期刊文献+
共找到7篇文章
< 1 >
每页显示 20 50 100
右美托咪定减轻失血性休克/复苏大鼠急性肾损伤 被引量:9
1
作者 姜远旭 夏明珠 +3 位作者 黄强 戴中亮 李亚丽 张中军 《中国病理生理杂志》 CAS CSCD 北大核心 2018年第4期680-685,共6页
目的:研究右美托咪定对失血性休克/复苏(HS/R)大鼠急性肾损伤的影响。方法:健康雄性Wistar大鼠32只,随机分为4组:生理盐水对照组(NS组)、右美托咪定组(D组)、HS/R组和HS/R+D组。容量复苏后6 h处死动物,采集血和肾组织标本。检测各组血... 目的:研究右美托咪定对失血性休克/复苏(HS/R)大鼠急性肾损伤的影响。方法:健康雄性Wistar大鼠32只,随机分为4组:生理盐水对照组(NS组)、右美托咪定组(D组)、HS/R组和HS/R+D组。容量复苏后6 h处死动物,采集血和肾组织标本。检测各组血清中肌酐和尿素氮的浓度;检测各组大鼠肾组织中丙二醛(MDA)含量、超氧化物歧化酶(SOD)活性、肿瘤坏死因子α(TNF-α)含量和白细胞介素1β(IL-1β)含量;Western blot法检测肾组织血红素加氧酶1(HO-1)和核因子κB(NF-κB)的表达;HE染色观察肾组织病理学改变。结果:与NS组比较,HS/R组MDA含量升高,SOD活性降低(P<0.05);与HS/R组比较,HS/R+D组MDA含量降低,SOD活性升高(P<0.05)。与NS组比较,HS/R组TNF-α和IL-1β含量升高(P<0.05);与HS/R组比较,HS/R+D组TNF-α和IL-1β含量降低(P<0.05)。与NS组比较,HS/R组肾组织NF-κB表达升高;与HS组比较,HS/R+D组肾组织NF-κB表达降低(P<0.05)。与NS组比较,HS/R组肾组织HO-1表达升高;与HS/R组比较,HS/R+D组HO-1表达进一步升高(P<0.05)。肾组织病理学检查可见,右美托咪定治疗可明显减轻肾细胞变性、坏死及炎性细胞浸润程度。结论:右美托咪定可减轻HS/R大鼠急性肾损伤,其作用机制可能与上调HO-1表达及抑制NF-κB表达有关。 展开更多
关键词 右美托咪定 失血性休克 急性肾损伤 核因子ΚB 血红素加氧酶1
下载PDF
右美托咪定通过α7nAChR介导的TLR4/NF-κB通路减轻脂多糖诱导的急性肺损伤 被引量:13
2
作者 姜远旭 詹美俊 +2 位作者 幸志强 刘占立 魏安山 《解放军医学杂志》 CAS CSCD 北大核心 2021年第3期231-237,共7页
目的探讨右美托咪定是否通过α7烟碱乙酰胆碱受体(α7nAChR)介导的Tol l样受体4(TLR4)/核因子-κB(NF-κB)通路减轻脂多糖(LPS)诱导的急性肺损伤(ALI)。方法24只Wistar大鼠随机分为对照组、急性肺损伤组、右美托咪定治疗组与α7nAChR抑... 目的探讨右美托咪定是否通过α7烟碱乙酰胆碱受体(α7nAChR)介导的Tol l样受体4(TLR4)/核因子-κB(NF-κB)通路减轻脂多糖(LPS)诱导的急性肺损伤(ALI)。方法24只Wistar大鼠随机分为对照组、急性肺损伤组、右美托咪定治疗组与α7nAChR抑制剂α-BGT组,每组6只。麻醉后,对照组腹腔注射生理盐水;急性肺损伤组股静脉注射LPS(10 mg/kg)诱导ALI模型;右美托咪定治疗组给予LPS后即刻股静脉持续输注右美托咪定[5μg/(kg.h)]至实验结束;α7nAChR抑制剂α-BGT组在输注右美托咪定前半小时腹腔注射1μg/kgα-BGT,其余处理同右美托咪定治疗组。LPS注射后12 h处死大鼠,收集血液和肺组织。HE染色观察肺组织病理学变化并进行损伤评分。抽取颈动脉血检测氧分压(PaO_(2))、碳酸氢根(HCO_(3)^(–))及乳酸(Lac)水平;测定肺组织湿/干重比(W/D)和髓过氧化物酶(MPO)活性;计数支气管肺泡灌洗液(BALF)中总细胞、中性粒细胞及巨噬细胞数;ELISA法检测血液中肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、IL-10水平;Western blotting检测肺组织中α7nAChR、TLR4、p-NF-κB蛋白表达水平。结果肺组织病理学观察见右美托咪定治疗可明显减轻LPS诱导的肺泡壁和肺组织间隔增厚以及炎性细胞浸润,降低肺损伤病理评分(P<0.01)。与对照组比较,急性肺损伤组PaO_(2)、HCO_(3)^(–)水平降低,Lac、W/D、TNF-α、IL-6、IL-10水平及MPO活性升高,总细胞、中性粒细胞及巨噬细胞计数增多,肺组织中α7nAChR、TLR4、p-NF-κB蛋白表达水平升高(P<0.01);与急性肺损伤组比较,右美托咪定治疗组PaO_(2)、HCO_(3)^(–)、IL-10水平升高,Lac、W/D、TNF-α、IL-6水平及MPO活性降低,总细胞、中性粒细胞及巨噬细胞计数减少,肺组织中α7nAChR蛋白表达水平升高,TLR4、p-NF-κB蛋白表达水平降低(P<0.01)。而右美托咪定的作用可被α7nAChR抑制剂α-BGT部分逆转。结论右美托咪定可能通过α7nAChR介导的TLR4/NF-κB通路减轻LPS诱导的ALI。 展开更多
关键词 右美托咪定 急性肺损伤 α7烟碱乙酰胆碱受体 Toll样受体4/核因子-κB
下载PDF
右美托咪定对失血性休克大鼠多器官损伤的影响
3
作者 夏明珠 姜远旭 +1 位作者 戴中亮 李亚丽 《中国急救医学》 CAS CSCD 北大核心 2018年第8期676-680,I0004,共6页
目的 研究右美托咪定(Dexmedetomidine, DEX)对失血性休克(hemorrhagic shock,HS)大鼠多器官损伤的影响。方法 健康雄性SD大鼠24只,随机分为三组:生理盐水对照组(NS组)、失血性休克模型组(HS组)、右美托咪定治疗组(HS+D组... 目的 研究右美托咪定(Dexmedetomidine, DEX)对失血性休克(hemorrhagic shock,HS)大鼠多器官损伤的影响。方法 健康雄性SD大鼠24只,随机分为三组:生理盐水对照组(NS组)、失血性休克模型组(HS组)、右美托咪定治疗组(HS+D组),每组大鼠8只。NS组股静脉给予5 mL/kg生理盐水;HS组建立失血性休克模型;HS+D组复苏前0.5 h腹腔注射右美托咪定100 μg/kg。右颈总动脉置入套管针,连接换能器监测实验期间平均动脉压(MAP)。复苏后 6 h 放血,处死动物,检测血清肿瘤坏死因子-ɑ(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和氧化亚氮(NO)浓度。检测血氧分压(PaO2)及谷丙转氨酶(ALT)、谷草转氨酶(AST)、尿素氮(BUN)及血肌酐(Cr)浓度,取部分肺、肝、肾组织,检测髓过氧化物酶(MPO)活性。HE染色观察肺、肝、肾组织病理学改变。结果 与NS组TNF-α(pg/mL)、IL-6(pg/mL)、IL-8(pg/mL)、NO(μmol/L)(178.87±36.23、368.12±46.96、198.42±46.28、36.45±8.04)比较,HS组血清中TNF-α、IL-6、IL-8、NO(1216.96±97.36、2686.68±178.651、998.01±101.42、546.73±106.22)浓度升高(P〈0.01);与HS组比较,HS+D组TNF-α、IL-6、IL-8、NO (428.5465.48、1656.31±121.57、468.19±88.31、387.34±87.15) 浓度降低(P〈0.01)。与NS组PaO2(112±11)mm Hg及ALT(U/L)、AST(U/L)、BUN(μmol/L)、Cr(μmol/L)(62.0±10.2、82.3±11.5、7.38±0.89、42.8±8.2)分别比较,HS组PaO2(81±7)降低,ALT、AST、BUN、Cr(195.2±17.8、203.0±10.3、18.21±1.72、63.9±7.1) 浓度升高;与HS组比较,HS+D组PaO2(95±13)mm Hg升高(P〈0.01),ALT、AST、BUN、Cr (126.6±11.3、109.4±12.2、10.63±4.78、49.8±6.4)浓度降低(P〈0.01)。与NS组肺、肝、肾组织MPO活性(U/g,1.2±0.2、2.5±0.4、1.9±1.7)比较,HS组肺、肝、肾组织MPO活性(5.3±0.6、16.7±1.8、9.2±1.1)升高(P〈0.01);与HS组比较,HS+D组肺、肝、肾组织MPO活性(3.8±0.4、12.8±1.2、6.8±0.8)降低(P〈0.01)。与NS组比较,HS组肺、肝、肾组织有明显的病理学损伤;与HS组比较,HS+D组肺、肝、肾组织病理学损伤减轻。结论 右美托咪定能减轻失血性休克大鼠肺、肝、肾损伤,其机制与抑制炎性反应有关。 展开更多
关键词 细胞因子 右美托咪定(DEX) 失血性休克(Hs) 多器官损伤
下载PDF
HemoCue Hb 201+分析仪应用于术中大出血患者的效果分析
4
作者 黄强 黄伯万 +2 位作者 姜远旭 马磊 石伟 《广东医科大学学报》 2017年第6期663-666,共4页
目的分析在术中大出血患者中应用HemoCue Hb 201+分析仪的效果。方法选择术中大出血需血红蛋白(HgB)检测决定是否输红细胞的手术患者160例,随机分为观察组和对照组,每组80例。观察组用HemoCue Hb 201+分析仪、血气分析仪和实验室检测Hg... 目的分析在术中大出血患者中应用HemoCue Hb 201+分析仪的效果。方法选择术中大出血需血红蛋白(HgB)检测决定是否输红细胞的手术患者160例,随机分为观察组和对照组,每组80例。观察组用HemoCue Hb 201+分析仪、血气分析仪和实验室检测HgB水平,对照组用血气分析仪和实验室检测HgB水平。记录两组患者使用不同方法检测的HgB水平、输红细胞所需时间、术后肛门排气时间、下床时间和住院时间,计算敏感度、特异度、阳性预测值和阴性预测值。结果观察组用3种方法检测的HgB水平差异无统计学意义(P>0.05),且两两之间均存在明显的线性相关。观察组的敏感度、特异度、阳性预测值和阴性预测值与对照组的相当。观察组的输红细胞所需时间更短(P<0.01),输红细胞前检测的HgB水平更高(P<0.01)。观察组的术后肛门排气时间短于对照组(P<0.01),但两组的下床时间和住院时间差异无统计学意义(P>0.05)。结论 HemoCue Hb 201+分析仪可准确迅速检测HgB水平,有利于快速判断输血时机,促进患者康复,值得临床推广使用。 展开更多
关键词 HemoCue HB 201+分析仪 血气分析仪 输血 红细胞
下载PDF
Melatonin reduces acute lung injury in endotoxemic rats 被引量:11
5
作者 SHANG You XU San-peng +4 位作者 WU Yan jiang yuan-xu WU Zhou-yang YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第12期1388-1393,共6页
Background Treatment with melatonin significantly reduces lung injury induced by bleomycin, paraquat and ischemia reperfusion. In the present study, we investigated the possible protective roles of melatonin in pulmon... Background Treatment with melatonin significantly reduces lung injury induced by bleomycin, paraquat and ischemia reperfusion. In the present study, we investigated the possible protective roles of melatonin in pulmonary inflammation and lung injury during acute endotoxemia. Methods Thirty-two male Sprague-Dawley rats were randomly assigned to four groups: vehicle + saline group, melatonin + saline group, vehicle + lipopolysaccharide group, melatonin + lipopolysaccharide group. The rats were treated with melatonin (10 mg/kg, intraperitoneal injection (i.p.)) or vehicle (1% ethanol saline), 30 minutes prior to lipopolysaccharide administration (6 mg/kg, intravenous injection). Four hours after lipopolysaccharide injection, samples of pulmonary tissue were collected. Blood gas analysis was carried out. Optical microscopy was performed to examine pathological changes in lungs and lung injury score was assessed. Wet/dry ratios (W/D), myeloperoxidase activity, malondialdehyde concentrations and tumor necrosis factor-alpha (TNF-α) and interleukin-10 (IL-10) levels in lungs were measured. The pulmonary expression of nuclear factor-kappa B (NF-κB) p65 was evaluated by Western blotting. Results PaO2 in the vehicle + lipopolysaccharide group decreased compared with that in the vehicle + saline group. This decrease was significantly reduced in the melatonin + lipopolysaccharide group. The lung tissues from the saline + lipopolysaccharide group were significantly damaged, which were less pronounced in the melatonin + lipopolysaccharide group. The W/D ratio increased significantly in the vehicle + lipopolysaccharide group (6.1±0.18) as compared with that in the vehicle + saline group (3.61±0.3) (P 〈0.01), which was significantly reduced in the melatonin + lipopolysaccharide group (4.8±0.25) (P 〈0.01). Myeloperoxidase activity and malondialdehyde levels increased significantly in the vehicle + lipopolysaccharide group compared with that in the vehicle + saline group, which was reduced in the melatonin + lipopolysaccharide group. The TNF-a level of pulmonary tissue increased significantly in the vehicle + lipopolysaccharide group ((8.7±0.91) pg/mg protein) compared with that in the vehicle + saline group ((4.3±0.62) pg/mg protein, P 〈0.01). However, the increase of TNF-a level of pulmonary tissue was significantly reduced in the melatonin + lipopolysaccharide group ((5.9±0.56) pg/mg protein, P 〈0.01). Pulmonary IL-10 levels were elevated markedly in the vehicle + lipopolysaccharide group in contrast to that in the vehicle + saline group, whereas the elevation was augmented in the melatonin + lipopolysaccharide group. The nuclear localization of p65 increased markedly in the vehicle + lipopolysaccharide group and this enhancement of nuclear p65 expression was much less in the melatonin + lipopolysaccharide group. Conclusion Melatonin reduces acute lung injury in endotoxemic rats by attenuating pulmonary inflammation and inhibiting NF-κB activation. 展开更多
关键词 ENDOTOXEMIA acute lung injuly melationin
原文传递
Valproic acid attenuates the multiple-organ dysfunction in a rat model of septic shock 被引量:7
6
作者 SHANG You jiang yuan-xu +4 位作者 Ding Ze-jun Shen Ai-ling XU San-peng YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第19期2682-2687,共6页
Background Valproic acid (VPA) improves early survival and organ function in a highly lethal poly-trauma and hemorrhagic shock model or other severe insults. We assessed whether VPA could improve organ function in a... Background Valproic acid (VPA) improves early survival and organ function in a highly lethal poly-trauma and hemorrhagic shock model or other severe insults. We assessed whether VPA could improve organ function in a rat model of septic shock and illustrated the possible mechanisms. Methods Forty Sprague-Dawley rats were randomly assigned to four groups (n=-10): control group, VPA group, LPS group, and LPS+VPA group. Lipopolysaccharide (LPS) (10 mg/kg) was injected intravenously to replicate the experimental model of septic shock. Rats were treated with VPA (300 mg/kg, i.v.) or saline. Six hours after LPS injection, blood was sampled for gas analysis, measurement of serum alanine aminotransferase, aspartate aminotransferase, urine nitrogen, creatinine and tumor necrosis factor-alpha. Lung, liver and kidney were collected for histopathological assessment. In addition, myeloperoxidase activity and tumor necrosis factor-α in pulmonary tissue were measured. Acetylation of histone H3 in lung was also evaluated by Western blotting. Results LPS resulted in a significant decrease in PaO2, which was increased by VPA administration followed LPS injection. In addition, LPS also induced an increase in the serum levels of alanine aminotransferase, aspartate aminotransferase, urine nitrogen, creatinine, and tumor necrosis factor-alpha. However, these increases were attenuated in the LPS+VPA group. The lungs, liver and kidneys from the LPS group were significantly damaged compared with the control group. However, the damage was attenuated in the LPS+VPA group. Myeloperoxidase activity and tumor necrosis factor-alpha levels in pulmonary tissue increased significantly in the LPS group compared with the control group. These increases were significantly inhibited in the LPS+VPA group. Acetylation of histone H3 in lung tissue in the LPS group was inhibited compared with the control. However, the level of acetylation of histone H3 in the LPS+VPA group was markedly elevated in contrast to the LPS group. Conclusions Treatment with VPA can attenuate multiple organ damage caused by LPS induced septic shock. Our data also suggest that the beneficial effects are in part due to the decrease in inflammatory cytokines and restoration of normal acetylation homeostasis. 展开更多
关键词 valproic acid septic shock INFLAMMATION ACETYLATION
原文传递
Reduction of pulmonary inflammatory response by erythropoietin n a rat model of endotoxaemia 被引量:7
7
作者 SHANG You jiang yuan-xu +4 位作者 XU San-peng WU Yan WU Zhou-yang YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期834-838,共5页
Background Erythropoietin elicits protective effects in lung tissue injury induced by ischaemic reperfusion and hyperoxia. We investigated the protective roles of erythropoietin in pulmonary inflammation and lung inju... Background Erythropoietin elicits protective effects in lung tissue injury induced by ischaemic reperfusion and hyperoxia. We investigated the protective roles of erythropoietin in pulmonary inflammation and lung injury during acute endotoxaemia.Methods A total of 32 male Sprague-Dawley rats were randomly assigned to four groups: saline group, erythropoietin+saline group, saline+lipopolysaccharide group and erythropoietin+lipopolysaccharide group. Rats were treated with erythropoietin (3000 U/kg, i.p.) or saline, 30 minutes prior to lipopolysaccharide administration (6 mg/kg, i.v.). Four hours after lipopolysaccharide injection, samples of pulmonary tissue were collected. Optical microscopy was performed to examine pathological changes in lungs. Wet/dry (W/D) ratios, myeloperoxidase activity, malondialdehyde concentrations and tumour necrosis factor-alpha (TNF-α) as well as interleukin 1 beta (IL-1β) levels in lungs were measured. The pulmonary expression of nuclear factor kappaB (NF-κB) p65 was evaluated by Western blotting. Differences between the different groups were analysed by one-way analysis of variance (ANOVA).Results The lung tissues from the saline+lipopolysaccharide group were significantly damaged, which were less pronounced in the erythropoietin+lipopolysaccharide group. The W/D ratio increased significantly in the saline+lipopolysaccharide group (5.75±0.22) as compared with the saline group (3.85±0.20) (P 〈0.01), which was significantly reduced in the erythropoietin+lipopolysaccharide group (4.50±0.35) (P 〈0.01). Myeloperoxidase activity and malondialdehyde levels increased significantly in the saline+lipopolysaccharide group compared with the saline group, which was reduced in the erythropoietin + lipopolysaccharide group. The TNF-α level of pulmonary tissue increased significantly in the saline+lipopolysaccharide group ((9.80±0.82) pg/mg protein) compared with the saline group ((4.20=L-0.42) pg/mg protein, P 〈0.01). However, the increase of TNF-α level of pulmonary tissue was significantly reduced in the erythropoietin+lipopolysaccharide group ((6.50±0.66) pg/mg protein, P 〈0.01). Similarly, pulmonary IL-1β levels were elevated markedly in the saline+lipopolysaccharide group in contrast to the saline group, whereas the elevation was much less in the erythropoietin+lipopolysaccharide group. The nuclear localization of p65 increased markedly in the saline+lipopolysaccharide group and this enhancement of nuclear p65 expression was much less in the erythropoietin+lipopolysacchadde group.Conclusion Erythropoietin attenuates pulmonary inflammation and suppresses TNF-α and IL-1β overproduction during acute endotoxaemia, which is partially mediated by inhibition of NF-KB. 展开更多
关键词 ENDOTOXAEMIA acute lung injury ERYTHROPOIETIN
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部