groups （ n = 20 each） ： sham operation group （group S）, sepsis group （group SEP）, DADLE1 group and DADLE2 group. Sepsis was induced by cecum ligation and puncture （CLP） in SEP, DADLE1 and DADLE2 groups. In DADLE1 and DADLE2 groups, 0.5 mg/ml DADLE 10 mg/kg was injected intraperitoneally （IP） 0.5 h before CLP and immediately after CLP respectively. Mean arterial pressure （MAP）, left ventricular systolic pressure （LVSP） and ＋ dp/dtmax, were recorded at 0, 2, 4 and 6 h after CLP （T1-4）. Blood samples from left common carotid artery and right external jugular vein were collected at T4 for blood gas analysis. The cardiac index （CI）, 02 delivery （DO2）, 02 consumption （VO2） and O2 extraction rate （ERO2） were calculated.Results Compared with group S, MAP and LVSP were significantly increased at T2, while decreased at T3.4, and ＋ dp/dtmax was significantly increased in group SEP, MAP was significantly increased at T2, while decreased at T3.4 , LVSP was significantly increased at T2.3, while decreased at T4, and ±dp/dtmax, was significantly increased in DADLEI and DADLFa groups, and CI, DO2 and VO2 were significantly decreased and ERO2 was increased in SEP, DADLEI and DADLE2 groups （ P 〈 0.05）. Compared with group SEP, MAP, LVSP and ±dp/dtmax at T3-4 and CI, DO2 and VO2 were significantly increased, while ERO2 was significantly decreased in DADLE1 and DA- DLE2 groups （ P 〈 0.05 ）. There was no significant difference in the parameters mentioned above between DADLE1 and DADLE2 groups （ P 〉 0.05）. Conclusion δ-opioid receptor agonist DADLE can obviously improve the hemodynamics and oxygen metabolism in septic rats.